23 results
Blood culture contaminants
Grouped by gram negative vs gram positive vs other as well as never/maybe/probably
Some additional
Blood culture contaminants ... Grouped by gram negative ... #Infections #Microbiology ... #Micro #Differential ... Bloodculture #Bloodcx #bcx
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
Causes of blood culture ... negative infective ... nutritionally variant Strep ... #negative #Endocarditis ... InfectiousDiseases #Microbiology
Group A Strep Pharyngitis, also known as  Strep Throat. 

In addition to symptomatic presentation, a
If positive, no culture ... recommended by IDSA ... throat swab is negative ... have a follow-up culture ... #StrepThroat #Management
How to Determine a Contaminant vs True Infection 

What is the organism? Most 
common contaminants:
• Coagulase-negative ... How many blood culture ... species from the micro ... Contamination #Diagnosis #BCx
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Alpha-hemolytic, Catalase Negative ... sinus • Sputum culture ... Streptocccus #Pneumoniae #strep ... #microbiology # ... diagnosis #management
Guide to Interpretation of Positive Blood Cultures

I arrange the potential Gram stain results that one can
Positive Blood Cultures ... call from the micro ... Fewer positive cultures ... reason to go to micro ... Interpretation #Laboratory #Microbiology
Bacteremia Quick Reference - Treatment Duration

Gram Negative Bacteremia:
 • Avoid: Aminoglycosides and tigecycline
 • Catheters should
Duration Gram Negative ... • No follow up cultures ... are negative ... C and Group G strep ... Bacteremia #Treatment #Management
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... - IDSA Guidelines ... Susceptibilities, Negative ... Cultures • Length ... #Candidemia #IDSA
Acinetobacter baumanii on culture and microscopy
 - MacConkey agar - Lactose Negative
 - gram negative (often
agar - Lactose Negative ... - gram negative ... esp. from blood cx ... clinical #microscopy #microbiology ... #culture
Psittacosis 
Pathogen: Chlamydia psittaci - obligate intracellular gram negative
Transmission:
 • Birds are the primary reservoir
 •
intracellular gram negative ... test • PCR • Culture ... Chlamydia #psittaci #microbiology ... #diagnosis #management