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BD Bactec FX40
https://youtu.be/9VZOUimC4JU

BD BACTEC FX Blood Culture System


BD, the leader in blood culture instrumentation and media.
Builds on the proven superior fluorescence detection
technology, exceptional media performance and
instrument reliability of the BD BACTEC 9000 blood
culture systems.
And is now combined with:
the most efficient, INTUITIVE workflow for reduced hands-on
time
the most compact, INNOVATIVE system design for maximum
ergonomics and laboratory space utilization
INTELLIGENT cutting-edge data management with enhanced
blood culture observation in and out of the laboratory for reduced
workflow interruptions and optimized communication of
preliminary or final results to caregivers.

Principle

When microorganisms are present in culture vials:


they metabolize nutrients in the culture medium
releasing carbon dioxide into the medium.

A dye in the sensor at the bottom of the vial reacts with


CO2.

A photo detector at each station measures the level of


fluorescence, which corresponds to the amount of CO2
released by organisms.

Then the measurement is interpreted by the system


according to pre-programmed positivity parameters.

Specimen:
Children: 1 to 5 mL of blood per venipuncture.
Adult: 16 to 20 mL of blood per venipuncture.
Points to Remember Before Collection:
If at all possible, blood for cultures should not be drawn through
an intravenous or intra-arterial catheter unless otherwise noted by
the physician.
If blood cultures are drawn from an intravenous line, a second
culture should be drawn from a peripheral venipuncture.
* The rate of false positive blood cultures increases when blood is
taken from a catheter regardless of when the catheter was placed.
Reminder!!
Do not use a bottle if the media is cloudy or if the bottle is
cracked.

Measurement Subsystem:
The measurement subsystem activates the sensor in the bottom
of a media vial optically. The interrogation consists of illuminating
the sensor with an LED and collecting fluorescent light back from
the sensor with a photo detector. The collected data is processed,
normalized and compensated for thermal variation. Measurement
is performed and processed by the Row Board.
Vial Presence Sensing:
Each station has a vial presence sensor that immediately detects
the insertion or removal of vials. This allows users to place vials in
any location, or to assign stations through Vial Entry. Station
indicators immediately reflect the changed status. Vial presence
sensing is performed by the Row Board

QUALITY CONTROL
DO NOT USE culture vials past their expiration date.
DO NOT USE culture vials that exhibit any cracks or defects; discard the vial in
the appropriate manner.
A positive and negative vial may be used to test the performance of the media:
The positive vial should be inoculated with 1.0 mL of a 0.5 McFarland Standard of either
Escherichia coli or Staphylococcus aureus prepared from a fresh 18 24 h culture. This
vial and an uninoculated vial should be logged into the instrument and tested. The
inoculated vial should be detected as positive by the instrument within 72 hours.
The negative control vials should remain negative throughout the entire testing protocol.

The positive control vials should be inoculated using a 1:100 dilution of a


McFarland suspension of microorganisms grown on solid medium. Inoculate the
vial with 0.1 mL of the diluted culture. The positive control vials and an
uninoculated control vial should be scanned into the instrument and tested.
The inoculated vial should be detected as positive by the instrument within the
test protocol i.e. range of time to detection as stated above. The negative
control should remain negative.

LIMITATIONS and REMINDERS:


1. Recommended blood to broth ratio is 1:5 to 1:10. As the
volume of blood drawn is increased, the yield of positive
cultures increases. Optimally, 20ml of blood should be
drawn from adults (10ml per bottle).
2. Do not overfill the bottles as this may cause false positive
readings.
3. For best volume control, mark the fill level on side of bottle
prior to collection.
4. To avoid contamination of the blood culture sample,
inoculate blood culture bottles first and then fill additional
blood collection tubes.
5. When labeling the bottles, do not cover barcode labels or
the lot numbers.
6. A different site should be used for each culture set
collected.

Vitek Compact
https://youtu.be/1bVIcY30YU0

BACTEC 9050
MODEL

BACTEC 9050

SAMPLE REQUIRED

Blood, body fluids

SAMPLE VOLUME, mL (DETECTION 1-10


PROCESS, HR)
USES (STAINING POSTS)

Detection, growth

TESTING CAPACITY (DETECTION


PROCESS, HR)

Continuous monitoring, 50
vials/test module

SAMPLE MEDIUM (DETECTION


PROCESS, HR)
Growth (DETECTION PROCESS,
HR)

Standard, resin, lytic, myco/AFB

TECHNIQUE

Fluorescence

OTHER ATTRIBUTES (Interference


compensation)

Fully automated; bar-code reader;


liquid crystal display; graphic
interface; supports all BACTEC

Depending on media type, 1 hr to


6 wk

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