The low sensitivity of direct smears limit the utility of intraoperative gram stains for predicting culture-positivity in acute surgical settings
The role of intraoperative Gram stains in acute surgery decision-making is unclear. Our retrospective chart review of microbiology results for specimens submitted by acute surgery attendings showed Gram stain performs with a sensitivity ranging from 18% to 65% compared to culture, depending on organ...
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Veröffentlicht in: | Diagnostic microbiology and infectious disease 2023-05, Vol.106 (1), p.115923-115923, Article 115923 |
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container_title | Diagnostic microbiology and infectious disease |
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creator | Powers-Fletcher, Margaret V. Smulian, Alan George |
description | The role of intraoperative Gram stains in acute surgery decision-making is unclear. Our retrospective chart review of microbiology results for specimens submitted by acute surgery attendings showed Gram stain performs with a sensitivity ranging from 18% to 65% compared to culture, depending on organism type, thus limiting its utility. |
doi_str_mv | 10.1016/j.diagmicrobio.2023.115923 |
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Our retrospective chart review of microbiology results for specimens submitted by acute surgery attendings showed Gram stain performs with a sensitivity ranging from 18% to 65% compared to culture, depending on organism type, thus limiting its utility.</description><identifier>ISSN: 0732-8893</identifier><identifier>EISSN: 1879-0070</identifier><identifier>DOI: 10.1016/j.diagmicrobio.2023.115923</identifier><identifier>PMID: 36963328</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Clinical bacteriology ; Gram stain ; Humans ; Intraoperative ; Microbiological Techniques ; Monitoring, Intraoperative ; Retrospective Studies ; Staining and Labeling ; Stat surgical Gram stain</subject><ispartof>Diagnostic microbiology and infectious disease, 2023-05, Vol.106 (1), p.115923-115923, Article 115923</ispartof><rights>2023 The Authors</rights><rights>Copyright © 2023 The Authors. Published by Elsevier Inc. 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Our retrospective chart review of microbiology results for specimens submitted by acute surgery attendings showed Gram stain performs with a sensitivity ranging from 18% to 65% compared to culture, depending on organism type, thus limiting its utility.</description><subject>Clinical bacteriology</subject><subject>Gram stain</subject><subject>Humans</subject><subject>Intraoperative</subject><subject>Microbiological Techniques</subject><subject>Monitoring, Intraoperative</subject><subject>Retrospective Studies</subject><subject>Staining and Labeling</subject><subject>Stat surgical Gram stain</subject><issn>0732-8893</issn><issn>1879-0070</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1O3DAURi0EKgPtK1RWV91k8E8yidlV0BYkJDZ0bTnO9XBHSZzaDojH4I3rUQbUJStvznc_33sI-cbZmjO-uditOzTbAW3wLfq1YEKuOa-UkEdkxZtaFYzV7JisWC1F0TRKnpKzGHeMcaFK9omcyo3aSCmaFXl9eATa-2caYYyY8AnTC_WOdhjAJhoHMCHSHgdMNGV0TtgfEBxTMH6CYHIM6DaYgcZkcIzU-UCnAB3ahOOW2rlPc4Bi8u8VOFJj5wQ0zmGL1vT5A2kPx8_kxJk-wpfDe07-_Pr5cHVT3N3_vr36cVdYWVepMEy20PJWOG6dqZxRJdi64Y00jgvTbirXdS2UXGairLqyFnXeumHOgJQS5Dn5vsydgv87Q0x6wGih780Ifo5a1IrnOzGlMnq5oPniMQZwego4mPCiOdN7JXqn_1ei90r0oiSHvx565naA7j365iAD1wsAedsnhKCjRRgtLA505_EjPf8ApJOo-g</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Powers-Fletcher, Margaret V.</creator><creator>Smulian, Alan George</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3825-1150</orcidid></search><sort><creationdate>202305</creationdate><title>The low sensitivity of direct smears limit the utility of intraoperative gram stains for predicting culture-positivity in acute surgical settings</title><author>Powers-Fletcher, Margaret V. ; Smulian, Alan George</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-a03beb1b2f1cfa5fa94ec78183af12ab65fddbe4132f145d472769680fae333e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Clinical bacteriology</topic><topic>Gram stain</topic><topic>Humans</topic><topic>Intraoperative</topic><topic>Microbiological Techniques</topic><topic>Monitoring, Intraoperative</topic><topic>Retrospective Studies</topic><topic>Staining and Labeling</topic><topic>Stat surgical Gram stain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Powers-Fletcher, Margaret V.</creatorcontrib><creatorcontrib>Smulian, Alan George</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diagnostic microbiology and infectious disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Powers-Fletcher, Margaret V.</au><au>Smulian, Alan George</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The low sensitivity of direct smears limit the utility of intraoperative gram stains for predicting culture-positivity in acute surgical settings</atitle><jtitle>Diagnostic microbiology and infectious disease</jtitle><addtitle>Diagn Microbiol Infect Dis</addtitle><date>2023-05</date><risdate>2023</risdate><volume>106</volume><issue>1</issue><spage>115923</spage><epage>115923</epage><pages>115923-115923</pages><artnum>115923</artnum><issn>0732-8893</issn><eissn>1879-0070</eissn><abstract>The role of intraoperative Gram stains in acute surgery decision-making is unclear. 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subjects | Clinical bacteriology Gram stain Humans Intraoperative Microbiological Techniques Monitoring, Intraoperative Retrospective Studies Staining and Labeling Stat surgical Gram stain |
title | The low sensitivity of direct smears limit the utility of intraoperative gram stains for predicting culture-positivity in acute surgical settings |
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