흉막액 배양에서 누출액과 삼출액에 따른 세균학적 특성
Microbiological Characteristics according to Transudative and Exudative Effusion in Pleural Fluid Culture
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초록
흉막의 누출액과 삼출액에 따른 흉막액 배양에서의 세균학적 특성을 규명하기 위해 2012년 10월부터 2014년 6월까지 혈액배양용 호기성과 무산소성 배지를 이용한 흉막액 배양 검사와 함께 혈청과 체액에서 총단백, 젖산탈수소효소와 당 검사를 의뢰한 1,132검체에서의 결과를 분석하였다. 흉수 누출액과 삼출액의 배양 양성률, 미호기세균 분리율과 다균증 빈도는 각각 5.2%와 10.4%, 14.8%와 7.8% 및 14.8%와 10.9%였다. [Ann Clin Microbiol 2015;18:52-55]
Abstract
A total of 1,132 pleural fluid culture results obtained from October 2012 to July 2014 were analyzed to elucidate the microbiological characteristics according to transudative and exudative pleural fluid. The pleural fluid cultures were performed using aerobic and anaerobic blood culture bottles. The blood and pleural fluid for total protein, lactate dehydrogenase, and glucose measurement were submitted to laboratory at the same time with pleural fluid cultures. The rates for culture positivity, anaerobes isolation, and polymicrobials between transudative and exudative pleural fluid were 5.2% vs. 10.4%, 14.8% vs. 7.8%, and 14.8% vs. 10.9%. (Ann Clin Microbiol 2015;18:-55)
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