In line with the national think kidneys acute kidney injury programme, led by NHS England, the Acute Kidney Injury (AKI) alert system is being rolled out to cover patients in the community.
|Category||Bacteriology Medical Microbiology|
|Reporting frequency||Negative - 5 days. Up to 21 days for extended culture|
Blue top – Aerobic (BD BACTEC Plus Aerobic/F, Purple top – Anaerobic- BD BACTEC Lytic/10 Anaerobic/F, Paediatric BD BACTEC Peds Plus/F (Pink top)
Aerobic blood culture. Prior to inoculation, disinfect the culture botle top, label the bottle with patient’s details without covering the barcode. Inoculate the bottle with between 8-10ml of the fluid; paediatric samples – inoculate the bottle with between 1-5ml of blood or send any sample you manage to obtain regardless of volume. After inoculation, disinfect the bottle top. Anaerobic culture; likely severe anaerobic infections on ITU; abdominal infections; deep abdominal abscesses; skin and soft tssue infections (particularly necrotising fasciitis); pelvic gynaecological infections; Severe throat infections: Lemierre’s syndrome; Immunosuppressed haematology/oncology patients; investigation of PUO
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