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Mikrobiologie

  • Alexander von Graevenitz

Zusammenfassung

Die infektiöse Endokarditis ist durch eine kontinuierliche, allerdings meist geringgradige Bakteriämie gekennzeichnet (bei grampositiven Kokken in mehr als 50% l–30CFU/ml) (122). Drei venöse Blutkulturen per 24 Stunden, in Abständen von mehreren Stunden abgenommen, werden daher als adäquat angesehen (115), wobei jede Kultur aus mindestens 10 ml venösem Blut, 1:10 in Bouillon mit 0,025 – 0,05% Natriumpolyanetholsulfonat (SPS) verdünnt, besteht und pro Kultur eine aerobe und eine anaerobe Flasche angelegt werden sollte. Anaerobe Endokarditiden sind zwar selten, jedoch werden Haemophilus spp. häufiger aus anaeroben als aus aeroben Flaschen isoLIert (116). Beide Flaschen sollten bei Wachstumsverdacht zumindest auf Schokoladenagar subkultiviert werden.

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© Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt 1994

Authors and Affiliations

  • Alexander von Graevenitz

There are no affiliations available

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