Rapid separation of very low concentrations of bacteria from blood

A rapid and accurate diagnosis of the species and antibiotic resistance of bacteria in septic blood is vital to increase survival rates of patients with bloodstream infections, particularly those with carbapenem-resistant enterobacteriaceae (CRE) infections. The extremely low levels in blood (1 to 1...

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Main Author: Buchanan, Clara M. (author)
Other Authors: Wood, Ryan L. (author), Hoj, Taalin R. (author), Alizadeh, Mahsa (author), Bledsoe, Colin G. (author), Wood, Madison E. (author), McClellan, Daniel S. (author), Blanco, Rae (author), Hickey, Caroline L. (author), Ravsten, Tanner V. (author), Husseini, Ghaleb (author), Robison, Richard A. (author), Pitt, William G. (author)
Format: article
Published: 2017
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Online Access:http://hdl.handle.net/11073/21317
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author Buchanan, Clara M.
author2 Wood, Ryan L.
Hoj, Taalin R.
Alizadeh, Mahsa
Bledsoe, Colin G.
Wood, Madison E.
McClellan, Daniel S.
Blanco, Rae
Hickey, Caroline L.
Ravsten, Tanner V.
Husseini, Ghaleb
Robison, Richard A.
Pitt, William G.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author_facet Buchanan, Clara M.
Wood, Ryan L.
Hoj, Taalin R.
Alizadeh, Mahsa
Bledsoe, Colin G.
Wood, Madison E.
McClellan, Daniel S.
Blanco, Rae
Hickey, Caroline L.
Ravsten, Tanner V.
Husseini, Ghaleb
Robison, Richard A.
Pitt, William G.
author_role author
dc.creator.none.fl_str_mv Buchanan, Clara M.
Wood, Ryan L.
Hoj, Taalin R.
Alizadeh, Mahsa
Bledsoe, Colin G.
Wood, Madison E.
McClellan, Daniel S.
Blanco, Rae
Hickey, Caroline L.
Ravsten, Tanner V.
Husseini, Ghaleb
Robison, Richard A.
Pitt, William G.
dc.date.none.fl_str_mv 2017
2021-02-02T10:10:50Z
2021-02-02T10:10:50Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv Clara M. Buchanan, Ryan L. Wood, Taalin R. Hoj, Mahsa Alizadeh, Colin G. Bledsoe, Madison E. Wood, Daniel S. McClellan, Rae Blanco, Caroline L. Hickey, Tanner V. Ravsten, Ghaleb A. Husseini, Richard A. Robison, William G. Pitt, Rapid separation of very low concentrations of bacteria from blood, Journal of Microbiological Methods, Volume 139, 2017, Pages 48-53, ISSN 0167-7012, https://doi.org/10.1016/j.mimet.2017.05.004.
0167-7012
http://hdl.handle.net/11073/21317
10.1016/j.mimet.2017.05.004
dc.language.none.fl_str_mv en_US
dc.publisher.none.fl_str_mv Elsevier
dc.relation.none.fl_str_mv https://doi.org/10.1016/j.mimet.2017.05.004
dc.subject.none.fl_str_mv Blood sepsis
Bacterial infection
Rapid diagnosis
E. coli
Carbapenem-resistant enterobacteriaceae
Sedimentation
dc.title.none.fl_str_mv Rapid separation of very low concentrations of bacteria from blood
dc.type.none.fl_str_mv Peer-Reviewed
Postprint
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description A rapid and accurate diagnosis of the species and antibiotic resistance of bacteria in septic blood is vital to increase survival rates of patients with bloodstream infections, particularly those with carbapenem-resistant enterobacteriaceae (CRE) infections. The extremely low levels in blood (1 to 100 CFU/ml) make rapid diagnosis difficult. In this study, very low concentrations of bacteria (6 to 200 CFU/ml) were separated from 7 ml of whole blood using rapid sedimentation in a spinning hollow disk that separated plasma from red and white cells, leaving most of the bacteria suspended in the plasma. Following less than a minute of spinning, the disk was slowed, the plasma was recovered, and the bacteria were isolated by vacuum filtration. The filters were grown on nutrient plates to determine the number of bacteria recovered from the blood. Experiments were done without red blood cell (RBC) lysis and with RBC lysis in the recovered plasma. While there was scatter in the data from blood with low bacterial concentrations, the mean average recovery was 69%. The gender of the blood donor made no statistical difference in bacterial recovery. These results show that this rapid technique recovers a significant amount of bacteria from blood containing clinically relevant low levels of bacteria, producing the bacteria in minutes. These bacteria could subsequently be identified by molecular techniques to quickly identify the infectious organism and its resistance profile, thus greatly reducing the time needed to correctly diagnose and treat a blood infection.
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identifier_str_mv Clara M. Buchanan, Ryan L. Wood, Taalin R. Hoj, Mahsa Alizadeh, Colin G. Bledsoe, Madison E. Wood, Daniel S. McClellan, Rae Blanco, Caroline L. Hickey, Tanner V. Ravsten, Ghaleb A. Husseini, Richard A. Robison, William G. Pitt, Rapid separation of very low concentrations of bacteria from blood, Journal of Microbiological Methods, Volume 139, 2017, Pages 48-53, ISSN 0167-7012, https://doi.org/10.1016/j.mimet.2017.05.004.
0167-7012
10.1016/j.mimet.2017.05.004
language_invalid_str_mv en_US
network_acronym_str aus
network_name_str aus
oai_identifier_str oai:repository.aus.edu:11073/21317
publishDate 2017
publisher.none.fl_str_mv Elsevier
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spelling Rapid separation of very low concentrations of bacteria from bloodBuchanan, Clara M.Wood, Ryan L.Hoj, Taalin R.Alizadeh, MahsaBledsoe, Colin G.Wood, Madison E.McClellan, Daniel S.Blanco, RaeHickey, Caroline L.Ravsten, Tanner V.Husseini, GhalebRobison, Richard A.Pitt, William G.Blood sepsisBacterial infectionRapid diagnosisE. coliCarbapenem-resistant enterobacteriaceaeSedimentationA rapid and accurate diagnosis of the species and antibiotic resistance of bacteria in septic blood is vital to increase survival rates of patients with bloodstream infections, particularly those with carbapenem-resistant enterobacteriaceae (CRE) infections. The extremely low levels in blood (1 to 100 CFU/ml) make rapid diagnosis difficult. In this study, very low concentrations of bacteria (6 to 200 CFU/ml) were separated from 7 ml of whole blood using rapid sedimentation in a spinning hollow disk that separated plasma from red and white cells, leaving most of the bacteria suspended in the plasma. Following less than a minute of spinning, the disk was slowed, the plasma was recovered, and the bacteria were isolated by vacuum filtration. The filters were grown on nutrient plates to determine the number of bacteria recovered from the blood. Experiments were done without red blood cell (RBC) lysis and with RBC lysis in the recovered plasma. While there was scatter in the data from blood with low bacterial concentrations, the mean average recovery was 69%. The gender of the blood donor made no statistical difference in bacterial recovery. These results show that this rapid technique recovers a significant amount of bacteria from blood containing clinically relevant low levels of bacteria, producing the bacteria in minutes. These bacteria could subsequently be identified by molecular techniques to quickly identify the infectious organism and its resistance profile, thus greatly reducing the time needed to correctly diagnose and treat a blood infection.Elsevier2021-02-02T10:10:50Z2021-02-02T10:10:50Z2017Peer-ReviewedPostprintinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfClara M. Buchanan, Ryan L. Wood, Taalin R. Hoj, Mahsa Alizadeh, Colin G. Bledsoe, Madison E. Wood, Daniel S. McClellan, Rae Blanco, Caroline L. Hickey, Tanner V. Ravsten, Ghaleb A. Husseini, Richard A. Robison, William G. Pitt, Rapid separation of very low concentrations of bacteria from blood, Journal of Microbiological Methods, Volume 139, 2017, Pages 48-53, ISSN 0167-7012, https://doi.org/10.1016/j.mimet.2017.05.004.0167-7012http://hdl.handle.net/11073/2131710.1016/j.mimet.2017.05.004en_UShttps://doi.org/10.1016/j.mimet.2017.05.004oai:repository.aus.edu:11073/213172024-08-22T12:04:57Z
spellingShingle Rapid separation of very low concentrations of bacteria from blood
Buchanan, Clara M.
Blood sepsis
Bacterial infection
Rapid diagnosis
E. coli
Carbapenem-resistant enterobacteriaceae
Sedimentation
status_str publishedVersion
title Rapid separation of very low concentrations of bacteria from blood
title_full Rapid separation of very low concentrations of bacteria from blood
title_fullStr Rapid separation of very low concentrations of bacteria from blood
title_full_unstemmed Rapid separation of very low concentrations of bacteria from blood
title_short Rapid separation of very low concentrations of bacteria from blood
title_sort Rapid separation of very low concentrations of bacteria from blood
topic Blood sepsis
Bacterial infection
Rapid diagnosis
E. coli
Carbapenem-resistant enterobacteriaceae
Sedimentation
url http://hdl.handle.net/11073/21317