全自动血培养仪与微生物鉴定仪在临床血液检验中的应用效果  

Application Effect of Automatic Blood Culture Instrument and Microbial Identification Instrument in Clinical Blood Test

作　　者：黄媛媛 董建伟 戴清香 余茜 李玲玉 HUANG Yuan-yuan;DONG Jian-wei;DAI Qing-xiang;YU Xi;LI Ling-yu(Department of Laboratory,Ji'an Hospital,Shanghai Oriental Hospital,Shanghai 343000,China;Department of Radiotherapy,Ji'an Hospital,Shanghai Oriental Hospital,Shanghai 343000,China;Department of Gastroenterology,Ji'an Hospital,Shanghai Oriental Hospital,Shanghai 343000,China;Department of Pharmacy,Ji'an Hospital,Shanghai Oriental Hospital,Shanghai 343000,China;Department of Pathology,Ji'an Hospital,Shanghai Oriental Hospital,Shanghai 343000,China)

机构地区：[1]上海市东方医院吉安医院检验科,上海343000 [2]上海市东方医院吉安医院放疗科,上海343000 [3]上海市东方医院吉安医院消化内科,上海343000 [4]上海市东方医院吉安医院药剂科,上海343000 [5]上海市东方医院吉安医院病理科,上海343000

出　　处：《医学信息》2024年第10期130-132,140,共4页Journal of Medical Information

摘　　要：目的研究全自动血培养仪与微生物鉴定仪在临床血液检验中的应用效果。方法选取2021年1月-2023年1月我院行血液检验的80例患者为研究对象,所有血液样本均采用全自动血培养仪与微生物鉴定仪检验,观察不同检验方法间检验时间、检验成本、革兰阳性和阴性菌检出率,以及对血液微生物的检验诊断效能(灵敏度、特异度、准确率、阳性预测值、阴性预测值)。结果全自动血培养仪检验时间短于微生物鉴定仪检验,检验成本低于微生物鉴定仪检验(P<0.05);全自动血培养仪检验革兰阳性菌检出率、阴性菌检出率与微生物鉴定仪比较,差异无统计学意义(P>0.05);全自动血培养仪检验对血液微生物的检验诊断灵敏度、特异度、准确率、阳性预测值、阴性预测值与微生物鉴定仪比较,差异无统计学意义(P>0.05)。结论全自动血培养仪与微生物鉴定仪在临床血液检验中均具有较高的诊断效能,但全自动血培养仪诊断耗时短、检验成本低、应用效率更高,临床可根据检验实际情况需求选择更合理的检验方式,以满足临床需求。Objective To study the application effect of automatic blood culture instrument and microbial identification instrument in clinical blood test.Methods A total of 80 patients who underwent blood test in our hospital from January 2021 to January 2023 were selected as the research objects.All blood samples were tested by automatic blood culture instrument and microbial identification instrument.The test time,test cost,detection rate of Gram-positive and Gram-negative bacteria between different test methods,and the test diagnostic efficiency of blood microorganisms(sensitivity,specificity,accuracy,positive predictive value,negative predictive value)were observed.Results The test time of automatic blood culture instrument was shorter than that of microbial identification instrument,and the test cost was lower than that of microbial identification instrument(P<0.05).There was no significant difference in the detection rate of gram-positive bacteria and negative bacteria between the automatic blood culture instrument and the microbial identification instrument(P>0.05).There was no significant difference in the sensitivity,specificity,accuracy,positive predictive value and negative predictive value between the automatic blood culture instrument and the microbial identification instrument(P>0.05).Conclusion Automatic blood culture instrument and microbial identification instrument have high diagnostic efficiency in clinical blood test,but automatic blood culture instrument has short diagnosis time,low test cost and higher application efficiency.Clinically,more reasonable test methods can be selected according to the actual needs of the test to meet the clinical needs.

关 键 词：全自动血培养仪 微生物鉴定仪 血液检验 诊断效能 

分 类 号：R44[医药卫生—诊断学]