Investigating the time to blood culture positivity: why does it take so long?
2025

Investigating the time to blood culture positivity

Sample size: 111 publication 10 minutes Evidence: high

Author Information

Author(s): Kerry Falconer, Robert Hammond, Benjamin J. Parcell, Stephen H. Gillespie

Primary Institution: University of St Andrews

Hypothesis

Can the time to blood culture positivity be expedited using a Scattered Light Integrated Collection (SLIC) device?

Conclusion

An SLIC device significantly reduced the time to positivity of common bloodstream infection pathogens.

Supporting Evidence

  • The median time to positivity for Gram-negative blood cultures on BacT/ALERT was 13.56 hours.
  • All pathogens derived from blood cultures at a concentration of 105 c.f.u. ml−1 were detectable in under 70 minutes on SLIC.
  • Direct detection from whole blood on SLIC showed a 76% reduction in turnaround time compared to standard workflows.

Takeaway

This study found a new device that can help doctors find out if someone has a blood infection much faster than before.

Methodology

A proof-of-concept study comparing the time to positivity of Gram-negative blood cultures using BacT/ALERT and an SLIC device.

Limitations

The study primarily focused on E. coli and may not represent other pathogens; further multi-centre studies are needed.

Participant Demographics

Healthy volunteers provided blood samples for the study.

Statistical Information

P-Value

p<0.05

Confidence Interval

IQR, 10.57–19.66

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1099/jmm.0.001942

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