Pathogens in Bloodstream Infection in Patients with Hematological Diseases: Retrospective Analysis / 中国实验血液学杂志

OBJECTIVE@#To analyze the distribution and drug resistance of pathogens sampled from the patients with bloodstream infection in the department of hematology of PLA General Hospital, so as to provide evidences for clinical prevention and control infection.@*METHODS@#From January 2014 to December 2017, A total of 286 cases-time positive blood culture samples from 212 patients in the department of hematology of the General Hospital of Chinese PLA were collected. The clinical characteristics of patients and the distribution and drug resistance of pathogens were analyzed retrospectively.@*RESULTS@#182(63.64%) bacterial strains were Gram-negative, and the other 104(36.36%) were Gram-positive. There were 88 strains of Escherichia coli(30.77%), 34 strains of Pseudomonas aeruginosa(11.89%), 26 strains of Klebsiella pneumoniae(9.09%), 25 strains of Staphylococcus epidermidis(8.74%), 20 strains of Gram-positive rods(6.99%), 16 strains of Staphylococcus hominis(5.59%), 11 strains of Etaphylococcus haemolyticus(3.85%), 10 strains of Staphylococcus aureus(3.50%), 6 strains of Staphylococcus capitis(2.10%), 5 strains of Acinetobacter baumannii(1.75%) and so on. Escherichia coli, Pseudomonas aeruginosa and Klebsiella pneumoniae as Gram-negative bacteria were sensitive to amikacin. Staphylococcus epidermidis and Staphylococcus aureus as Gram-positive bacteria were sensitive to vancomycin and nitrofurantoin.@*CONCLUSION@#The blood culture patients with bloodstream infection in department of hematology of our hospital confirmed that more infections are Gram-negative. The clinicians should choose suitable antibiotics according to the results of bacterial culture and drug sensitive test.

Diagnostic Values of Procalcitonin, C-reactive Protein and Interleukin-6 in Hematological Diseases with Bacterial Infection / 中国实验血液学杂志

<p><b>OBJECTIVE</b>To evaluate the diagnostic values of procalcitonin(PCT), C-reactive protein(CRP) and interleukin-6 (IL-6) in patients suffered from hematological diseases with bacterial infection, and to provide further evidence for clinical application.</p><p><b>METHODS</b>A total of 3631 blood cultures, serum levels of PCT and CRP and IL-6 (n=1587) from the inpatients from 2014-01-02 to 2018-01-27 were retrospectively analyzed. The patients were divided into positive (n=208) and negative blood culture (n=3423) groups. Positive blood culture group were redivided into gram-positive (n=34) and gram-negative (n=174) subgroups. The values CRP, PCT and IL-6 were compared respectively in these groups. The data were analyzed by using R 3.4.4 language.</p><p><b>RESULTS</b>The medians of PCT values in positive and negative blood culture groups were 0.41(0.04-103.34) μg/L and 0.20(0.02-200) μg/L(P<0.001) respectively. The medians of CRP values in positive and negative blood culture groups were 9.49(0.1-370) mg/dl and 5.42(0-370) mg/dl (P<0.001) respectively. The medians of IL-6 values in positive and negative blood culture groups were 186.1(2.0-5000, n=91) pg/ml and 52.65(1.5-5000, n=1496) pg/ml (P<0.001). The medians of PCT values in gram-positive and gram-negative groups were 0.20(0.05-93.83) μg/L and 0.58(0.04-103.34) μg/L (P=0.006) respectively. The medians of CRP value in gram-positive and gram-negative groups were 9.19(0.1-35.3)mg/dL and 9.49(0.1-370) mg/dl (P=0.300) respectively. The medians of IL-6 values in gram-positive and gram-negative groups were 83.01(5.61-1500, n=12) pg/ml and 208(2.0-5000, n=79) pg/ml (P=0.357).</p><p><b>CONCLUSION</b>The PCT, CRP and IL-6 levels were significantly higher in the positive blood culture group than those in the negative blood culture group, so provide the effective early diagnostic markers for blood culture. PCT levels in gram-positive group were significantly higher than that in gram-negative groups, contributing to distinguish between the 2 groups.</p>