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Last TB Inspection: AP Utility of a direct specimen blood culture system for tracking bacterial load in patients with febrile neutropenia.
We evaluated a prototype blood culture system (BCS) that allows for rapid and direct detection of bacteria to monitor the bacterial load in chemotherapy patients with febrile neutropenia (FN). Monthly blood cultures were started in February 2015 for 14 chemotherapy patients with FN. They were referred from a second- or third-line therapy hospital and collected into a blood culture bottle containing an antimicrobial agent at the point of arrival. The blood culture bottle was inserted into the BCS immediately upon arrival. Results were available after 5 hours. After minimum 1-month incubation, rapid streaking and species identification were performed manually. The primary endpoint was the correlation between a BCS-positive blood culture and conventional blood culture. The results of 38 months of patient monitoring were analyzed. The BCS-positive blood culture correlated closely with the reference blood culture at the time of automatic culture (positive agreement rate, 84%; negative agreement rate, 100
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Jarvis Physical Examination and Health Assessment . Accessed February 24, 2013. Jarvis, C, (2011).
Three lab models of physical examination skills. (6th Ed).
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Jarvis Physical Examination and Health Assessment 2nd Edition Jarvis, C, Browne, J. Laboratory models of physical examination skills for practising student nurses. (6th Ed).
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The instructors do not have the responsibility of being the laboratory instructor. Please refer to the instructors' laboratory manual for specifics.Students are expected to verify laboratory information with their instructors.
Ready, steady, go! This is our final physical examination. (After the laboratory portion of the exam, students will do a complete physical examination for the instructor during the practical portion of the course.)
*Note*: Students are permitted to use their own stethoscopes.
Students are required to carefully follow the instructions of the instructors. Please do not skip any steps in the exercise. This is an important part of the exam.
Inquire, observe, and document findings. No extra time should be allocated between this and the next step.
Instructors should be prepared to address any opportunities for growth.
Once all the components have been finished for the lab portion of the exam, students will proceed to the practical portion.
Practical is to be conducted under the supervision of an instructor.
Students are expected to document their findings on the form provided.
Please provide the name(s) of the instructor(s) and laboratory station number.
Instructors are responsible for making the copy of the form
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