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Blood Culture (�삁�븸諛곗뼇)
1. 紐⑹쟻
1) �썝�씤遺덈챸�쓽 �뿴�꽦吏덊솚�쓣 �븣�븘蹂닿린 �쐞�빐�꽌
2) 洹좏삁利� (Bacteremia)�씠�굹 �뙣�삁利� (Septicemia)�쓽 �썝�씤洹좎쓣 吏꾨떒
2. 寃�泥댁쓽 梨꾩랬��� 痍④툒
1) 梨꾪삁�떆湲�
梨꾪삁��� 諛쒖뿴吏곸쟾�뿉 �븯�릺 �삁痢〓せ�븳 寃쎌슦�뿉�뒗 留� 30遺� 媛꾧꺽�쑝濡� 3�쉶�씠�긽 梨꾪삁�븳�떎
諛쒕퀝�썑 1二쇱젙�룄 寃쎄낵�맂 �솚�옄�쓽 �삁�븸諛곗뼇�뿉�꽌 洹좊텇由ъ쑉�씠 媛��옣 �넂�떎
�빆�깮�젣 �닾�뿬�쟾�뿉 �떎�떆�븳�떎
�씠誘� �빆�깮�젣瑜� �닾�뿬�븳 �솚�옄�쓽 Blood Culture�뒗 �꽭洹좎씠 �옄�엫�닔 �엳�룄濡� 以묓솕�젣瑜� 諛곗���뿉 泥④���븳�떎
Penicillin �궗�슜�솚�옄 : 諛곗���뿉 Penicillinase 20Unit/瑜� 泥④���븯�뿬 諛곗뼇
Sulfonamide �궗�슜�솚�옄 : 諛곗���뿉 PABA (Para Amino Benzoic Acid) 5/L瑜� 泥④���븯�뿬 諛곗뼇
湲고�� �빟�젣 �궗�슜�솚�옄�뒗 洹몃��濡� �떎�떆�븳�떎
2) 梨꾪삁遺��쐞 �냼�룆 : 2% Iodine Tincture Sponge濡� �꼻���媛�硫� �냼�룆�븯怨� 留덈Ⅸ�썑 80% Isoprophyl Alcohol濡� �냼�룆
3) 梨꾪삁�웾 : 15瑜� 梨꾪삁�븯�뿬 Aerobic怨� Anaerobic諛곗���뿉 媛곴컖 5�뵫, �굹癒몄���뒗 BHIB�뿉 臾닿퇏�쟻�쑝濡� �젒醫�
(Blood�웾 : 諛곗���웾 ��� 1 : 9�씠�긽)
3. �삁�븸諛곗뼇�슜 諛곗��
1) �샇湲곗꽦 諛곗뼇�슜 諛곗��
Trypticase Soy Broth
Brucella Broth
Columbia Broth
Brain Heart Infusion Broth : �샇湲곗꽦留� 寃�異�
2) �삉湲곗꽦 諛곗뼇�슜 諛곗��
Thioglycollate Broth : �샇湲곗꽦洹�, �삉湲곗꽦洹� 紐⑤몢 諛쒖쑁�븯吏�留� �젅��� �삉湲곗꽦 (Obligate Anaerobic)��� 諛쒖쑁 �븞 �맂�떎
3) �젒醫낅맂 �삁�븸�씠 �쓳怨좊릺硫� �꽭洹좎씠 �옒 利앹떇�븯吏� 紐삵븯誘�濡� 梨꾪삁 利됱떆 �젒醫낇븷�븣�룄 諛곗���뿉�뒗 �듅蹂꾪븳 �빆�쓳怨좎젣�씤 0.0250.03% Sodium Polyanethol Sulfonate瑜� �꽔�뼱�빞 �맂�떎. 洹몄쇅�뿉 Sodium citrate �삉�뒗 EDTA�뒗 洹몃엺 �뼇�꽦洹좎쓣 �뼲�젣�븯硫�, Heparin��� 硫멸퇏�븯硫� �뙆愿대릺誘�濡� 醫뗭���븡�떎
4. �삁�븸諛곗뼇�뿉�꽌 �쓷�엳 寃�異쒕릺�뒗 洹�
1) Micrococcus, Staphylococcus, Streptococcus, Enterococcus, Pneumococcus, Neisseria meningitidis, Listeria, Anaerobic Cocci
2) Enterobacteriaceae (Salmonella媛� ����몴�쟻) , Haemophilus influenzae , Pseudomonas
3) Francisella tularensis , Brucella , 湲고�� 吏꾧퇏
5. �삁�븸諛곗뼇�뿉�꽌 寃�異쒕릺吏� �븡�뒗 洹�
1) Neisseria gonorrhoeae , Shigella , Corynebacterium diphtheria , Mycobacterium tuberculosis , Clostridium tetani
6. 諛곗뼇
1) 37 �삉�뒗 �떎�삩�뿉�꽌 理쒖냼 2二쇨퉴吏� 諛곗뼇 (Brucella�뒗 34二� 諛곗뼇)
2) 留ㅼ씪 �쑁�븞�쟻�쑝濡� 愿�李고븳�떎
3) 愿�李곗떆 諛곗��瑜� �젅��� �쓷�뱾吏� �븡�뒗�떎
7. �삁�븸諛곗뼇�쓽 寃곌낵 愿�李�
1) �삁�븸諛곗뼇�슜 諛곗�� �쟾泥닿�� Jelly�긽�쑝濡� Clot�릺硫댁꽌 Turbid : Staphylococcus aureus 異붿젙
2) 諛곗�� �쟾泥닿�� Reddish Hemolytic Turbid : -Hemolytic Streptococcus 異붿젙
3) �쟾泥댁쟻�씤 Turbid媛� 遺덈텇紐낇븯怨� �긽痢듬��留� �닾紐낇븯硫댁꽌 Greenish : Streptococcus pneumoniae, Neisseria meningitidis 異붿젙
4) RBC 移⑥쟾痢� �쐞濡� �넑�떎諛� (Cotton Ball)紐⑥뼇�쓽 吏묐씫�삎�꽦怨� �긽痢듬���쓽 Clear Ring�삎�꽦 : -Streptococcus 異붿젙
5) RBC 移⑥쟾痢� �쐞�뿉 洹좊벑�븳 Turbid
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