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Additional focused ultrasound investigations (lung, abdominal, soft tissues, beyond the scope of this review) in a multi-focused transversal approach [30, 31] should help in confirming suspicion of a septic etiology of the critical state and save time in early institution of empirical antibiotic therapy, upon appropriate bacteriological sampling.
When no pathogen was identified in a patient receiving antibiotics prior to bacteriological sampling, an independent adjudication committee reviewed all charts to assess if the patient had a "high probability" or "low probability" for bacterial co-infection, based on clinical, radiological and biological results available.
Bacteriological sampling is conducted monthly at the East and West Bank distribution systems, and all EPA protocols for monitoring pollutants are followed.
Hence, we limited the study to bacteriological sampling.
Investigators systematically performed bacteriological sampling before changing antimicrobials.
The time between bacteriological sampling and laboratory confirmation of MRSA was also long in some cases.
Similar(38)
Bacteriological samples were performed on tracheal aspirate.
Additional bacteriological samples were taken in presence of infectious signs.
b Evolution of positivity rate of bacteriological samples in both groups.
The bacteriological samples were carried to the laboratory in freezing condition (4 °C).
Before prescription, only 53 % of patients had bacteriological sample, and 35%% of patients had lactate assay.
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