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Conclusions A training program in concurrent cleaning for critical care healthcare providers was effective in reducing the burden of microbiological specimens in ICU beds.
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This may be explained by the fact that our hospital is geographically located in a rural area and that over 90% of the microbiological specimens received in our laboratory originates either from hospitalized patients or from patients regularly visiting the polyclinics; thus the group of patients with true community acquired infections clearly constitutes a minor proportion in our setting.
All of these factors can result increase in the detection of this bacterium in microbiological specimens.
All microbiological specimens are being processed in the one laboratory (Department of Microbiology and Infectious Diseases, Royal Children's Hospital, Women's and Children's Health, Melbourne, Australia) to ensure consistency of processing and reporting.
Sir—We read the article entitled "Rising incidence of Enterococcus species in microbiological specimens from orthopedic patients correlates to increased use of cefuroxime" with great interest (Siesing et al. 2013).
Sir—We thank Dr. Guclu for relevant and important questions concerning our paper about a correlation between increased use of cefuroxime and a rising incidence of Enterococcus species in microbiological specimens from orthopedic patients (Siesing et al. 2013).
Blood cultures were obtained in 77% with additional microbiological specimens (eg, sputum, urine) collected in 55% of patients prior to ICU admission.
None of the other studies cited in Table 3 reported detection of probiotic species in any microbiological specimens.
In addition, other microbiological specimens were performed based on patient's clinical status.
The third bone segment of the retrieved tibia with the catheter in situ was used to prepare microbiological specimens.
Listeria was not thought to be causative organism in any of these cases until microbiological specimens isolated the organism.
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