Table 2
Anaerobic organisms isolated indicating bottles type and clinical significance when isolated from the anaerobic bottle only
| Organism | No of cases/ bottle type* | Age (sex) | Underlying condition(s) | Did lab result affect patient management? | Comment(s) |
|---|---|---|---|---|---|
| Bottle types: Ae, aerobic; An, anaerobic; Bo, both (“Both bottles” consist of an anaerobic bottle and either a FAN-aerobic or a standard aerobic bottle). | |||||
| Antibiotics: amo, amoxycillin; cxm, cefuroxime; cip, ciprofloxacin; met, metronidazole; pen, benzylpenicillin. | |||||
| Anaerobic coccus | 2 / Bo | 70 (f), 70 (f) | – | – | Grown from Ae and An bottle |
| Anaerobic diphtheroid bacilli | 1 / Bo | 52 (m) | – | – | Grown from Ae and An bottle |
| Bacteroides cappillosus | 1 / An | 72 (m) | Postoperative cholecystectomy, ascending cholangitis, pyrexia | No | Already treated with cxm and met - much improved |
| Bacteroides distasonis | 1 / Ae | 67 (m) | – | – | Grown from Ae bottle only |
| Bacteroides fragilis | 3 / Bo | 83 (f), 77 (m), 63 (f) | – | – | Grown from Ae and An bottle |
| Bacteroides fragilis | 3 / An | 89 (m), 75 (m), 74 (f) | Colonic carcinoma with pulmonary metastases/PUO, recurrent episodes of pyrexia/ Carcinoma with brain metastases | No/Unknown/ No | Already on cxm and met, died shortly afterwards/ Not documented in patient notes/ Already treated with met |
| Bacteroides fragilis andPeptostreptococcus asaccharolyticus | 1 / An | 81 (f) | Confusion, anaemia, ?infection | No | On met before isolation |
| Bacteroides sp | 2 / Ae | 74 (f), 89 (m) | – | – | Grown from Ae bottles only |
| Bacteroides sp | 3 / An | 88 (f), 72 (m), 65 (f) | Bowel obstruction, renal failure/ Chronic lymphocytic leukaemia/ Necrotic skin ulcers, renal failure, ?sepsis | No/Unknown/ No | Already treated with cxm and met. Deteriorated and died/ Already transferred to another hospital./ On met before isolation |
| Bacteroides thetaiotaomicron | 1 / An | 71 (m) | Necrotic bed sore, ?septic | Yes | Improved after met advised |
| Clostridium perfringens | 2 / Ae | 70 (m), <1 (m) | – | – | Grown from Ae bottles only |
| Clostridium perfringens | 4 /An | 68 (f), 78 (m), 70 (m), 60 (f) | Frequent falls, pyrexia/ Dementia, subdural haematoma, pyrexia/ Postoperative pyrexia/ Recurrent seizures, ?UTI | Possibly/ possibly/ No/No | Improved after treatment with amo and met./ Deteriorated despite addition of met and pen/ Already treated with cip followed by aug, improved/ Met advised. There seems to be no relevance of this isolate to patient's condition |
| Clostridium sp, Streptococcus sp, andEscherichia coli | 1 / Bo | 38 (f) | – | – | Grown from Ae and An bottle |
| Clostridium tertium | 1 / An | 70 (f) | ?Liver failure | No | Went home when result telephoned. No antibiotics given |
| Eubacterium lentum | 1 / An | 73 (f) | Peritonitis, on peritoneal dialysis | Unknown | Already transferred to referral hospital |
| Propionibacterium acnes | 9 / An | 29 (f), 50 (f), 53 (m), 87 (f), 81 (m), 68 (f), 86 (m), 88 (f), 17 (f) | Known MS, ?meningism/ Infected toe ingrowing toe nail/ Dementia, awaiting long term placement, pyrexia/ Myocardial infarction, GI bleeding, pyrexia/ Myelodysplasia syndrome, pyrexia/ COAD, pyrexia, ?pneumonia/ Dementia, pyrexia/ Appendicitis | No/No/No/No /No/ Unknown/No/ No/ No | Was not on antibiotics, she delivered and went home well./ Already treated and improved with met./ On met before isolation/ Already discharged well, without antibiotics/ Was well when result telephoned, without antibiotics/ Difficult to ascertain as was on a variety of antibiotics/ Improved and was well when result telephoned/ Discharged before result telephoned/ Already discharged well, without antibiotics |
