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J Clin Pathol 57:199-201 doi:10.1136/jcp.2003.10538
  • Short report

Rapid identification of Staphylococcus aureus from BacT/ALERT blood culture bottles by direct Gram stain characteristics

Table 2

Performance characteristics of Gram stain compared with culture for identification of Staphylococcus aureus from BacT/ALERT blood culture bottles

Microscopist* Blood culture bottle type No. Gram stains positive for S aureus/No. cultures positive for S aureus (% sensitivity) No. Gram stains negative for S aureus/No. cultures negative for S aureus† (% specificity) PPV (%) NPV (%)
*Technologist experienced with the criteria; clinical microbiologist recently taught the criteria; †includes coagulase negative staphylococci and micrococcus species.
NPV, negative predictive value; PPV, positive predictive value.
Technologist All 59/66 (89) 82/84 (98) 59/61 (97) 82/89 (92)
Aerobic 26/31 (84) 49/50 (98) 26/27 (96) 49/54 (91)
Anaerobic 33/35 (94) 33/34 (97) 33/34 (97) 33/35 (94)
Microbiologist All 58/66 (88) 77/84 (92) 58/65 (89) 77/85 (91)
Aerobic 24/31 (77) 47/50 (94) 24/27 (89) 47/54 (87)
Anaerobic 34/35 (97) 30/34 (88) 34/38 (89) 30/31 (97)

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