Chapter 13.11 : Surveillance Cultures from Immunocompromised Hosts

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Surveillance cultures from immunocompromised patients provide a service that can directly impact patient care and outcome in this patient population, but a rational, planned approach must be considered in order to optimize resources and interpretive impact. While some studies suggest that surveillance cultures may be of value, other studies suggest that routine surveillance may not be helpful. Differing conclusions from these studies may be due to insufficient data or inconclusive definitions of test conditions rather than from opposing data for similar populations. Selective surveillance, depending on occurrences at a particular time, can be useful in predicting anticipated difficulties in immunocompromised individuals. Surveillance could be part of studies to define the natural history of colonization by microorganisms and infections during pretreatment and after treatment of the immunosuppressed patient.

Citation: Garcia L. 2010. Surveillance Cultures from Immunocompromised Hosts, p 497-500. In Clinical Microbiology Procedures Handbook, 3rd Edition. ASM Press, Washington, DC. doi: 10.1128/9781555817435.ch13.11
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1. Aksu, G.,, M. Z. Ruhi,, H. Akan,, S. Bengisun,, C. Ustun,, O. Arslan,, and H. Ozenci. 2001. Aerobic bacterial and fungal infections in peripheral blood stem cell transplants. Bone Marrow Transplant. 27: 201 205.
2. Beelen, D. W.,, A. Elmaagacli,, K. D. Muller,, H. Hirche,, and U. W. Schaefer. 1999. Influence of intestinal bacterial decontamination using metronidazole and ciprofloxacin or ciprofloxacin alone on the development of acute graft-versus-host disease after marrow transplantation in patients with hematologic malignancies: final results and long-term follow-up of an open-label prospective randomized trial. Blood 93: 3267 3275.
3. Chang, F. Y.,, N. Singh,, T. Gayowski,, S. D. Drenning,, M. M. Wagener,, and I. R. Marino. 1998. Staphylococcus aureus nasal colonization and association with infections in liver transplant recipients. Transplantation 65: 1169 1172.
4. Czirok, E.,, G. Y. Prinz,, R. Denes,, P. Remenyi,, and A. Herendi. 1997. Value of surveillance cultures in a bone marrow transplantation unit. J. Med. Microbiol. 46: 785 791.
5. Daw, M. A.,, P. Munnelly,, S. R. McCann,, P. A. Daly,, F. R. Falkiner,, and C. T. Keane. 1988. Value of surveillance cultures in the management of neutropenic patients. Eur. J. Clin. Microbiol. Infect. Dis. 7: 742 747.
6. Feld, R. 1997. The role of surveillance cultures in patients likely to develop chemotherapy- induced mucositis. Support Care Cancer 5: 371 375.
7. Haahr, V.,, N. A. Peterslund,, and J. K. Moller. 1997. The influence of antimicrobial prophylaxis on the microbial and clinical findings in patients after autologous bone marrow transplantation. Scand. J. Infect. Dis. 29: 623 626.
8. Herwaldt, L. A.,, R. J. Hollis,, L. D. Boyken,, and M. A. Pfaller. 1992. Molecular epidemiology of coagulase-negative staphylococci isolated from immunocompromised patients. Infect. Control Hosp. Epidemiol. 13: 86 92.
9. Hoppe, J. E.,, M. Klausner,, T. Klingebiel,, and D. Niethammer. 1997. Retrospective analysis of yeast colonization and infections in paediatric bone marrow transplant recipients. Mycoses 40: 47 54.
10. Kapsur, D.,, D. Dorsky,, J. M. Feingold,, R. D. Bona,, R. L. Edwards,, J. Aslanzadeh,, P. J. Tutschka,, and S. Bilgrami. 2000. Incidence and outcome of vancomycin-resistant enterococcal bacteremia following autologous peripheral blood stem cell transplantation. Bone Marrow Transplant. 25: 147 152.
11. Koc, Y.,, D. R. Snydman,, D. S. Schenkein,, and K. B. Miller. 1998. Vancomycin-resistant enterococcal infections in bone marrow transplant recipients. Bone Marrow Transplant. 22: 207 209.
12. Patel, R.,, S. L. Allen,, J. M. Manahan,, A. J. Wright,, R. A. Krom,, R. H. Wiesner,, D. H. Persing,, F. R. Cockerill,, and R. L. Thompson. 2001. Natural history of vancomycin-resistant enterococcal colonization in liver and kidney transplant recipients. Liver Transplant. 7: 27 31.
13. Pfaller, M.,, I. Cabezudo,, F. Koontz,, M. Bale,, and R. Gingrich. 1987. Predictive value of surveillance cultures for systemic infection due to Candida species. Eur. J. Clin. Microbiol. 6: 628 633.
14. Rotstein, C.,, D. Higby,, K. Killion,, and E. Powell. 1988. Relationship of surveillance cultures to bacteremia and fungemia in bone marrow transplant recipients with Hickman or Broviac catheters. J. Surg. Oncol. 39: 154 158.
15. Sandford, G. R.,, W. G. Merz,, J. R. Wingard,, P. Charache,, and R. Saral. 1980. The value of fungal surveillance cultures as predictors of systemic fungal infections. J. Infect. Dis. 142: 503 509.

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