Diagnostic accuracy of cytology for the detection of bacterial infection in fluid samples from veterinary patients

© 2022 American Society for Veterinary Clinical Pathology.

Bibliographische Detailangaben
Veröffentlicht in:Veterinary clinical pathology. - 1975. - 51(2022), 2 vom: 02. Juni, Seite 252-257
1. Verfasser: Allen, Brittany A (VerfasserIn)
Weitere Verfasser: Evans, Samantha J M
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2022
Zugriff auf das übergeordnete Werk:Veterinary clinical pathology
Schlagworte:Journal Article canine culture equine sensitivity sepsis specificity
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245 1 0 |a Diagnostic accuracy of cytology for the detection of bacterial infection in fluid samples from veterinary patients 
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500 |a Date Completed 03.06.2022 
500 |a Date Revised 02.06.2023 
500 |a published: Print-Electronic 
500 |a Citation Status MEDLINE 
520 |a © 2022 American Society for Veterinary Clinical Pathology. 
520 |a BACKGROUND: Bacterial sepsis is a relatively common, life-threatening condition with a high case fatality rate. The current primary diagnostic tools for detecting bacterial infection in fluids are bacterial culture and fluid cytology. While culture is the gold standard, it can take up to several days for results to be made available to clinicians, which can delay recognition of bacterial sepsis and negatively impact patient outcomes 
520 |a OBJECTIVES: The aim of this study was to evaluate the diagnostic accuracy of cytology for detecting bacterial infection in body fluids 
520 |a METHODS: We retrospectively reviewed 10 years of medical records at the Ohio State University's Veterinary Medical Center for mammalian patients with both cytology and bacterial culture of fluid samples, including body cavity fluids (abdominal and thoracic effusion), blood, joint fluid, and CSF. The overall sensitivity and specificity of cytology relative to the reference method of bacterial culture was recorded, as well as among the subcategories of fluid type 
520 |a RESULTS: The overall sensitivity and specificity of cytology for the diagnosis of sepsis were 42.6% and 93.0%, respectively. Individual sensitivities and specificities were also calculated for each fluid type. Thoracic fluid cytology had relatively high sensitivity and low specificity, in contrast to the other fluid types analyzed 
520 |a CONCLUSIONS: Overall, cytology is poorly sensitive but highly specific for the detection of bacterial infection in fluid samples. The results from this study will allow a better comparison between the diagnostic accuracy of cytology and emerging diagnostic tests for the detection of bacterial sepsis in mammalian patients 
650 4 |a Journal Article 
650 4 |a canine 
650 4 |a culture 
650 4 |a equine 
650 4 |a sensitivity 
650 4 |a sepsis 
650 4 |a specificity 
700 1 |a Evans, Samantha J M  |e verfasserin  |4 aut 
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