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[A trial of rapid assay of identification and susceptibility test of bacteria detected from blood culture by using VITEK AMS].

For rapid identification and susceptibility test of bacteria detected from bottles of blood culture, we tried a direct method that adjusted bacterial fluid by one time centrifugalization. Identification and susceptibility test were done using VITEK AMS. A result of having compared direct method with a standard method inspected from a colony of medium, an agreement rate was 82.1% of gram negative bacilli, 64.0% of gram positive cocci, 100% of yeast in identification test. In the same way, an agreement rate was 98.0% of gram negative bacilli, 97.2% of gram positive cocci in susceptibility test. The appearance rate of very major error was 0. 7% in gram negative bacilli, and 2.8% in gram positive cocci. As for this method, operation is simple, but it is necessary for confirmed examination in a kind of bacteria. But agreement rate with a standard method is high, direct method is useful to select an appropriate antibiotic until reporting of the last test result of bacteria.