Blood Culture Media

Blood Culture Media

Blood culture media in blood culture bottles are used to detect the presence of infection-causing pathogens in the circulating blood. They are designed to help diagnose bacteremia or fungemia, often resulting from lung, skin, urinary tract, or gastrointestinal system infections. Untreated blood infections (septicemia) can progress to sepsis, a life-threatening inflammatory condition that produces blood clots, low blood pressure, and other potentially fatal symptoms.

Find blood culture bottles in a range of capacities with different blood culture media types and amounts.

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Blood Culture Specimen Collection

When possible, collect two sets of 10 to 20 milliliters of blood samples from two different body sites from adults. Inadequate volumes or collecting only a single blood culture set can significantly reduce test sensitivity and make result interpretation difficult. Do not collect multiple sets of blood cultures from a single venipuncture or intravascular line. Collect paired aerobic and anaerobic culture bottles, collecting the aerobic bottle first. (Aerobic blood culture bottles are typically vented to let oxygen into the bottle.)

Incubation Times

Blood cultures should be routinely incubated for five days, which allows time for most pathogens, including more fastidious bacteria (HACEK group), to grow. Incubations longer than five days increase recovery and also may be required for infections caused by Legionella, Brucella, Bartonella, or Nocardia spp. Incubate blood cultures for Mycobacterium spp. (more common in immunocompromised patients) for four weeks.

Blood Culture Analysis

In many healthcare facilities, blood culture analyzers are used to continuously monitor blood culture specimens. They incubate the blood culture bottles and signal if microbial growth is detected, typically becoming positive within 12 and 36 hours.

When a blood culture indicates growth, a Gram stain is performed to help identify pathogens. When indicated, subcultures support further identification and subsequent susceptibility testing.

Blood Culture Media

The microbes that most frequently develop into sepsis are Staphylococcus aureus, Escherichia coli, and some Streptococcus. Although these are aerobic bacteria, many other potential pathogens exist.

Each automated blood culture system requires specific medium formulations. Generally, formulations are designed to recover a diverse range of aerobic and anaerobic microorganisms.

  • Blood culture media may contain proprietary mixtures of medium, anticoagulant, or other additives to reduce the effects of antimicrobials or other growth inhibitors in the specimen
  • Some blood culture media contain lysins to release any intracellular organisms present
  • Special formulations and supplements have been developed to support the growth of mycobacteria or facilitate antibiotic susceptibility testing