SciCombinator

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Concept: Maxwell Becton

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The BD-FACSPresto™ CD4 is a new, point-of-care (POC) instrument utilising finger-stick capillary blood sampling. This study evaluated its performance against predicate CD4 testing in South Africa.

Concepts: Capillary, Becton Dickinson, Maxwell Becton, Franklin Lakes, New Jersey, Fairleigh S. Dickinson, International AIDS Vaccine Initiative, Fairleigh Dickinson, Jr.

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We evaluated the performance of the Becton Dickinson Veritor™ System Flu A + B rapid influenza diagnostic test (RIDT) to detect influenza viruses in respiratory specimens from patients enrolled at five surveillance sites in Kenya, a tropical country where influenza seasonality is variable.

Concepts: Antiviral drug, Influenza, Influenza pandemic, Mucus, Influenza vaccine, Influenzavirus A, Becton Dickinson, Maxwell Becton

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In patients with invasive fungal infections, the accurate and rapid identification of the genus Candida is of utmost importance since antimycotic sensitivity is closely related to the species. The aim of the present study was to compare the identification results of species of the genus Candida obtained by BD Phoenix™ (Becton Dickinson [BD]) and Maldi-TOF MS (Bruker Microflex LT Biotyper 3.1). A total of 192 isolates from the strain collection belonging to the Mycology Network of the Autonomous City of Buenos Aires, Argentina, were analyzed. The observed concordance was 95%. Only 10 strains (5%) were not correctly identified by the BD Phoenix™ system. The average identification time with the Yeast ID panels was 8h 22min. The BD Phoenix™ system proved to be a simple, reliable and effective method for identifying the main species of the genus Candida.

Concepts: Time, Biology, Fungus, Yeast, Argentina, Buenos Aires, Becton Dickinson, Maxwell Becton

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Recently, because the quality of laboratory analyses has increased along with the need for quality improvement, several external quality control bodies have adapted performance specifications using the Desirable Biological Variation Database, termed “Ricos goals”; these criteria are more stringent than those presented in CLIA 88. In this study, we aimed to validate newly introduced serum separator tubes, Improvacutor, for routine clinical chemistry testing in accordance with Ricos goals and CLIA 88. Blood samples were collected from 100 volunteers into three types of serum vacuum tubes: Greiner Vacuette, Becton Dickinson (BD) Vacutainer, and Improve Improvacutor. The samples were subjected to 16 routine chemistry tests using a TBA-200fr NEO chemistry autoanalyzer. In the comparison analysis, all 16 test results were acceptable according to CLIA 88. However, in the comparison of Improve and BD tubes, creatinine showed 4.31% (+0.08 μmol/L) bias. This slightly exceeded the Desirable Specification for Inaccuracy Ricos limit of ±3.96%, but still satisfied the CLIS88 limit of ±26.52 μmol/L. The remaining 15 analytes performed acceptably according to the Desirable Specifications of Ricos. The correlation coefficient of 12 analytes was greater than 0.95 in Passing-Bablok regression analysis among the three tubes, but was lower for four analytes: calcium, sodium, potassium, and chloride. In the stability assay, only potassium tested in the Greiner tube revealed a larger positive bias (2.18%) than the Ricos Desirable Specification for Inaccuracy based on biologic variation (1.8%). The BD tube also showed a positive bias of 1.74%, whereas the new Improve tube showed the smallest positive bias of 1.17% in potassium level after 72 h storage. Thus, the results of this study demonstrate that recently introduced analytical performance specifications based on components of biological variation (Rico’s goal) could be extended to criterion for performance evaluation and applied.

Concepts: Blood, Evaluation, Quality assurance, Sodium, Test method, The Tubes, Becton Dickinson, Maxwell Becton

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We investigated the strength of commonly used spinal needles in relation to the amount of deformation, and registered forces during standardised testing. We investigated differences between manufacturers for the same length and gauge of Luer and non-Luer needles, and examined the effect of the internal stylet in terms of needle strength. A specialised rig was designed to perform the testing in both the horizontal and axial plane, reflecting common industrial tests and clinical use. Needles from four commonly used manufacturers were used (Vygon, Becton Dickinson, B Braun, and Pajunk). Needles of 25 G and 27 G were tested in 90-mm and 120-mm lengths. We found significant differences in terms of the size of final deformation and ‘toughness’/resistance to deformation between needles of different brands. There were also significant differences between horizontal tests conducted as an industry standard and our own axial test. This may have bearing on clinical use in terms of the incidence of bending and breakage. The presence of the internal stylet resulted in significantly greater toughness in many needles, but had little effect on the degree of deformation. Comparison of Luer and non-Luer needles of the same brand and size showed few significant differences in strength. This result is reassuring, given the imminent change from Luer to non-Luer needles that is to occur in the UK.

Concepts: Standard, Hypodermic needle, Deformation, Standardized test, Becton Dickinson, Maxwell Becton, Plastic deformation in solids

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Recently, several studies have revealed that commercial microbial identification systems do not accurately identify the uncommon causative species of candidiasis, including Candida famata, Meyerozyma guilliermondii, and C. auris. We investigated the accuracy of species-level identification in a collection of clinical isolates previously identified as C. famata (N=38), C. lusitaniae (N=12), and M. guilliermondii (N=5) by the Vitek 2 system. All 55 isolates were re-analyzed by the Phoenix system (Becton Dickinson Diagnostics), two matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) analyzers (a Vitek MS and a Bruker Biotyper), and by sequencing of internal transcribed space (ITS) regions or 26S rRNA gene D1/D2 domains. Among 38 isolates previously identified as C. famata by the Vitek 2 system, the majority (27/38 isolates, 71.1%) were identified as C. tropicalis (20 isolates) or C. albicans (7 isolates) by ITS sequencing, and none was identified as C. famata. Among 20 isolates that were identified as C. tropicalis, 17 (85%) were isolated from urine. The two isolates that were identified as C. auris by ITS sequencing originated from ear discharge. The Phoenix system did not accurately identify C. lusitaniae, C. krusei, or C. auris. The correct identification rate for 55 isolates was 92.7% (51/55 isolates) for the Vitek MS and 94.6% (52/55 isolates) for the Bruker Biotyper, as compared to results from ITS sequencing. These results suggest that C. famata is very rare in Korea, and that it should be noted the possibility of misidentification when an uncommon Candida species is identified.

Concepts: Mass spectrometry, Candida albicans, Identification, Candidiasis, Candida, Becton Dickinson, Maxwell Becton

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We evaluated the LightCycler MRSA Advanced Test (Roche Molecular Diagnostics, Pleasanton, CA), the BD MAX MRSA assay (Becton Dickinson, Franklin Lakes, NJ), and the Xpert MRSA assay (Cepheid, Sunnyvale, CA) on nasal samples using the same population.

Concepts: Polymerase chain reaction, Molecular biology, Becton Dickinson, Maxwell Becton, Bergen County, New Jersey, Franklin Lakes, New Jersey, Fairleigh S. Dickinson, International AIDS Vaccine Initiative

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An extensive retrospective study spanning several seasons was undertaken to evaluate the diagnostic performance of the BD rapid influenza diagnostic test (RIDT) in comparison with the RT-PCR assay.

Concepts: Diagnostic test, Becton Dickinson, Maxwell Becton, Franklin Lakes, New Jersey, Fairleigh S. Dickinson, International AIDS Vaccine Initiative, Fairleigh Dickinson, Jr.

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This article describes a recent training workshop to educate children’s nurses on injection technique best practice for diabetes, in particular, lipohypertrophy. The workshop was organised by the Forum for Injection Technique UK, the University of York, Leeds Children’s Diabetes Team and Becton Dickinson Signature Solutions, and attended by delegates from Leeds Children’s Hospital and the Children and Young Peoples Diabetes Network for Yorkshire and the Humber. The article discusses the causes of lipohypertrophy and the effect it can have on patient’s glycaemic levels. There is an emphasis on the importance of regularly inspecting children and young people with diabetes for lipohypertrophy - a common complication of diabetes injection - and promotes the motto ‘suspect, detect and protect’. The article also provides practical information for children’s nurses on how to examine for lipohypertrophic lesions and guidance on how they can be prevented by adhering to correct injection technique.

Concepts: Hospital, Becton Dickinson, Maxwell Becton, Humber, Kingston upon Hull, Franklin Lakes, New Jersey, East Riding of Yorkshire, York