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Preparation of a Blood Culture Pellet for Rapid Bacterial Identification and Antibiotic Susceptibility Testing
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Bedside inoculation accelerates detection and improves microbiological diagnosis efficiency compared to delayed

Yulan Shi1,2, Jingya Yu1,2

  • 1Wound Care Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University Chengdu, Sichuan, China.

American Journal of Translational Research
|August 18, 2025
PubMed
Summary

Bedside inoculation significantly speeds up wound infection diagnosis and improves healing outcomes compared to traditional methods. This approach leads to faster results, reduced overtreatment, and enhanced patient satisfaction for better wound care.

Keywords:
Bedside inoculationdiagnostic efficiencypatient satisfactionwound healingwound infection

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Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Wound Care

Background:

  • Accurate and timely diagnosis of wound infections is crucial for effective treatment.
  • Traditional delayed inoculation methods can lead to prolonged diagnostic cycles.
  • Optimizing diagnostic protocols can improve patient outcomes and reduce healthcare costs.

Purpose of the Study:

  • To compare the diagnostic efficacy and therapeutic impact of bedside inoculation versus traditional delayed inoculation for wound infections.
  • To assess differences in positivity rates, diagnostic turnaround times, and clinical outcomes between the two inoculation methods.

Main Methods:

  • A prospective interventional study involving 264 patients randomly assigned to bedside or delayed inoculation groups.
  • Evaluation of wound culture results, bacterial identification (including rare species), wound healing rates, and patient satisfaction.
  • Data collected from April 2023 to July 2024 at a specialized Wound Treatment Center.

Main Results:

  • Bedside inoculation significantly reduced detection report time (P<0.001) and increased the detection rate of complex microbiomes (P=0.003).
  • Patients in the bedside group showed greater wound area reduction at 4 and 8 weeks (P<0.001), improved Barthel index scores (P<0.05), and better wound healing scores (P<0.001).
  • Higher patient satisfaction was reported in the bedside inoculation group (P<0.001).

Conclusions:

  • Bedside inoculation offers a superior method for diagnosing wound infections.
  • This method accelerates diagnostic results, minimizes overtreatment, and promotes more rapid wound healing.
  • Implementing bedside inoculation can significantly enhance the overall quality of patient care for wound infections.