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KMID : 1100720150350040454
Annals of Laboratory Medicine
2015 Volume.35 No. 4 p.454 ~ p.457
Direct Identification of Staphylococcus aureus and Determination of Methicillin Susceptibility From Positive Blood-Culture Bottles in a Bact/ALERT System Using Binax Now S. aureus and PBP2a Tests
Heraud Sandrine

Freydiere Anne-Marie
Doleans-Jordheim Anne
Bes Michele
Tristan Anne
Vandenesch Francois
Laurent Frederic
Dauwalder Olivier
Abstract
Staphylococcus aureus bacteremia is associated with high mortality and morbidity, requiring prompt and appropriate antimicrobial treatment. Therefore, it is important to detect methicillin-resistant S. aureus (MRSA) rapidly from blood cultures. Two immunochromatographic tests, BinaxNow S. aureus and BinaxNow PBP2a, were directly applied to 79 Bact/Alert bottles that were positive for Gram positive cocci in cluster aggregations. Sensitivity and specificity for the identification of S. aureus and determination of methicillin resistance were 94% and 87%, and 100% and 100%, respectively, with less than 30 min of performance time. These tests are efficient and rapid; these tests are valuable alternatives to more sophisticated and expensive methods used in the diagnosis of MRSA bacteremia.
KEYWORD
Staphylococcus aureus, Methicillin resistance, Blood culture, Accuracy, Immunochromatographic test
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