KMID : 1100720150350040454
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Annals of Laboratory Medicine 2015 Volume.35 No. 4 p.454 ~ p.457
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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
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Heraud Sandrine
Freydiere Anne-Marie Doleans-Jordheim Anne Bes Michele Tristan Anne Vandenesch Francois Laurent Frederic Dauwalder Olivier
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Abstract
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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.
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KEYWORD
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Staphylococcus aureus, Methicillin resistance, Blood culture, Accuracy, Immunochromatographic test
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