四种商用快速诊断试剂盒鉴定金黄色葡萄球菌的评价。

J J Wu, T C Chang, H M Chen
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引用次数: 0

摘要

将3种快速乳胶凝集试剂盒(Aureus Test、Pastorex Staph-Plus和StaphAurex)和1种血凝试验试剂盒(SlidexStaph)与常规凝固酶试验进行比较,以鉴定金黄色葡萄球菌。共检测耐甲氧西林金黄色葡萄球菌(MRSA) 192株,甲氧西林敏感金黄色葡萄球菌(MSSA) 75株,凝固酶阴性葡萄球菌和微球菌86株。金黄色葡萄球菌(Aureus Test)、Pastorex Staph-Plus、StaphAurex和SlidexStaph的敏感性分别为98.6%、99.4%、90.8%和97.3%。同时检测了27株MRSA的荚膜血清型,其中荚膜5型15株(55.6%),荚膜8型11株(40.7%),不可分型1株(3.7%)。除StaphAurex特异性仅为96.5%外,所有市售试剂盒的特异性均为100%。在人链球菌、瓦纳里链球菌和未识别的凝固酶阴性葡萄球菌中发现假阳性反应。结果表明,Aureus Test、Pastorex Staph-Plus和SlidexStaph对金黄色葡萄球菌的快速鉴定效果优于StaphAurex。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of four commercial rapid diagnostic kits for identifying Staphylococcus aureus.

Three rapid latex agglutination kits (Aureus Test, Pastorex Staph-Plus, and StaphAurex) and one hemagglutination test kit (SlidexStaph) were compared with the conventional coagulase test for the identification of Staphyloccus aureus. A total of 192 methicillin-resistant S. aureus (MRSA), 75 methicillin-susceptible S. aureus (MSSA) and 86 coagulase-negative staphylococci and Micrococcus spp. were tested. The sensitivities of Aureus Test, Pastorex Staph-Plus, StaphAurex and SlidexStaph were 98.6, 99.4, 90.8 and 97.3%, respectively. Capsular serotypes of 27 strains of MRSA were also determined, in which 15 (55.6%) were capsular serotype 5, 11 (40.7%) were capsular serotype 8, and 1 (3.7%) was nontypeable. All the commercial agglutination kits showed 100% specificity except StaphAurex which had a specificity of only 96.5%. False-positive reactions were found in the strains of S. hominis, S. warneri and unidentified coagulase-negative staphylococci. These results suggest that Aureus Test, Pastorex Staph-Plus, and SlidexStaph are better than StaphAurex for rapid identification of S. aureus.

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