Rapid detection of Staphylococcus aureus and methicillin resistance in bone and joint infection samples: evaluation of the GeneXpert MRSA/SA SSTI assay

Autor: A. M. Freydière, Florent Valour, Frédéric Laurent, Anissa Bouaziz, Emmanuel Chanard, Tristan Ferry, Sébastien Lustig, Viviane Blanc-Pattin
Přispěvatelé: INSERM U1111, International Center for Research in Infectiology, Laboratory of bacteriology, North Lyon University Hospital, Hospices Civils de Lyon, Lyon, France, parent, Laboratory of bacteriology, East Lyon University Hospital, Hospices Civils de Lyon, Lyon, France, Department of infectious diseases, North Lyon University Hospital, Hospices Civils de Lyon, Lyon, France, Novescia, Laboratoire de Biomécanique et Mécanique des Chocs (LBMC UMR T9406), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR), French National Reference Center for Staphylococci, Hospices Civils de Lyon, Lyon, France
Rok vydání: 2014
Předmět:
Zdroj: Diagnostic Microbiology and Infectious Disease
Diagnostic Microbiology and Infectious Disease, Elsevier, 2014, 78 (3), pp. 313-315. ⟨10.1016/j.diagmicrobio.2013.11.026⟩
ISSN: 0732-8893
Popis: The GeneXpert MRSA/SA SSTI assay was compared to conventional cultures to detect Staphylococcus aureus and methicillin-resistance from 91 bone and joint infection samples. Sensitivity and specificity were 94.4% and 100%. Three false-positive results were observed, in fact providing from patients known to be infected by S. aureus on the basis of other concomitant osteoarticular samples, which suggests that PCR was more sensitive than culture. This diagnosis accuracy may help shorten toxic and non-optimal empirical therapies such as glycopeptides in case of methicillin-susceptible strains.
Databáze: OpenAIRE