用于检测耐甲氧西林金黄色葡萄球菌的监测培养：解剖部位的诊断率及医护人员采集样本与患者采集样本的比较
Surveillance cultures for detection of methicillin-resistant Staphylococcus aureus: diagnostic yield of anatomic sites and comparison of provider- and patient-collected samples.
作者信息
Lautenbach Ebbing, Nachamkin Irving, Hu Baofeng, Fishman Neil O, Tolomeo Pam, Prasad Priya, Bilker Warren B, Zaoutis Theoklis E
机构信息
Division of Infectious Diseases of the Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104-6021, USA.
出版信息
Infect Control Hosp Epidemiol. 2009 Apr;30(4):380-2. doi: 10.1086/596045.
Abstract
We studied provider- and patient-collected samples from multiple anatomic sites to determine the yield for detection of methicillin-resistant Staphylococcus aureus (MRSA). Sampling of multiple sites was required to achieve a sensitivity of more than 90% for MRSA colonization. Groin and perineum samples yielded positive results significantly more often for community-onset MRSA than for hospital-onset MRSA. Agreement rates between provider- and patient-collected swab specimens were excellent.
摘要
我们研究了来自多个解剖部位的由医护人员采集和患者自行采集的样本，以确定耐甲氧西林金黄色葡萄球菌（MRSA）的检出率。需要对多个部位进行采样，才能使MRSA定植检测的灵敏度超过90%。腹股沟和会阴部样本中，社区获得性MRSA的阳性结果显著多于医院获得性MRSA。医护人员采集的拭子标本与患者自行采集的拭子标本之间的符合率很高。
相似文献
1
Surveillance cultures for detection of methicillin-resistant Staphylococcus aureus: diagnostic yield of anatomic sites and comparison of provider- and patient-collected samples.用于检测耐甲氧西林金黄色葡萄球菌的监测培养：解剖部位的诊断率及医护人员采集样本与患者采集样本的比较
Infect Control Hosp Epidemiol. 2009 Apr;30(4):380-2. doi: 10.1086/596045.
2
Multiple site surveillance cultures as a predictor of methicillin-resistant Staphylococcus aureus infections.多部位监测培养物对耐甲氧西林金黄色葡萄球菌感染的预测作用。
Infect Control Hosp Epidemiol. 2013 Aug;34(8):818-24. doi: 10.1086/671273. Epub 2013 Jun 12.
3
Evaluation of separate vs pooled swab cultures, different media, broth enrichment and anatomical sites of screening for the detection of methicillin-resistant Staphylococcus aureus from clinical specimens.评估单独培养与混合拭子培养、不同培养基、肉汤增菌以及用于从临床标本中检测耐甲氧西林金黄色葡萄球菌的筛查解剖部位。
J Hosp Infect. 2005 Oct;61(2):155-61. doi: 10.1016/j.jhin.2005.01.032.
4
Can we reduce the number of MRSA screening site swabs in elective orthopedic patients?我们能否减少择期骨科患者的耐甲氧西林金黄色葡萄球菌（MRSA）筛查部位拭子的数量？
J Orthop Surg (Hong Kong). 2019 May-Aug;27(2):2309499019847068. doi: 10.1177/2309499019847068.
5
Incidence of and risk factors for community-associated methicillin-resistant Staphylococcus aureus acquired infection or colonization in intensive-care-unit patients.重症监护病房患者获得社区相关性耐甲氧西林金黄色葡萄球菌感染或定植的发生率和危险因素。
J Clin Microbiol. 2010 Dec;48(12):4439-44. doi: 10.1128/JCM.00784-10. Epub 2010 Oct 6.
6
Health care-associated and community-associated methicillin-resistant Staphylococcus aureus infections: A comparison of definitions.医疗保健相关和社区相关耐甲氧西林金黄色葡萄球菌感染：定义比较。
Am J Infect Control. 2010 Oct;38(8):600-6. doi: 10.1016/j.ajic.2010.01.006. Epub 2010 Apr 22.
7
Screening cultures for detection of methicillin-resistant Staphylococcus aureus in a population at high risk for MRSA colonisation: identification of optimal combinations of anatomical sites.对高风险耐甲氧西林金黄色葡萄球菌定植人群进行筛查培养以检测耐甲氧西林金黄色葡萄球菌：最佳解剖部位组合的鉴定。
Libyan J Med. 2013 Nov 26;8(1):22755. doi: 10.3402/ljm.v8i0.22755.
8
Risk factors for household transmission of community-associated methicillin-resistant Staphylococcus aureus.社区相关性耐甲氧西林金黄色葡萄球菌家庭传播的危险因素。
Pediatr Infect Dis J. 2011 Nov;30(11):927-32. doi: 10.1097/INF.0b013e31822256c3.
9
Which anatomical sites should be sampled for screening of methicillin-resistant Staphylococcus aureus carriage by culture or by rapid PCR test?哪些解剖部位应通过培养或快速 PCR 试验进行耐甲氧西林金黄色葡萄球菌携带筛查？
Clin Microbiol Infect. 2012 Feb;18(2):E31-3. doi: 10.1111/j.1469-0691.2011.03724.x. Epub 2011 Dec 22.
10
Screening for meticillin resistant Staphylococcus aureus (MRSA): who, when, and how?耐甲氧西林金黄色葡萄球菌（MRSA）的筛查：对象、时机及方法？
BMJ. 2014 Feb 27;348:g1697. doi: 10.1136/bmj.g1697.
引用本文的文献
1
Colonisation with multidrug-resistant organisms among dialysis patients at Universitas Academic Hospital.比勒陀利亚大学学术医院透析患者中多重耐药菌的定植情况
S Afr J Infect Dis. 2024 Jul 9;39(1):607. doi: 10.4102/sajid.v39i1.607. eCollection 2024.
2
The nose is not enough: Multi-site sampling is best for MRSP detection in dogs and households.仅靠鼻腔拭子采样还不够：多部位采样是检测犬及家庭中耐甲氧西林金黄色葡萄球菌（MRSP）的最佳方法。
Vet Dermatol. 2022 Dec;33(6):576-580. doi: 10.1111/vde.13118. Epub 2022 Aug 25.
3
Staphylococcus aureus Colonization in Healthy Children during the First Year of the Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic.严重急性呼吸综合征冠状病毒 2 流行期间健康儿童定植的金黄色葡萄球菌。
J Pediatr. 2022 Oct;249:101-105.e1. doi: 10.1016/j.jpeds.2022.06.025. Epub 2022 Jun 27.
4
Predictive Role of Targeted, Active Surveillance Cultures for Detection of Methicillin-Resistant .靶向主动监测培养对耐甲氧西林检测的预测作用
Infect Drug Resist. 2021 Nov 12;14:4757-4764. doi: 10.2147/IDR.S340871. eCollection 2021.
5
High prevalence nasal carriage of methicillin-resistant among long term care facility healthcare workers in relation to patient contact.长期护理机构医护人员中耐甲氧西林金黄色葡萄球菌鼻腔携带率高与患者接触的关系。 （注：原文中“methicillin-resistant”后疑似缺少“Staphylococcus aureus”等相关内容，翻译是按照补充完整常见表述后的意思进行的）
Infect Prev Pract. 2021 Jan 17;3(1):100117. doi: 10.1016/j.infpip.2021.100117. eCollection 2021 Mar.
6
A Systematic Review and Meta-analysis of Upper Airway Swab Collection for Detection of Viral and Bacterial Pathogens by Individuals or Caregivers Compared to Health Care Workers.一项系统评价和荟萃分析，比较了个体或护理人员与医务人员对上呼吸道拭子采集用于检测病毒和细菌病原体的效果。
J Clin Microbiol. 2021 Jun 18;59(7):e0230420. doi: 10.1128/JCM.02304-20.
7
Development and Evaluation of a Sensitive Bacteriophage-Based MRSA Diagnostic Screen.基于噬菌体的耐甲氧西林金黄色葡萄球菌敏感诊断屏幕的开发和评估。
Viruses. 2020 Jun 11;12(6):631. doi: 10.3390/v12060631.
8
Approach to the Investigation and Management of Patients With Candida auris, an Emerging Multidrug-Resistant Yeast.《耳念珠菌（一种新兴的耐多药酵母）患者的调查和管理方法》
Clin Infect Dis. 2018 Jan 6;66(2):306-311. doi: 10.1093/cid/cix744.
9
The evaluation of MRSA surveillance cultures by the number and combinations of anatomical sites.通过解剖部位的数量和组合对耐甲氧西林金黄色葡萄球菌监测培养物进行评估。
Zdr Varst. 2016 Jul 28;56(1):24-30. doi: 10.1515/sjph-2017-0004. eCollection 2017 Mar 1.
10
The Effect of Total Household Decolonization on Clearance of Colonization With Methicillin-Resistant Staphylococcus aureus.家庭全员去定植对耐甲氧西林金黄色葡萄球菌定植清除的影响
Infect Control Hosp Epidemiol. 2016 Oct;37(10):1226-33. doi: 10.1017/ice.2016.138. Epub 2016 Jul 28.
本文引用的文献
1
Evaluation of mannitol salt agar, CHROMagar Staph aureus and CHROMagar MRSA for detection of meticillin-resistant Staphylococcus aureus from nasal swab specimens.评估甘露醇盐琼脂、CHROMagar金黄色葡萄球菌培养基和CHROMagar耐甲氧西林金黄色葡萄球菌培养基用于从鼻拭子标本中检测耐甲氧西林金黄色葡萄球菌的效果。
J Med Microbiol. 2007 Jan;56(Pt 1):43-46. doi: 10.1099/jmm.0.46777-0.
2
The throat: an important site for MRSA colonization.咽喉：耐甲氧西林金黄色葡萄球菌（MRSA）定植的重要部位。
Scand J Infect Dis. 2006;38(10):888-93. doi: 10.1080/00365540600740546.
3
Methicillin-resistant S. aureus infections among patients in the emergency department.急诊科患者中的耐甲氧西林金黄色葡萄球菌感染
N Engl J Med. 2006 Aug 17;355(7):666-74. doi: 10.1056/NEJMoa055356.
4
Concurrent analysis of nose and groin swab specimens by the IDI-MRSA PCR assay is comparable to analysis by individual-specimen PCR and routine culture assays for detection of colonization by methicillin-resistant Staphylococcus aureus.采用IDI-MRSA聚合酶链反应检测法对鼻拭子和腹股沟拭子标本进行同步分析，在检测耐甲氧西林金黄色葡萄球菌定植方面，与对单个标本进行聚合酶链反应分析及常规培养检测法相当。
J Clin Microbiol. 2006 Aug;44(8):2904-8. doi: 10.1128/JCM.02211-05.
5
A U.S. population-based survey of Staphylococcus aureus colonization.一项基于美国人群的金黄色葡萄球菌定植情况调查。
Ann Intern Med. 2006 Mar 7;144(5):318-25. doi: 10.7326/0003-4819-144-5-200603070-00006.
6
Community-acquired methicillin-resistant Staphylococcus aureus: current perspectives.社区获得性耐甲氧西林金黄色葡萄球菌：当前观点
Clin Microbiol Infect. 2006 Mar;12 Suppl 1:9-15. doi: 10.1111/j.1469-0691.2006.01341.x.
7
Prevalence of Staphylococcus aureus nasal colonization in the United States, 2001-2002.2001 - 2002年美国金黄色葡萄球菌鼻腔定植的患病率
J Infect Dis. 2006 Jan 15;193(2):172-9. doi: 10.1086/499632. Epub 2005 Dec 15.
8
Screening for methicillin-resistant Staphylococcus aureus: which anatomical sites to culture?耐甲氧西林金黄色葡萄球菌的筛查：应培养哪些解剖部位？
J Hosp Infect. 2005 Dec;61(4):351-3. doi: 10.1016/j.jhin.2005.06.005. Epub 2005 Oct 7.
9
Evaluation of separate vs pooled swab cultures, different media, broth enrichment and anatomical sites of screening for the detection of methicillin-resistant Staphylococcus aureus from clinical specimens.评估单独培养与混合拭子培养、不同培养基、肉汤增菌以及用于从临床标本中检测耐甲氧西林金黄色葡萄球菌的筛查解剖部位。
J Hosp Infect. 2005 Oct;61(2):155-61. doi: 10.1016/j.jhin.2005.01.032.
10
Methicillin-resistant Staphylococcus aureus disease in three communities.三个社区中的耐甲氧西林金黄色葡萄球菌疾病
N Engl J Med. 2005 Apr 7;352(14):1436-44. doi: 10.1056/NEJMoa043252.
Zotero 插件