Tice Alan D, Pombo David, Hui Jennifer, Kurano Michelle, Bankowski Matthew J, Seifried Steven E
Department of Medicine, John A. Burns School of Medicine, University of Hawai'i at Manoa, Honolulu, HI, USA.
Hawaii Med J. 2010 Jan;69(1):8-12.
A microbiological algorithm has been developed to analyze beach water samples for the determination of viable colony forming units (CFU) of Staphylococcus aureus (S. aureus). Membrane filtration enumeration of S. aureus from recreational beach waters using the chromogenic media CHROMagar SA alone yields a positive predictive value (PPV) of 70%. Presumptive CHROMagar SA colonies were confirmed as S. aureus by 24-hour tube coagulase test. Combined, these two tests yield a PPV of 100%. This algorithm enables accurate quantitation of S. aureus in seawater in 72 hours and could support risk-prediction processes for recreational waters. A more rapid protocol, utilizing a 4-hour tube coagulase confirmatory test, enables a 48-hour turnaround time with a modest false negative rate of less than 10%.
已开发出一种微生物学算法,用于分析海滩水样,以测定金黄色葡萄球菌(S. aureus)的活菌菌落形成单位(CFU)。仅使用显色培养基CHROMagar SA对休闲海滩水域中的金黄色葡萄球菌进行膜过滤计数,其阳性预测值(PPV)为70%。通过24小时试管凝固酶试验将CHROMagar SA上的疑似菌落确认为金黄色葡萄球菌。这两种测试结合使用时,PPV为100%。该算法能够在72小时内准确测定海水中金黄色葡萄球菌的数量,并可为休闲水域的风险预测过程提供支持。一种更快速的方案,采用4小时试管凝固酶确证试验,可实现48小时的周转时间,假阴性率适中,低于10%。