Zurita Jeannete, Mejía Carlos, Guzmán-Blanco Manuel
Servicio de Microbiología y Tuberculosis, Hospital Vozandes, Quito, Ecuador.
Rev Chilena Infectol. 2010 Aug;27 Suppl 2:S70-80.
Strategies to monitor and control the spread of MRSA infections are dependent on accurate and timely diagnosis of MRSA in both hospital and community settings. In Latin America, significant diversity in diagnostic and susceptibility testing procedures exists at the regional, national and local levels. Various tests for S. aureus and MRSA are available in clinical settings, but the application of these techniques differs between and within countries, and quality control measures are not uniformly applied to verify diagnoses. To optimize the diagnosis of MRSA infections across Latin America, a more consistent approach is required. This may include: adoption and appropriate adaption of specific guidelines for MRSA testing, depending on local resources; establishment of a coordinated system for quality control; regional access to central reference facilities; education of medical and healthcare professionals in best practices; and development of systems to evaluate the implementation of guidelines and best practices.
监测和控制耐甲氧西林金黄色葡萄球菌（MRSA）感染传播的策略取决于在医院和社区环境中对MRSA进行准确及时的诊断。在拉丁美洲，区域、国家和地方各级在诊断和药敏试验程序方面存在显著差异。临床环境中有多种针对金黄色葡萄球菌和MRSA的检测方法，但这些技术在不同国家之间以及国家内部的应用有所不同，而且质量控制措施并未统一应用于核实诊断。为了优化拉丁美洲MRSA感染的诊断，需要一种更加一致的方法。这可能包括：根据当地资源采用并适当调整MRSA检测的特定指南；建立协调的质量控制系统；区域内可使用中央参考设施；对医学和医疗保健专业人员进行最佳实践教育；以及开发评估指南和最佳实践实施情况的系统。
