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PNA-FISH 酵母交通灯快速鉴定血培养阳性标本中酵母及临床影响评估

Evaluation of PNA-FISH yeast traffic light for rapid identification of yeast directly from positive blood cultures and assessment of clinical impact.

机构信息

Department of Microbiology, Royal Free Hospital, London, United Kingdom.

出版信息

J Clin Microbiol. 2013 Apr;51(4):1301-2. doi: 10.1128/JCM.00028-13. Epub 2013 Feb 6.

Abstract

The PNA-FISH Yeast Traffic Light assay was performed on 54 clinical isolates of yeasts inoculated into blood culture bottles. The assay showed high sensitivity (Candida albicans/C. parapsilosis, 100%; C. glabrata/C. krusei, 92.3%; C. tropicalis, 100%) and specificity (C. albicans/C. parapsilosis, 100%; C. glabrata/C. krusei, 94.8%; C. tropicalis, 100%). Case note review estimated a change in therapy in 29% of cases had the PNA-FISH result been available to the clinician.

摘要

对 54 株临床分离酵母接种到血培养瓶中进行 PNA-FISH 酵母交通灯检测。该检测方法具有较高的灵敏度(白念珠菌/近平滑念珠菌,100%;光滑念珠菌/克柔念珠菌,92.3%;热带念珠菌,100%)和特异性(白念珠菌/近平滑念珠菌,100%;光滑念珠菌/克柔念珠菌,94.8%;热带念珠菌,100%)。病例记录回顾估计,如果临床医生可以获得 PNA-FISH 结果,那么 29%的病例可能会改变治疗方案。

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