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直接从临床样本中检测杀白细胞素和耐甲氧西林的实时聚合酶链反应检测法。 (注:原文中“检测of后面内容不完整”)

Real-time PCR assay for detection of , Panton-Valentine Leucocidin and Methicillin Resistance directly from clinical samples.

作者信息

Galia Liliana, Ligozzi Marco, Bertoncelli Anna, Mazzariol Annarita

机构信息

Department of Diagnostics and Public Health, University of Verona, Verona, Italy.

出版信息

AIMS Microbiol. 2019 May 21;5(2):138-146. doi: 10.3934/microbiol.2019.2.138. eCollection 2019.

Abstract

Rapid detection of Methicillin Resistant (MRSA) is an important concern for both treatment and implementation of infection control policies. The present study provides an 'in house' real-time PCR assay to detect directly , , and genes. The assay is able to perform identification of MRSA, Methicillin-Sensitive , Methicillin-Resistant Coagulase Negative Staphylococci and the Panton-Valentine leukocidin virulence gene from rectal and pharyngeal swab samples in a screening context. We found an analytical sensitivity of this current Triplex PCR assay of 514 CFU/mL. Analytical specificity was tested with different Gram-positive and Gram-negative species and yielded no false-positive PCR signal. The sensitivity and specificity of the Triplex Real Time PCR were both 100% for these targets when compared with the culture and conventional methods. This assay is readily adaptable for routine use in a microbiology laboratory, as it will enable the implementation of timely and properly guided therapy and infection control strategies.

摘要

耐甲氧西林金黄色葡萄球菌(MRSA)的快速检测对于感染控制政策的治疗和实施而言是一个重要问题。本研究提供了一种“内部”实时聚合酶链反应(PCR)检测方法,可直接检测、和基因。该检测方法能够在筛查环境下,从直肠和咽拭子样本中鉴定出MRSA、甲氧西林敏感金黄色葡萄球菌、耐甲氧西林凝固酶阴性葡萄球菌以及杀白细胞素毒力基因。我们发现当前这种三重PCR检测方法的分析灵敏度为514 CFU/mL。用不同的革兰氏阳性菌和革兰氏阴性菌进行分析特异性测试,未产生假阳性PCR信号。与培养法和传统方法相比,三重实时PCR对于这些靶标的灵敏度和特异性均为100%。该检测方法易于在微生物实验室中常规使用,因为它能够实施及时且指导恰当的治疗和感染控制策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fab6/6642910/6f1456c5678d/microbiol-05-02-138-g001.jpg

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