Suppr超能文献

免疫层析法快速检测阳性血培养物短期孵育的葡萄球菌中 PBP2a。

Rapid Detection of PBP2a in Staphylococci from Shortly Incubated Subcultures of Positive Blood Cultures by an Immunochromatographic Assay.

机构信息

University of Zurichgrid.7400.3, Institute of Medical Microbiology, Zurich, Switzerland.

出版信息

Microbiol Spectr. 2021 Sep 3;9(1):e0046221. doi: 10.1128/Spectrum.00462-21. Epub 2021 Jul 28.

Abstract

Staphylococcus aureus, as well as coagulase-negative staphylococci (CoNS), can cause a wide range of human infections both in nosocomial and community settings. Βeta-lactams are the antibiotics of choice for the treatment of bloodstream infections (BSI) caused by these microorganisms. Resistance to virtually all β-lactams (also referred to as methicillin resistance) primarily results from the production of an alternative penicillin-binding protein (PBP2a) encoded by the gene. While β-lactams are still used as first-line therapy against BSI caused by S. aureus, BSI with CoNS are usually treated with vancomycin due to the high prevalence of methicillin resistance. Rapid detection of methicillin resistance is thus critical for continuation or adjustment of the empirical therapy and therewith to improve the clinical outcome of the patients. The revised version of the immunochromatographic assay PBP2a SA culture colony test (SACCT) is a rapid, inexpensive, and easy method that enables reliable detection of PBP2a in -positive staphylococcal isolates after18 to 24 h of incubation. Here, we evaluated the diagnostic performance of the SACCT using primary subcultures of spiked blood cultures after short incubation (4 to 6 h) and established a modified procedure with an equal analytical performance to that of longer-grown cultures. With the proposed method the SACCT can be employed for PBP2a detection from shortly incubated subcultures of clinically relevant staphylococcal isolates, thereby allowing more rapid and effective management of BSI caused by these organisms. Antibiotic resistance poses a major threat to health and incurs high economic costs worldwide. Rapid detection of resistance mechanisms can contribute to improving patient care and preventing the dissemination of antimicrobial resistance. Here, we describe a rapid method to detect the most important beta-lactam resistance mechanism (the plasmid-encoded alternative transpeptidase PBP2a) in staphylococcal isolates causing BSI. We show that, using a modified procedure, PBP2a can be reliably detected from primary subcultures of spiked blood cultures after short incubation (4 to 6 h) with a rapid, inexpensive, and simple immunochromatographic test (SACCT). We provide an accurate, inexpensive, and rapid method to facilitate appropriate management and control of infections in patients suffering from invasive staphylococcal infections.

摘要

金黄色葡萄球菌和凝固酶阴性葡萄球菌(CoNS)均可引起医院和社区环境中的多种人类感染。对于这些微生物引起的血流感染(BSI),β-内酰胺类抗生素是治疗的首选药物。几乎所有β-内酰胺类抗生素(也称为耐甲氧西林)的耐药性主要是由于替代青霉素结合蛋白(PBP2a)的产生,该蛋白由 基因编码。虽然β-内酰胺类抗生素仍被用作金黄色葡萄球菌引起的 BSI 的一线治疗药物,但由于耐甲氧西林的高发生率,CoNS 引起的 BSI 通常用万古霉素治疗。因此,快速检测耐甲氧西林对继续或调整经验性治疗至关重要,从而改善患者的临床结局。经过修订的免疫层析检测 PBP2a SA 培养菌落试验(SACCT)是一种快速、廉价且易于使用的方法,可在孵育 18 至 24 小时后可靠地检测出阳性葡萄球菌分离株中的 PBP2a。在这里,我们评估了使用短孵育(4 至 6 小时)后短时间培养的血培养物的 SACCT 的诊断性能,并建立了一种与长时间培养的分析性能相当的改良程序。使用该方法,SACCT 可以从临床相关葡萄球菌分离株的短时间培养物中检测 PBP2a,从而可以更快速有效地管理由这些生物体引起的 BSI。

抗生素耐药性对全球健康构成重大威胁,并带来高昂的经济成本。快速检测耐药机制有助于改善患者护理并防止抗菌药物耐药性的传播。在这里,我们描述了一种快速检测引起 BSI 的葡萄球菌分离株中最重要的β-内酰胺类耐药机制(质粒编码的替代转肽酶 PBP2a)的方法。我们表明,使用改良程序,SACCT 可从短时间孵育(4 至 6 小时)后的血培养物的主要亚培养物中可靠地检测到 PBP2a,该方法快速、廉价且简单。我们提供了一种准确、廉价且快速的方法,以促进对患有侵袭性葡萄球菌感染的患者的适当管理和感染控制。

相似文献

1
Rapid Detection of PBP2a in Staphylococci from Shortly Incubated Subcultures of Positive Blood Cultures by an Immunochromatographic Assay.
Microbiol Spectr. 2021 Sep 3;9(1):e0046221. doi: 10.1128/Spectrum.00462-21. Epub 2021 Jul 28.
2
Sensitivity of the PBP2a SA Culture Colony Test on shortly incubated subcultures of methicillin-resistant staphylococci from positive blood cultures.
Diagn Microbiol Infect Dis. 2023 May;106(1):115917. doi: 10.1016/j.diagmicrobio.2023.115917. Epub 2023 Feb 11.
5
Detection of the mecA gene and identification of Staphylococcus directly from blood culture bottles by multiplex polymerase chain reaction.
Braz J Infect Dis. 2018 Mar-Apr;22(2):99-105. doi: 10.1016/j.bjid.2018.02.006. Epub 2018 Mar 13.
7
Mechanisms of methicillin resistance in staphylococci.
APMIS. 1997 Apr;105(4):264-76. doi: 10.1111/j.1699-0463.1997.tb00568.x.
10
Evaluation of a commercial immunochromatographic assay for rapid routine identification of PBP2a-positive Staphylococcus aureus and coagulase-negative staphylococci.
Diagn Microbiol Infect Dis. 2016 Nov;86(3):262-264. doi: 10.1016/j.diagmicrobio.2016.08.012. Epub 2016 Aug 13.

引用本文的文献

2
Integrating multi-wet laboratory diagnostics to study staphylococci in animals in Uganda.
BMC Microbiol. 2024 Aug 10;24(1):298. doi: 10.1186/s12866-024-03442-x.
3
Staphylococcus succinus Infective Endocarditis, France.
Emerg Infect Dis. 2024 Mar;30(3):601-603. doi: 10.3201/eid3003.230986.
4
Performance evaluation of the FAST™ System and the FAST-PBC Prep™ cartridges for speeded-up positive blood culture testing.
Front Microbiol. 2022 Sep 15;13:982650. doi: 10.3389/fmicb.2022.982650. eCollection 2022.

本文引用的文献

4
Contaminants in blood cultures: importance, implications, interpretation and prevention.
Clin Microbiol Infect. 2018 Sep;24(9):964-969. doi: 10.1016/j.cmi.2018.03.030. Epub 2018 Apr 3.
5
Borderline oxacillin-resistant Staphylococcus aureus (BORSA) - a more common problem than expected?
J Med Microbiol. 2017 Oct;66(10):1367-1373. doi: 10.1099/jmm.0.000585. Epub 2017 Sep 12.
7
Methicillin-resistant Staphylococcus aureus infections: A review of the currently available treatment options.
J Glob Antimicrob Resist. 2016 Dec;7:178-186. doi: 10.1016/j.jgar.2016.07.010. Epub 2016 Sep 5.
10

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验