Identification of Staphylococcus aureus and determination of methicillin resistance directly from positive blood cultures by isothermal amplification and a disposable detection device
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作者:
Goldmeyer, James
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BioHelix Corp, Beverly, MA 01915 USAVanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
Goldmeyer, James
[3
]
Li, Haijing
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Vanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USAVanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
Li, Haijing
[1
]
Mccormac, Melinda
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Vanderbilt Univ, Med Ctr, Dept Pathol, Nashville, TN 37232 USAVanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
Mccormac, Melinda
[2
]
Cook, Steve
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Lahey Clin Med Ctr, Burlington, MA 01805 USAVanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
Cook, Steve
[4
]
Stratton, Charles
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Vanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
Vanderbilt Univ, Med Ctr, Dept Pathol, Nashville, TN 37232 USAVanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
Stratton, Charles
[1
,2
]
Lemieux, Bertrand
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BioHelix Corp, Beverly, MA 01915 USAVanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
Lemieux, Bertrand
[3
]
Kong, Fluimin
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BioHelix Corp, Beverly, MA 01915 USAVanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
Kong, Fluimin
[3
]
Tang, Wen
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BioHelix Corp, Beverly, MA 01915 USAVanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
Tang, Wen
[3
]
Tang, Yi-Wei
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Vanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
Vanderbilt Univ, Med Ctr, Dept Pathol, Nashville, TN 37232 USAVanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
Tang, Yi-Wei
[1
,2
]
机构:
[1] Vanderbilt Univ, Med Ctr, Dept Med, Nashville, TN 37232 USA
[2] Vanderbilt Univ, Med Ctr, Dept Pathol, Nashville, TN 37232 USA
A simple, rapid, and user-friendly procedure has been developed to identify Staphylococcus aureus and determine its methicillin resistance directly from gram-positive cocci in cluster-containing blood culture medium. The specimens were diluted and heated prior to amplification of the nuc and mecA genes with isothermal helicase-dependent amplification. Amplicons were detected using a disposable detection device. The analytical sensitivity of the assays was 50 CFU per reaction, and the clinical sensitivity and specificity were both 100% for S. aureus detection and 100% and 98% for methicillin resistance determination, respectively.