Staphylococcal IgM Enzyme-Linked Immunosorbent Assay for Diagnosis of Periprosthetic Joint Infections

被引:16
作者
Artini, Marco [1 ]
Romano, Carlo [2 ]
Manzoli, Lamberto [3 ]
Scoarughi, Gian Luca [1 ]
Papa, Rosanna [1 ]
Meani, Enzo [4 ]
Drago, Lorenzo [2 ]
Selan, Laura [1 ]
机构
[1] Univ Roma La Sapienza, Dept Publ Hlth & Infect Dis, I-00185 Rome, Italy
[2] IRCCS Galeazzi Orthopaed Inst, Milan, Italy
[3] Univ G DAnnunzio, Sect Epidemiol & Publ Hlth, Chieti, Italy
[4] G Pini Orthopaed Inst, Milan, Italy
关键词
D O I
10.1128/JCM.01836-10
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Delayed orthopedic joint prosthesis infections (DOJP-Is) due to staphylococci frequently result in prosthetic revision. Specific and noninvasive diagnostic tests are unavailable, and DOJP-Is are commonly diagnosed at advanced stages of disease. An enzyme-linked immunosorbent assay (ELISA) was developed to detect serum antibodies against staphylococcal slime polysaccharide antigens. Using a cutoff of 0.35 ELISA units, the test showed a specificity of 95.1% (95% confidence interval [CI], 85.4 to 98.7%) and a sensitivity of 89.7% (71.5 to 97.3%) on a sample of 90 individuals.
引用
收藏
页码:423 / 425
页数:3
相关论文
共 12 条
[1]   The significance of infection related to orthopedic devices and issues of antibiotic resistance [J].
Campoccia, D ;
Montanaro, L ;
Arciola, CR .
BIOMATERIALS, 2006, 27 (11) :2331-2339
[2]   Biofilm theory can guide the treatment of device-related orthopaedic infections [J].
Costerton, JW .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2005, (437) :7-11
[3]   Management of bone and joint infections due to Staphylococcus aureus [J].
Davis, JS .
INTERNAL MEDICINE JOURNAL, 2005, 35 :S79-S96
[4]   A CHEMICALLY DEFINED MEDIUM FOR SLIME PRODUCTION BY COAGULASE-NEGATIVE STAPHYLOCOCCI [J].
HUSSAIN, M ;
HASTINGS, JGM ;
WHITE, PJ .
JOURNAL OF MEDICAL MICROBIOLOGY, 1991, 34 (03) :143-147
[5]   Diagnosis and management of prosthetic joint infection [J].
Matthews, Philippa C. ;
Berendt, Anthony R. ;
McNally, Martin A. ;
Byren, Ivor .
BMJ-BRITISH MEDICAL JOURNAL, 2009, 338 :1378-1383
[6]  
Newcombe RG, 1998, STAT MED, V17, P857, DOI 10.1002/(SICI)1097-0258(19980430)17:8<857::AID-SIM777>3.0.CO
[7]  
2-E
[8]   Potential use of poly-N-acetyl-β-(1,6)-glucosamine as an antigen for diagnosis of staphylococcal orthopedic-prosthesis-related infections [J].
Sadovskaya, Irina ;
Faure, Stephanie ;
Watier, Denis ;
Leterme, Damien ;
Chokr, Ali ;
Girard, Julien ;
Migaud, Henry ;
Jabbouri, Said .
CLINICAL AND VACCINE IMMUNOLOGY, 2007, 14 (12) :1609-1615
[9]   Diagnosis of vascular graft infections with antibodies against staphylococcal slime antigens [J].
Selan, L ;
Passariello, C ;
Rizzo, L ;
Varesi, P ;
Speziale, F ;
Renzini, G ;
Thaller, MC ;
Fiorani, P ;
Rossolini, GM .
LANCET, 2002, 359 (9324) :2166-2168
[10]  
Selan Laura, 2009, V3, P219, DOI 10.1007/7142_2008_24