Evaluation of MRSA Select, a new chromogenic medium for the detection of nasal carriage of methicillin-resistant Staphylococcus aureus

被引:27
作者
Ben Nsira, Sana [1 ]
Dupuis, Michel [1 ]
Leclercq, Roland [1 ]
机构
[1] Univ Caen, Hop Cote Nacre, Microbiol Serv, F-14033 Caen, France
关键词
screening; epidemiology; prevention; nosocomial infections;
D O I
10.1016/j.ijantimicag.2006.03.011
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
MRSA Select is a new chromogenic medium for the detection from clinical specimens of methicillin-resistant Staphylococcus aureus (MRSA) growing as pink colonies. Screening samples (n = 666) taken from patients were spread onto MRSA Select, oxacillin resistance screening agar base (ORSAB), mannitol salt agar and an in-house medium containing tobramycin-colistin-fungizone (TCF). Ninety-nine samples were positive for MRSA on at least one selective medium. Sensitivity and specificity were > 94% for all media provided that incubation was extended to 48 h for ORSAB and that a coagulase test was performed for ORSAB and TCF. By contrast, on the single criterion of the colour of colonies for MRSA positivity, the specificity and sensitivity of MRSA Select were high (99.8% and 99%, respectively). (c) 2006 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
引用
收藏
页码:561 / 564
页数:4
相关论文
共 22 条
[1]   Performance of a new chromogenic oxacillin resistance screen medium (Oxoid) in the detection and presumptive identification of methicillin-resistant Staphylococcus aureus [J].
Apfalter, P ;
Assadian, O ;
Kalczyk, A ;
Lindenmann, V ;
Makristathis, A ;
Mustafa, S ;
Rotter, M ;
Hirschl, AM .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2002, 44 (02) :209-211
[2]   Oxacillin resistance screening agar base for detection of methicillin-resistant Staphylococcus aureus [J].
Becker, A ;
Forster, DH ;
Kniehl, E .
JOURNAL OF CLINICAL MICROBIOLOGY, 2002, 40 (11) :4400-4401
[3]   Evaluation of a novel medium for screening specimens from hospitalized patients to detect methicillin-resistant Staphylococcus aureus [J].
Blanc, DS ;
Wenger, A ;
Bille, J .
JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (08) :3499-3502
[4]   MRSA patients: proven methods to treat colonization and infection [J].
Boyce, JM .
JOURNAL OF HOSPITAL INFECTION, 2001, 48 :S9-S14
[5]   Comparison of methods for the isolation of methicillin resistant Staphylococcus aureus [J].
Davies, S ;
Zadik, PM .
JOURNAL OF CLINICAL PATHOLOGY, 1997, 50 (03) :257-258
[6]   Use of a novel selective medium to detect methicillin-resistant Staphylococcus aureus in colonized patients of an intensive care unit [J].
Dias, CG ;
Röpke, MVR ;
Superti, S ;
Berquó, L ;
d'Azevedo, P .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2004, 25 (02) :130-132
[7]   Performance of CHROMagar MRSA medium for detection of methicillin-resistant Staphylococcus aureus [J].
Diederen, B ;
van Duijn, I ;
van Belkum, A ;
Willemse, P ;
van Keulen, P ;
Kluytmans, J .
JOURNAL OF CLINICAL MICROBIOLOGY, 2005, 43 (04) :1925-1927
[8]  
FLOURNOY DJ, 1990, MED MICROBIOL IMMUN, V179, P25, DOI 10.1007/BF00190147
[9]   A blinded comparison of three laboratory protocols for the identification of patients colonized with methicillin-resistant Staphylococcus aureus [J].
Gardam, M ;
Brunton, J ;
Willey, B ;
McGeer, A ;
Low, D ;
Conly, J .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2001, 22 (03) :152-156
[10]   Selective screening of carriers for control of methicillin-resistant Staphylococcus aureus (MRSA) in high-risk hospital areas with a high level of endemic MRSA [J].
Girou, E ;
Pujade, G ;
Legrand, P ;
Cizeau, F ;
Brun-Buisson, C .
CLINICAL INFECTIOUS DISEASES, 1998, 27 (03) :543-550