Determining the significance of coagulase-negative Staphylococci (CoNS) from blood cultures by molecular approach

Background: Coagulase-negative staphylococci (CoNS) are a group of micro-organisms that are increasingly implicated as a cause of significant infection and the leading cause of blood stream infection (BSI). One important predictor of true BSI is the isolation of CoNS from multiple blood cultures,...

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Main Author: Rahman, Zaidah Abdul
Format: Article
Language:English
Published: Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia 2011
Subjects:
Online Access:http://eprints.usm.my/50656/
http://eprints.usm.my/50656/1/DR.%20ZAIDAH%20ABDUL%20RAHMAN-Eprints.pdf
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author Rahman, Zaidah Abdul
author_facet Rahman, Zaidah Abdul
author_sort Rahman, Zaidah Abdul
building USM Institutional Repository
collection Online Access
description Background: Coagulase-negative staphylococci (CoNS) are a group of micro-organisms that are increasingly implicated as a cause of significant infection and the leading cause of blood stream infection (BSI). One important predictor of true BSI is the isolation of CoNS from multiple blood cultures, presuming that the isolates represent the same species. Aim: Thus, the objective of this study was to determine the significance of repeated CoNS isolated from blood cultures. Methods: This was a prospective laboratory study which was initiated in June 2007 until July 2008. CoNS isolates were obtained from patients who had two positive blood cultures within a 14-day interval. CoNS were identified with the species level using an API-Staph and antibiotics susceptibility testing was performed according to the CLSI standard. Strain relatedness was confirmed using pulsed-field gel electrophoresis. Findings: During the study period, 202 of CoNS were isolated from I 01 patients. The most common species isolated was Staphylococcus epidermidis (59.0%). 83.2% of patients isolated same species of Co NS from repeated blood cultures. Among the isolates of same species, only 40. 7% had the same antibiogram. CoNS with the same species and antibiogram had 93.3% probability of the same strain. 65.5% of patients were treated with antibiotics, especially glycopeptides group. Conclusion: Speciation and antibiogram of CoNS from repeated blood cultures are adequate in determining the significance of repeated Co NS isolated from blood cultures.
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spelling usm-506562021-11-18T02:58:05Z http://eprints.usm.my/50656/ Determining the significance of coagulase-negative Staphylococci (CoNS) from blood cultures by molecular approach Rahman, Zaidah Abdul R Medicine Background: Coagulase-negative staphylococci (CoNS) are a group of micro-organisms that are increasingly implicated as a cause of significant infection and the leading cause of blood stream infection (BSI). One important predictor of true BSI is the isolation of CoNS from multiple blood cultures, presuming that the isolates represent the same species. Aim: Thus, the objective of this study was to determine the significance of repeated CoNS isolated from blood cultures. Methods: This was a prospective laboratory study which was initiated in June 2007 until July 2008. CoNS isolates were obtained from patients who had two positive blood cultures within a 14-day interval. CoNS were identified with the species level using an API-Staph and antibiotics susceptibility testing was performed according to the CLSI standard. Strain relatedness was confirmed using pulsed-field gel electrophoresis. Findings: During the study period, 202 of CoNS were isolated from I 01 patients. The most common species isolated was Staphylococcus epidermidis (59.0%). 83.2% of patients isolated same species of Co NS from repeated blood cultures. Among the isolates of same species, only 40. 7% had the same antibiogram. CoNS with the same species and antibiogram had 93.3% probability of the same strain. 65.5% of patients were treated with antibiotics, especially glycopeptides group. Conclusion: Speciation and antibiogram of CoNS from repeated blood cultures are adequate in determining the significance of repeated Co NS isolated from blood cultures. Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia 2011 Article NonPeerReviewed application/pdf en http://eprints.usm.my/50656/1/DR.%20ZAIDAH%20ABDUL%20RAHMAN-Eprints.pdf Rahman, Zaidah Abdul (2011) Determining the significance of coagulase-negative Staphylococci (CoNS) from blood cultures by molecular approach. Determining the significance of coagulase-negative Staphylococci (CoNS) from blood cultures by molecular approach.
spellingShingle R Medicine
Rahman, Zaidah Abdul
Determining the significance of coagulase-negative Staphylococci (CoNS) from blood cultures by molecular approach
title Determining the significance of coagulase-negative Staphylococci (CoNS) from blood cultures by molecular approach
title_full Determining the significance of coagulase-negative Staphylococci (CoNS) from blood cultures by molecular approach
title_fullStr Determining the significance of coagulase-negative Staphylococci (CoNS) from blood cultures by molecular approach
title_full_unstemmed Determining the significance of coagulase-negative Staphylococci (CoNS) from blood cultures by molecular approach
title_short Determining the significance of coagulase-negative Staphylococci (CoNS) from blood cultures by molecular approach
title_sort determining the significance of coagulase-negative staphylococci (cons) from blood cultures by molecular approach
topic R Medicine
url http://eprints.usm.my/50656/
http://eprints.usm.my/50656/1/DR.%20ZAIDAH%20ABDUL%20RAHMAN-Eprints.pdf