1 / 8

Evaluering af MRSA screening metoder i Skandinavien

Evaluering af MRSA screening metoder i Skandinavien. Sidsel Böcher, R. Skov Robert Smyth and Gunnar Kahlmeter Trond Jacobsen. Baggrund. Hvad er den optimale metode for detektion af MRSA i screenings prøver? Nye chromogene medier tilsat antibiotika synes “lovende”

steven-goff
Télécharger la présentation

Evaluering af MRSA screening metoder i Skandinavien

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Evaluering af MRSAscreening metoder i Skandinavien Sidsel Böcher, R. Skov Robert Smyth and Gunnar Kahlmeter Trond Jacobsen

  2. Baggrund • Hvad er den optimale metode for detektion af MRSA i screenings prøver? • Nye chromogene medier tilsat antibiotika synes “lovende” • Er de gode nok til at man ikke behøver at bruge opformering • Hvilken er den bedste til skandinaviske forhold? • Meget stor diversitet!

  3. Ref. Nahimana et al: Clinical Microbiology and Infection, Volume 12, Number 12, December 2006

  4. Sensitivity 14-28%

  5. Evaluation of 2 selective broths

  6. Formål: • Fælles skandinavisk afprøvning af forskellige chromogene plader +/- opformering. • Vi kan ikke afklare dette hver for sig • Vi er overladt til firmaers “løfter om guld og grønne skove” • Ved at gøre det fælles så skal hvert laboratorie levere få prøver

  7. Metode • På patienter hvor der er høj mistanke om at de er MRSA positive • Et ekstra sæt prøver for MRSA som sendes til et af de 3 centrale laboratorier • St. Olav, Växjö, SSI • i alt 30 patienter per laboratorie

  8. Procedure på central laboratorierne Swab is swirled in 1ml 0,9 % NaCl 100 mcl is used for: Direct inoculation SSI Semi-selective TSB broth 20mg/L Aztreonam 3,5mg/L Cefoxitin 2,5% Nacl Oxoid Biomerieux ? ? Control – staph agar, Biomerrieux MRSA ID MRSA Select MRSA SSI

More Related