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Coagulase-negative staphylococcal infections
Kathie L Rogers1, Paul D Fey, Mark E Rupp
1Department of Pathology and Microbiology, University of Nebraska Medical Center, 986280 Nebraska Medical Center, Omaha, NE 68198-6280, USA.
Abstract:
Coagulase-negative staphylococci (CNS) are differentiated from the closely related but more virulent Staphylococcus aureus by their inability to produce free coagulase. Currently, there are over 40 recognized species of CNS. These organisms typically reside on healthy human skin and mucus membranes, rarely cause disease, and are most frequently encountered by clinicians as contaminants of microbiological cultures. However, CNS have been increasingly recognized to cause clinically significant infections. The conversion of the CNS from symbiont to human pathogen has been a direct reflection of the use of indwelling medical devices. This article deals with the clinical syndromes, epidemiology, prevention, and management of infections caused by this unique group of organisms.
Insights
Coagulase-negative staphylococci (CNS) are common skin bacteria. Increased medical device use has led to more significant CNS infections, requiring focus on prevention and management.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Medicine
Background:
- Coagulase-negative staphylococci (CNS) are a diverse group of bacteria, distinct from Staphylococcus aureus.
- Typically commensal organisms on human skin and mucous membranes, CNS are often laboratory contaminants.
- Recent trends show a rise in clinically significant infections attributed to CNS.
Purpose of the Study:
- To review the clinical syndromes associated with CNS infections.
- To discuss the epidemiology and increasing role of CNS in healthcare-associated infections.
- To outline strategies for the prevention and management of CNS infections.
Main Methods:
- Literature review of clinical syndromes, epidemiology, and management guidelines.
- Analysis of the role of indwelling medical devices in CNS pathogenesis.
- Synthesis of current knowledge on prevention and treatment strategies.
Main Results:
- CNS infections are increasingly linked to the use of indwelling medical devices.
- Understanding CNS epidemiology is crucial for effective infection control.
- Established prevention and management protocols are essential for combating these infections.
Conclusions:
- CNS have transitioned from common contaminants to significant pathogens, particularly in device-associated infections.
- Effective prevention and management strategies are vital to address the growing threat of CNS infections.
- Further research into novel therapeutic and preventative approaches is warranted.
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