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Capsular Serotyping of Streptococcus pneumoniae by Latex Agglutination
Published on: September 25, 2014
Evaluation of Latex Agglutination Test for Rapid Identification of Staphylococcus aureus Isolated from Pyogenic Wound
1Department of Microbiology B.P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Sunsari, Nepal.
Abstract:
Background Staphylococcus aureus infections are increasingly reported worldwide. It is a major clinical problem and imposes significant morbidity and mortality due to widespread emergence of multidrug resistant pathogens like methicillin resistant Staphylococcus aureus. Thus, rapid and reliable identification of Staphylococcus aureus is essential for timely and effective management of patient. Objective The performance of Latex agglutination test (Staphaurex Plus) was compared to conventional method tube coagulase test which is gold standard too for the identification of Staphylococcus aureus. Method This study was conducted at B.P. Koirala Institute of Health Sciences. Following standard microbiological methods, isolation and identification was done in the Department of Microbiology. MRSA detection was performed following Clinical and Laboratory Standard Institute. All the isolates of Staphylococci were subjected for Latex agglutination test and was performed according to manufacturer's instructions using Staphaurex Plus kit. Result Out of 377 (methicillin sensitive Staphylococcus aureus - 142; methicillin resistant Staphylococcus aureus - 233; Coagulase Negative Staphylococci -2) isolates of Staphylococci, Latex agglutination test was found to be positive in 138 (97.1%) of methicillin sensitive Staphylococcus aureus (MSSA) and 220 (94.4%) of methicillin resistant Staphylococcus aureus (MRSA). Overall sensitivity, specificity, positive predictive value and negative predictive value of Latex agglutination test was found to be 95.46%, 100%, 100%, 10.52% respectively. Conclusion In conclusion, Latex agglutination test is a rapid and reliable test for the identification of Staphylococcus aureus.
Insights
The Latex agglutination test accurately identifies Staphylococcus aureus, including methicillin-resistant strains (MRSA). This rapid test offers high sensitivity and specificity, aiding in timely patient management.
Area of Science:
- Clinical Microbiology
- Infectious Diseases
- Diagnostic Testing
Background:
- Staphylococcus aureus infections are a growing global health concern, leading to significant morbidity and mortality.
- The emergence of multidrug-resistant strains, such as methicillin-resistant Staphylococcus aureus (MRSA), complicates treatment.
- Rapid and accurate identification of Staphylococcus aureus is crucial for effective patient management.
Purpose of the Study:
- To evaluate the performance of the Latex agglutination test (Staphaurex Plus) for identifying Staphylococcus aureus.
- To compare the Latex agglutination test against the gold standard tube coagulase test.
Main Methods:
- Standard microbiological methods were used for the isolation and identification of Staphylococci.
- Methicillin-resistant Staphylococcus aureus (MRSA) detection followed Clinical and Laboratory Standard Institute guidelines.
- The Staphaurex Plus Latex agglutination test was performed on 377 Staphylococci isolates according to manufacturer instructions.
Main Results:
- The Latex agglutination test showed high positivity rates: 97.1% for methicillin-sensitive Staphylococcus aureus (MSSA) and 94.4% for MRSA.
- Overall performance metrics included 95.46% sensitivity, 100% specificity, 100% positive predictive value, and 10.52% negative predictive value.
- The test demonstrated excellent agreement with the tube coagulase test for Staphylococcus aureus identification.
Conclusions:
- The Latex agglutination test (Staphaurex Plus) is a rapid and reliable method for identifying Staphylococcus aureus.
- Its high accuracy supports its use in clinical settings for prompt diagnosis and management of Staphylococcus aureus infections.
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