主题:【分享】美国FDA批准首个鉴定超级细菌的快速诊断试剂

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据美国FDA官方网站消息,FDA于5月6日批准了首个鉴定耐甲氧西林金黄色葡萄球菌(MRSA)与甲氧西林敏感金黄色葡萄球菌(MSSA)的快速诊断试剂。该试剂名为"KeyPath Test",由美国科罗拉多州朗蒙特市MicroPhage公司生产。

    金黄色葡萄球菌有多种类型,它会引起皮肤感染、肺炎、食物与血液感染。感染某些金黄色葡萄球菌后,通过服用抗生素便很容易治愈,然而其它的金黄色葡萄球菌则能抵抗青霉素和阿莫西林等抗生素。

    FDA在新闻通讯中指出,该试剂仅用5小时左右的时间便可鉴定出血培养物呈阳性患者携带的是MRSA还是MSSA,并且不需要通过另外的仪器来获取结果。

    FDA还表示,在此试剂的认证过程中,对采自四个知名医院的1116份血液样本进行了临床研究。在对所有的金黄色葡萄球菌阳性样本中,该试剂检出MRSA的准确率可达98.9% ,检出MSSA的准确率可达99.4%.
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FDA NEWS RELEASE

For Immediate Release: May 6, 2011
Media Inquiries: Erica Jefferson, 301-796-4988, erica.jefferson@fda.hhs.gov
Consumer Inquiries: 888-INFO-FDA

FDA clears first test to quickly diagnose and distinguish MRSA and MSSA

TheU.S. Food and Drug Administration today cleared the first test forStaphylococcus aureus (S.aureus)  infections that is able to quicklyidentify whether the bacteria are methicillin resistant (MRSA) ormethicillin susceptible (MSSA).

There are many different types ofStaphylococci bacteria, which cause skin infections, pneumonia, foodand blood infections (blood poisoning). While some S.aureus infectionsare treated easily with antibiotics, others are resistant (MRSA) tocommonly prescribed antibiotics such as penicillin and amoxicillin.

TheKeyPath MRSA/MSSA Blood Culture Test determines whether bacteriagrowing in a patient’s positive blood culture sample are MRSA or MSSAwithin about five hours after any bacterial growth is first detected inthe sample. Aside from blood culture equipment, the test does notrequire any specific instruments to get results, which makes it usefulin any laboratory.

“Clearing this test gives health careprofessionals a test that can confirm S.aureus and then identifywhether the bacteria is MRSA or MSSA,” said Alberto Gutierrez, Ph.D.,director of the Office of In Vitro Diagnostics Device Evaluation andSafety in the FDA’s Center for Devices and Radiological Health. “Thisnot only saves time in diagnosing potentially life-threateninginfections but also allows health care professionals to optimizetreatment and start appropriate contact precautions to prevent thespread of the organism.”

MRSA infections can occur anywhere;however, infections appearing in health care settings are usually moresevere and potentially life-threatening given patients being treated inthose facilities may have weakened immune systems and frequentlyundergo procedures such as surgery, which allows an easier spread ofbacteria directly into the body.

The FDA based its clearance on aclinical study of 1,116 blood samples evaluated at four major U.S.hospital centers. Within the organisms determined to be S.aureus, theMRSA determination was 98.9% accurate (178/180) and the MSSAdetermination was 99.4% accurate (153/154).

The KeyPath MRSA/MSSA Blood Culture Test is manufactured by MicroPhage Inc. of Longmont, Colo.
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