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O valor da análise bioquímica de Staphylococcus aureus na determinação da sensibilidade à eritromicina

O valor da análise bioquímica de Staphylococcus aureus na determinação da sensibilidade à eritromicina

Autores:

Alexandre S. Marcon,
Giovanni M. Travi,
Italo M. Marcon,
Zélia M. Corrêa

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.62 no.2 São Paulo abr. 1999

http://dx.doi.org/10.5935/0004-2749.19990031

SUMMARY

Purpose:

To assess the reliability of biochemical pattern (biotype) to determine erythromycin sensitivity of multiple Staphylococcus aureus isolates from the conjunctiva and lid margin of healthy eyes.

Methods:

The authors analyzed 42 samples of S. aureus, isolated from 100 volunteers, through MicroScan® (Dade lnternational, West Sacramento, CA) Pos-Combo type 6 panels. Biochemical reactions were organized in a table. The biotype number was determined by adding values of each reaction according to the manufacturer's instructions.

Results:

Biotype 317147 was more prevalent (n = 19), 11 being sensitive to erythromycin and 8 resistant. Other biotypes were analyzed: 317163 (n = 8), 317167 (n = 6), 317347 (n = 2), etc.

Conclusion:

It was concluded that biotyping alone can not predict everythromycin sensitivity erythromycin sensibility for S. aureus biotype 317147 (CI 95%o, 0.29-0.087 for sensible isolates and 0.08-0.76 for resistant isolates).

Keywords: Staphylococcus aureus; MicroScan; Erythromycin; Biotyping

REFERÊNCIAS

1 Cason MA, Winkler CH. Bacteriology of the eye: normal flora. Arch Ophthalmol 1954;51:196-9.
2 Marcon AS, Barbosa MP, Vasques CL, Marcon IM, Domeles JC, Kader ITA, Cauduro PF. Microbiota aeróbica e anaeróbica normal da conjuntiva e borda palpebral de indivíduos hígidos. Arq Bras Oftalmol 1996;59:289-94.
3 Perkins RE, Kundsin RB, Pratt MV, Abrahansen I, Leibowitz HM. Bacteriology of Normal and Infected Conjuntiva. J of Clin Microbiol 1975;1:147-9.
4 Glasser DB, Baun J. Antibacterial Agents. In: Tabbara KF & Hyndiuk RA (eds) - Infections of the Eye 2 ed. Boston, Little Brown 1996;207-31.
5 Murray PR, Baron EJ, Pfaller MA, Tenover FC, Tolken RH. Manual of Clinical Microbiology, 6 ed. ASM Press, Washington 1995;190-2.
6 Aldrige KE, Janney A, Sanders CV, Marier RL. Interlaboratory variation of antibiograms of methicillin-resistant and methicillin-susceptible Staphylococcus aureus strains with conventional and commercial testin systems. J Clin Microbiol 1983;18:1226-36.
7 MicroScan - Biotype Codebook for aerobic Gram-positive organisms. Dade Intemational 1991.
8 Oeding P, Hajek V, Marsalek E. A comparison of antigenic structure and phage pattem with biochemical properties of Staphylococcus aureus strains isolated from sheep. Acta Pathol Microbiol Scand 1976;84:61-5.
9 Devriese LA, Oeding P. Characteristics of Staphylococcus aureus strains isolated from different animal species. Res Vet Sci 1976;21:284-91.
10 Yoshida J, Nagata T. Nosocomial propagation of multiresistant Staphylococcus aureus: an analysis using biotyping and drug sensitivity. Surg Today 1995;25:483-9.
11 Brinser JH, Burd EM. Ocular bacteriology. In: Tabbara KF, Hyndiuk RA (eds). - Infections of the eye 2 ed. Boston, Little Brown 1996;125-6.
12 Geary C, Jordens JZ, Richardson JF, Hawcroft DM, Mitchell CJ. Epidemiological typing of coagulase-negative staphylococci from nosocomial infections. J Med Microbiol 1997; Mar 46; 3: 195-203