PMID- 11773123 OWN - NLM STAT- MEDLINE DCOM- 20020212 LR - 20210526 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 40 IP - 1 DP - 2002 Jan TI - Rapid identification of Staphylococcus aureus directly from blood cultures by fluorescence in situ hybridization with peptide nucleic acid probes. PG - 247-51 AB - A new fluorescence in situ hybridization (FISH) method with peptide nucleic acid (PNA) probes for identification of Staphylococcus aureus directly from positive blood culture bottles that contain gram-positive cocci in clusters (GPCC) is described. The test (the S. aureus PNA FISH assay) is based on a fluorescein-labeled PNA probe that targets a species-specific sequence of the 16S rRNA of S. aureus. Evaluations with 17 reference strains and 48 clinical isolates, including methicillin-resistant and methicillin-susceptible S. aureus species, coagulase-negative Staphylococcus species, and other clinically relevant and phylogenetically related bacteria and yeast species, showed that the assay had 100% sensitivity and 96% specificity. Clinical trials with 87 blood cultures positive for GPCC correctly identified 36 of 37 (97%) of the S. aureus-positive cultures identified by standard microbiological methods. The positive and negative predictive values were 100 and 98%, respectively. It is concluded that this rapid method (2.5 h) for identification of S. aureus directly from blood culture bottles that contain GPCC offers important information for optimal antibiotic therapy. FAU - Oliveira, Kenneth AU - Oliveira K AD - Boston Probes, Inc., Bedford, Massachusetts 01730, USA. FAU - Procop, Gary W AU - Procop GW FAU - Wilson, Deborah AU - Wilson D FAU - Coull, James AU - Coull J FAU - Stender, Henrik AU - Stender H LA - eng PT - Evaluation Study PT - Journal Article PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (Culture Media) RN - 0 (Nucleic Acid Probes) RN - 0 (Peptide Nucleic Acids) RN - 0 (RNA, Ribosomal, 16S) SB - IM MH - Blood/*microbiology MH - Culture Media MH - Humans MH - *In Situ Hybridization, Fluorescence MH - *Nucleic Acid Probes MH - Peptide Nucleic Acids/*genetics MH - RNA, Ribosomal, 16S/genetics MH - Sensitivity and Specificity MH - Staphylococcal Infections/microbiology MH - Staphylococcus aureus/*classification/genetics/isolation & purification MH - Time Factors PMC - PMC120122 EDAT- 2002/01/05 10:00 MHDA- 2002/02/13 10:01 PMCR- 2002/01/01 CRDT- 2002/01/05 10:00 PHST- 2002/01/05 10:00 [pubmed] PHST- 2002/02/13 10:01 [medline] PHST- 2002/01/05 10:00 [entrez] PHST- 2002/01/01 00:00 [pmc-release] AID - 0890 [pii] AID - 10.1128/JCM.40.1.247-251.2002 [doi] PST - ppublish SO - J Clin Microbiol. 2002 Jan;40(1):247-51. doi: 10.1128/JCM.40.1.247-251.2002.