>B:=GHKLBD: ;:DL?JB?FBB QLHGH

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ȾɂȺȽɇɈɋɌɂɄȺ ȻȺɄɌȿɊɂȿɆɂɂ: ɑɌɈ ɇɈȼɈȽɈ? ɎȽȻɇɍ ©Ɋɨɫɫɢɣɫɤɢɣ Ɉɧɤɨɥɨɝɢɱɟɫɤɢɣ ɇɚɭɱɧɵɣ ɐɟɧɬɪ ɢɦ ɇɇ Ȼɥɨɯɢɧɚª Ɇɨɫɤɜɚ, E-mail: [email protected]

Transcript of >B:=GHKLBD: ;:DL?JB?FBB QLHGH

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, E-mail: [email protected]

10 31 58 82

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Bouza et al: Report of ESGNI-001 and ESGN-002 studies, 1999

:

:

:

-

-

-

(

SepsiTest Molzyn, Bremen,

Germany

300

8-

LightCycler

SeptiFast

Roche Molecular

Systems,

Branchburg, NJ,

USA

-

FRET),

(ITS)

3-

Vyoo SIRS Lab, Jena,

Germany

-

-

(

PNA-FISH AdvanDx,

Woburn, MA,

USA

10+

1,5-2

AccuProbe Gen-Probe

.

.

rRNA

S. aureus

-

(

StaphSR

BD GeneOhm, San

Diego,

CA, USA

-

.

SCCmec (MRSA)

S. aureus

MRSA/MSSA)

2.5-3

Xpert MRSA/SA Cepheid Diagnostics

SCC-

mec, mecA S. aureus)

S. aureus

(

MRSA/MSSA)

1

Prove-it sepsis Mobidiag, Helsinki,

Finland

-

.

3 .

Ibis

Ibis Biosciences

-

(

Tube coagulase

. (S.

aureus )

S. aureus

MRSA/MSSA)

2-

Thermonuclease

. - .

S. aureus)

S. aureus

. MRSA/MSSA)

2-

MicroPhage assay

MicroPhage, Longmont,CO, USA

, S. aureus

S. aureus

MRSA/MSSA)

MALDI-

TOF MS

.,

MALDI-TOF Microflex LT (Biotyper)(Bruker, Daltonics, Germany)

- .

.

15-20

: 3- -15% (+)

)

(+) )

?)

(1- )

?

:

miniVidas

:

: MALDI Septityper Kit 50

miniVidas ( C. difficile,

)

:

BACTE FX 400 BACT/Alert VersaTREK

BACTEK FX BACTEC Plus Aerobic/F : 10

BACTEC Plus Anaerobic/F : 10 ( ) BACTEC PEDS Plus/F : 1-3 ( ) BACTEC Lytic/10 Anaerobic/F

BACTEC Anaerobic Plus/F BACTEC Mycosis IC/F

BACTEC Myco F/Lytic

: 3-

BD BACTECTM

:

(Haemophilus spp., Neisseria spp

MALDI-TOF, Bruker Daltonics

-

:

:

; -

MALDI-TOF -

:

Microscan Walk Away 96+

VITEK 2 (BioMerieux)

- - :

-

MALDI Septityper Kit 50 -

REF 367954) -

-TOF

Microscan WalkAway 96+/VITEK 2