Methicillin-Resistant Staphylococcus capitis with Reduced Vancomycin Susceptibility Causes Late-Onset Sepsis in Intensive Care Neonates

isolated from the blood of NICU infants and compared these data to adult patients. element, and constantly showed either vancomycin resistance (37.5%) or heteroresistance (62.5%). Conversely, the isolates that were collected outside of the NICU were genetically diverse and displayed much lower rates of vancomycin resistance and heteroresistance (7.7% and 23.1%, respectively). strains has spread into several French NICUs. These isolates exhibit reduced susceptibility to vancomycin, which is the most widely used antimicrobial agent in the NICU setting

Evaluation du système d'alerte des réadmissions de patients porteurs d'entérobactéries productrices de BLSE au Groupe hospitalier Pitié-Salpêtrière

PARIS-BIUP (751062107) / SudocSudocFranceF

Concurrent Dengue and Malaria in Cayenne Hospital, French Guiana

Dengue–malaria co-infection reports are scarce. Of 1,723 consecutive febrile patients in Cayenne Hospital, 238 had dengue (174 early dengue fever cases) and 393 had malaria (371 acute malaria); 17 had both. Diagnosis of 1 of these 2 infections should not rule out testing for the other infection

Evaluation of a commercial immunochromatographic assay for rapid routine identification of PBP2a-positive Staphylococcus aureus and coagulase-negative staphylococci

International audienceWe evaluated the performance of an immunochromatographic assay (PBP2a Culture Colony Test - Alere\texttrademark), detecting protein-binding penicillin 2a on staphylococci primary isolates in only 6minutes. The assay is highly sensitive for the direct detection of MRSA on various culture media whereas it requires cefoxitin induction for methicillin-resistant coagulase-negative staphylococci

ddPCR increases detection of SARS-CoV-2 RNA in patients with low viral loads

International audienceRT-qPCR detection of SARS-CoV-2 RNA still represents the method of reference to diagnose and monitor COVID-19. From the onset of the pandemic, however, doubts have been expressed concerning the sensitivity of this molecular diagnosis method. Droplet digital PCR (ddPCR) is a third-generation PCR technique that is particularly adapted to detecting low-abundance targets. We developed two-color ddPCR assays for the detection of four different regions of SARS-CoV-2 RNA, including non-structural (IP4-RdRP, helicase) and structural (E, N) protein-encoding sequences. We observed that N or E subgenomic RNAs are generally more abundant than IP4 and helicase RNA sequences in cells infected in vitro , suggesting that detection of the N gene, coding for the most abundant subgenomic RNA of SARS-CoV-2, increases the sensitivity of detection during the highly replicative phase of infection. We investigated 208 nasopharyngeal swabs sampled in March-April 2020 in different hospitals of Greater Paris. We found that 8.6% of informative samples (n = 16/185, P < 0.0001) initially scored as “non-positive” (undetermined or negative) by RT-qPCR were positive for SARS-CoV-2 RNA by ddPCR. Our work confirms that the use of ddPCR modestly, but significantly, increases the proportion of upper airway samples testing positive in the framework of first-line diagnosis of a French population

A species distribution comparison of <i>Staphylococcus</i> spp. isolates from the positive blood cultures of patients in neonatal intensive care units (NICUs) and adult ICUs, 2004–2009.

a<p>The differences between the groups were tested for statistical significance using a two-tailed Fisher's exact test. <i>P</i> values were corrected for multiple testing using the Holm-Bonferroni method.</p

A retrospective comparison of the antimicrobial resistance profiles of methicillin-resistant and methicillin-susceptible <i>Staphylococcus capitis</i> bloodstream isolates from patients in neonatal intensive care units, 2004–2009.

a<p>The differences between the groups were tested for statistical significance using a two-tailed Fisher's exact test. <i>P</i> values were corrected for multiple testing using the Holm-Bonferroni method.</p>b<p>NC, not calculable.</p