Project/Area Number |
05454364
|
Research Category |
Grant-in-Aid for General Scientific Research (B)
|
Allocation Type | Single-year Grants |
Research Field |
General surgery
|
Research Institution | Keio University |
Principal Investigator |
UEDA Masakazu Keio Univ., Surglry Instructar, 医学部, 助手 (50142419)
|
Co-Investigator(Kenkyū-buntansha) |
KARAHASHI Tsuyoshi Keio Univ., Surglry Instructar, 医学部, 助手 (20245509)
MURAYAMA Yosihiko Keio Univ., Surglry Instructar, 医学部, 助手 (30239553)
|
Project Period (FY) |
1993 – 1994
|
Project Status |
Completed (Fiscal Year 1994)
|
Budget Amount *help |
¥6,800,000 (Direct Cost: ¥6,800,000)
Fiscal Year 1994: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1993: ¥5,300,000 (Direct Cost: ¥5,300,000)
|
Keywords | Sepsis / Severe Infection Dis. / MRSA / Cytokine on RNA / endothelin / PCR / MRSE |
Research Abstract |
We established a rapid and sensitive diagnostic method for methicillinresistant Staphylococcus aureus (MRSA) bacteremia in postoperative patients using nested polymerase chain reaction.mecA and TSST-1 genes were not detected in the blood samples of any of the 6 normal volunteers, which were negative by blood culture.In all the 12 samples from which MRSA was isolated by blood culture, mecA and TSST-1 genes were detected.In one sample from which S.epidermidis colonies grow after blood culture , mecA was detected but TSST-1 gene was not.Of 28 samples with blood cultures negative for MRSA,2 samples were still positive for mecA and TSST-1 genes.In these 2 patients, MRSA was isolated from specimens other than blood by culture.Although it took at least 48hr to identify MRSA by blood culture method, the presence of mecA and TSST-1 genes was determined by nested PCR method within only 3-4 hr after blood sampling.
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