Comparative efficacy of pre-moistened sponges and E-swabs for active surveillance of carbapenem-resistant Acinetobacter baumannii carriage.

IF 3 3区 医学 Q2 INFECTIOUS DISEASES European Journal of Clinical Microbiology & Infectious Diseases Pub Date : 2025-04-01 Epub Date: 2025-02-10 DOI:10.1007/s10096-025-05055-2
Reut Efrati Epchtien, Elizabeth Temkin, Samira Masarwa, Adi Cohen, Ella Kaplan, David Schwartz, Alona Keren-Paz, Yehuda Carmeli, Vered Schechner
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Abstract

We evaluated whether skin sampling with E-swabs is an effective alternative to pre-moistened sponges for detecting carbapenem-resistant Acinetobacter baumannii (CRAB) carriage. Skin samples were collected by sponges with enrichment and E-swabs with and without enrichment. We collected 899 samples (from 250 patients); 191 samples were CRAB positive. Sensitivity was 90.8% for sponges with enrichment, 40.0% for E-swabs without enrichment, and 50.0% for E-swabs with enrichment. E-swabs failed to detect at least half of CRAB carriers detected by sponges. If E-swabs are used for CRAB screening, a negative result should carry a warning regarding low sensitivity.

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预湿海绵和电子棉签监测耐碳青霉烯鲍曼不动杆菌携带的比较效果。
我们评估了电子拭子皮肤取样是否能有效替代预湿海绵检测耐碳青霉烯鲍曼不动杆菌(CRAB)携带。皮肤样品采用富营养化海绵、富营养化e -拭子和不富营养化e -拭子采集。我们收集了899份样本(来自250名患者);191份标本呈螃蟹阳性。富集海绵的敏感性为90.8%,未富集e -拭子的敏感性为40.0%,富集e -拭子的敏感性为50.0%。电子拭子不能检测出海绵检测到的至少一半的螃蟹携带者。如果使用e -拭子进行螃蟹筛查,阴性结果应附有低灵敏度警告。
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来源期刊
CiteScore
10.40
自引率
2.20%
发文量
138
审稿时长
1 months
期刊介绍: EJCMID is an interdisciplinary journal devoted to the publication of communications on infectious diseases of bacterial, viral and parasitic origin.
期刊最新文献
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