Improving time to optimal Staphylococcus aureus treatment using a penicillin-binding protein 2a assay

J Med Microbiol. 2016 Dec;65(12):1452-1455. doi: 10.1099/jmm.0.000365. Epub 2016 Oct 14.

Abstract

The penicillin-binding protein 2a (PBP2a) assay is a quick, accurate and inexpensive test for determining methicillin susceptibility in Staphylococcus aureus. A pre-post-study design was conducted using a PBP2a assay with and without the impact of an antimicrobial stewardship intervention to improve time to optimal therapy for methicillin-susceptible and methicillin-resistant S. aureus isolates. Our results demonstrate significantly improved time to optimal therapy and support the use of a PBP2a assay as part of an programme for all healthcare facilities, especially those with limited resources.

MeSH terms

  • Adult
  • Aged
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Female
  • Humans
  • Male
  • Methicillin Resistance
  • Methicillin-Resistant Staphylococcus aureus / chemistry
  • Methicillin-Resistant Staphylococcus aureus / isolation & purification
  • Microbial Sensitivity Tests
  • Middle Aged
  • Molecular Typing*
  • Penicillin-Binding Proteins / analysis*
  • Staphylococcal Infections / drug therapy*
  • Staphylococcal Infections / microbiology*
  • Staphylococcus aureus / chemistry*
  • Staphylococcus aureus / drug effects*
  • Staphylococcus aureus / growth & development
  • Staphylococcus aureus / isolation & purification
  • Time-to-Treatment*

Substances

  • Anti-Bacterial Agents
  • Penicillin-Binding Proteins