首页|1株苏黎世放线菌的鉴定分析

1株苏黎世放线菌的鉴定分析

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目的 针对临床标本培养物在平板上呈现的非优势菌的鉴定与分析,微生物检验技术人员需慎重对待,避免造成送检标本非常见病原菌的漏检.方法 通过分纯、涂片染色镜检,再使用法国梅里埃VITEK2 Compact全自动微生物鉴定系统、VITEK MS(VITEK Mass Spectrometry,VITEK质谱仪)对可疑菌进行鉴定.结果 VITEK 2 ANC鉴定卡对放线菌的种类鉴定存在一定困难,可以通过VITEK MS质谱分析加以确认.通过对该病例送检标本原始培养平板上的可疑菌进行分纯培养与鉴定,可疑菌质谱鉴定结果为苏黎世放线菌,置信度为99.9%;患者得到最终确诊,临床主治医生对其规范治疗后康复.结论 微生物检验技术人员需关注平板中微小菌落的存在,可优先利用质谱分析技术初步完成鉴定;同时,临床医生和微生物检验技术人员需提高对放线菌病的认识.
Identification and analysis of an Actinomyces turicensis strain
Objective For the identification and analysis of non-dominant bacteria on the plate of clinical sample culture,microbiological inspection staff should be cautious to avoid causing missed detection of pathogenic bacteria in the submitted sam-ples.Methods Through purification,smear staining and microscopic examination,the suspect bacteria were identified by VITEK 2 Compact automatic microbial identification system and French Meriere VITEK mass spectrometer(VITEK MS).Results The VITEK 2 ANC identification card has some difficulties in the identification of actinomycetes,which can be confirmed by mass spectrometry analysis.By purifying and identifying the suspicious bacteria on the original culture plate of the sample submitted for examination in this case,the mass spectrometry identification result showed that the suspicious bacteria was Actinomyces turicensis,with a confidence of 99.9%.It contributes to a final diagnosis of the patient and the recovery under clin-ical attending physician's standardize treatment.Conclusion Microbial testing technicians need to pay attention to the pres-ence of small colonies in the plate and can prioritize the use of mass spectrometry analysis technology for preliminary identifica-tion.Clinical physicians and microbiological testing technicians need to improve their understanding of actinomycosis.

Actinomyces turicensisColpitisMass spectrometer

胡海燕、许照美、余力、葛君华、王颖蔚、裘丹红

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天台县疾病预防控制中心检验科,浙江 317200

天台县人民医院

台州市疾病预防控制中心

苏黎世放线菌 阴道炎 质谱仪

2023

中国卫生检验杂志
中华预防医学会

中国卫生检验杂志

影响因子:0.771
ISSN:1004-8685
年,卷(期):2023.33(23)
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