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

被引:0
作者
Epchtien, Reut Efrati [1 ]
Temkin, Elizabeth [1 ]
Masarwa, Samira [1 ]
Cohen, Adi [1 ]
Kaplan, Ella [1 ]
Schwartz, David [1 ]
Keren-Paz, Alona [1 ]
Carmeli, Yehuda [1 ,2 ]
Schechner, Vered [1 ,2 ]
机构
[1] Minist Hlth, Natl Inst Antibiot Resistance & Infect Control, 6 Weizmann St, IL-6423906 Tel Aviv, Israel
[2] Tel Aviv Univ, Fac Med & Hlth Sci, Tel Aviv, Israel
关键词
Carbapenem-resistant Acinetobacter baumannii; Screening; E-swab; Pre-moistened sponges; SYSTEM;
D O I
10.1007/s10096-025-05055-2
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
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.
引用
收藏
页码:1003 / 1006
页数:4
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