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Journal of Clinical Microbiology, August 2006, p. 2824-2830, Vol. 44, No. 8
0095-1137/06/$08.00+0 doi:10.1128/JCM.00226-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Comparative Study Using Various Methods for Identification of Staphylococcus Species in Clinical Specimens
F. Layer,
B. Ghebremedhin,
K.-A. Moder,
W. König, and
B. König*
Otto von Guericke University, Institute of Medical Microbiology, Leipziger Str. 44, D-39120 Magdeburg, Germany
Received 1 February 2006/
Returned for modification 13 March 2006/
Accepted 1 June 2006
Coagulase-negative staphylococci (CNS) play a predominant role in nosocomial infections. Rapid, reliable identification of these organisms is essential for accurate diagnosis and prompt effective treatment of these infections. Quite recently, the VITEK 2 g-positive (gram-positive [GP]) identification card (bioMérieux) has been redesigned for greater accuracy in the identification of gram-positive cocci. We compared the BD Phoenix (Becton Dickinson) and VITEK 2 (bioMérieux) automated microbiology systems, using their respective update version cards, and the API ID32 STAPH test. The glyceraldehyde-3-phosphate dehydrogenase (gap) gene-based T-RFLP (terminal restriction fragment length polymorphism) method was used for verifying the results. In total, 86 clinical isolates of CNS and 27 reference strains were analyzed. The results show that for identification of CNS, the automated identification methods using the newest VITEK 2 and BD Phoenix identification cards are comparable. However, API ID32 STAPH revealed more correct results compared to both automated microbiology systems. Despite the increased performance of the phenotypic automated identification systems compared to the former versions, molecular methods, e.g., the gap-based T-RFLP method, still show superior accuracy in identifying Staphylococcus species other than Staphylococcus aureus.
* Corresponding author. Mailing address: Otto-von Guericke University, Institute of Medical Microbiology, Leipziger Str. 44, D-39120 Magdeburg, Germany. Phone: 493916713353. Fax: 493916713538. E-mail:
Brigitte.koenig{at}medizin.uni-magdeburg.de.
Journal of Clinical Microbiology, August 2006, p. 2824-2830, Vol. 44, No. 8
0095-1137/06/$08.00+0 doi:10.1128/JCM.00226-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
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