Determining the utility of standard hospital microbiology testing: Comparing standard microbiology cultures with DNA sequence analysis in patients with chronic sinusitis. (Record no. 4522)

MARC details
000 -LEADER
fixed length control field 03149nam a22003857a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 190823s20192019 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2095-8811
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.wjorl.2018.11.001 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC6617130 [pmc]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S2095-8811(18)30103-3 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 31334486
245 ## - TITLE STATEMENT
Title Determining the utility of standard hospital microbiology testing: Comparing standard microbiology cultures with DNA sequence analysis in patients with chronic sinusitis.
251 ## - Source
Source World Journal Of Otorhinolaryngology - Head And Neck Surgery. 5(2):82-87, 2019 Jun.
252 ## - Abbreviated Source
Abbreviated source World J Otorhinolaryngol Head Neck Surg. 5(2):82-87, 2019 Jun.
253 ## - Journal Name
Journal name World journal of otorhinolaryngology - head and neck surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2019
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2019
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
266 ## - Date added to catalog
Date added to catalog 2019-08-23
520 ## - SUMMARY, ETC.
Abstract Conclusions: DNAsa detects all microorganisms identified by SHC as well as predominant microorganisms not detected by SHC. Thus molecular pathogen identification may be more reliable for identifying multiple microorganisms as compared to standard culture techniques that identify only one or two microorganisms. In recalcitrant cases of CRS, DNAsa may provide better guidance in selection of appropriate antimicrobial treatment.
520 ## - SUMMARY, ETC.
Abstract Methods: After obtaining Institutional Review Board approval for this prospective cohort study, we selected a random sample of 50 patients with CRS at Medstar Georgetown University Hospital between September 2016 and March 2017. We defined CRS as a history of rhinosinusitis refractory to maximal medical therapy and prior endoscopic sinus surgery. Patients demonstrating active purulence in a sinus cavity were prospectively selected to undergo standard hospital cultures (SHC) and DNAsa cultures. Organisms identified in both methods were compared for each patient.
520 ## - SUMMARY, ETC.
Abstract Objective: To demonstrate DNA sequencing analysis (DNAsa) of sinus cultures in patients with CRS is a reliable method of detecting pathogens in polymicrobial CRS infections.
520 ## - SUMMARY, ETC.
Abstract Results: Specimens were obtained from 29 female and 16 male patients with a mean age of 50 years. A total of 45 cultures were included in our final analysis; five cultures were excluded after inappropriate laboratory processing. Results from these patients were compared and analyzed. Cohen's weighted kappa analysis showed agreement between the two testing methods in identifying predominant microorganisms. DNAsa detected 31.9% more microorganisms compared to SHC (P < 0.05). When multiple microorganisms were detected, DNAsa yielded more positive results compared to SHC (P < 0.05).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Otolaryngology
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Rapoport, Sarah K
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Scriven, Kelly A
790 ## - Authors
All authors Bergman M, Brook I, Mikula SK, Rapoport SK, Scriven KA, Smith AJ
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.wjorl.2018.11.001">https://dx.doi.org/10.1016/j.wjorl.2018.11.001</a>
Public note https://dx.doi.org/10.1016/j.wjorl.2018.11.001
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 08/23/2019   31334486 31334486 08/23/2019 08/23/2019 Journal Article

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