Coagulase test: Difference between revisions

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*Tests for the ability of the organism to convert fibrinogen into fibrin (that is, to form a clot)
 
*Tests for the ability of the organism to convert fibrinogen into fibrin (that is, to form a clot)
 
*'''Slide coagulase'''
 
*'''Slide coagulase'''
**Checks for agglutination after a drop of plasma is combined with a suspension of the bacteria on a slide
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**Checks for agglutination from bound coagulase and clumping factors after a drop of plasma is combined with a suspension of the bacteria on a slide
 
**Positive if clumping is apparent within 10 seconds or less, and no clumping is observed in saline or water
 
**Positive if clumping is apparent within 10 seconds or less, and no clumping is observed in saline or water
**A few species of [[coagulase-negative staphylococci]] may be positive, including [[Staphylococcus lugdenensis]] and [[Staphylococcus intermedius]]
 
 
**[[Staphylococcus aureus]] is negative in 15% of tests, especially MRSA, so negative results need to be confirmed with tube coagulase
 
**[[Staphylococcus aureus]] is negative in 15% of tests, especially MRSA, so negative results need to be confirmed with tube coagulase
 
**A few species of [[coagulase-negative staphylococci]] may be positive due to membrane-bound clumping factor
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***[[Staphylococcus lugdenensis]], [[Staphylococcus schleiferi]] subsp. ''schleiferi'', [[Staphylococcus sciuri]] subsp. ''carnaticus'', and [[Staphylococcus sciuri]] subsp. ''rodentium''
 
*'''Tube coagulase'''
 
*'''Tube coagulase'''
  +
**Checks for free coagulase
 
**Mix a heavy inoculum of bacteria into a tube filled with rabbit plasma
 
**Mix a heavy inoculum of bacteria into a tube filled with rabbit plasma
 
**Positive if clot is formed within 4 hours when incubated at 37ºC
 
**Positive if clot is formed within 4 hours when incubated at 37ºC
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**A short list of animal-associated staphylococci are also coagulase-positive: [[Staphylococcus intermedius]] (dogs), [[Staphylococcus schleiferi]] subsp. ''coagulans'', [[Staphylococcus hyicus]], [[Staphylococcus lutrae]], [[Staphylococcus delphini]] (dolphins), and [[Staphylococcus pseudintermedius]] (dogs)[[CiteRef::sasaki2010mu]]
**A few species of [[Coagulase-negative staphylococci]] may be positive
 
   
 
[[Category:Diagnostics]]
 
[[Category:Diagnostics]]

Latest revision as of 19:12, 23 August 2020

References

  1. ^  Takashi Sasaki, Sae Tsubakishita, Yoshikazu Tanaka, Arihito Sakusabe, Masayuki Ohtsuka, Shintaro Hirotaki, Tetsuji Kawakami, Tsuneo Fukata, Keiichi Hiramatsu. Multiplex-PCR Method for Species Identification of Coagulase-Positive Staphylococci. Journal of Clinical Microbiology. 2010;48(3):765-769. doi:10.1128/jcm.01232-09.