Assessment of the Coagulase Test in the Identification of Staphylococcus Aureus Strains
Author(s): Zafindrasoa Domoina Rakotovao-Ravahatra, Fidiniaina Mamy Randriatsarafara, Rémy Narindra Milasoanjara, Miora Koloina Ranaivosoa, Andriamiadana Luc Rakotovao, Andry Rasamindrakotroka
Introduction: Staphylococcus aureus are among the most important and several pathogens in human infections. The objectives of this study are to evaluate the efficacy of the coagulase test in the detection of Staphylococcus aureus in the laboratory and to identify the factors associated with Staphylococcal infections.
Methods: It is a prospective study of 69 strains of Staphylococci in a period of six months from January 2019 to June 2019 in the University Hospital of Befelatanana.
Results: Among of the 69 strains of Staphylococci, 47 (68%) were represented by Staphylococcus aureus. Concerning the prediction performance of the catalase test, It has a sensitivity of 93.6%, a specificity of 100%, a positive predictive value (PPV) of 100% and a negative predictive value (NPV) of 88%. Concerning the associated factors, the men (71.1%) (p=0.46; NS), the patients aged 60 and over (76.5%) (p=0.63; NS), in resuscitation department (93.3%) (p=0.01) and with suppuration (100%) (p=10-3) were the most affected by Staphylococcus aureus.
Conclusion: Coagulase test can replace the standard gold test for the detection of Staphylococcus aureus. In case of doubt, the bacteriological characteristics and the factors associated with Staphylococcal infections may be helpful in the diagnosis of Staphylococcus aureus infection.