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Cited by 835

The DOI matches its Crossref record; 120 of the 120 references it cites were found in a registry or an index.

Update on clinical significance of coagulase-negative staphylococci

Open access
Kloos, W E, Bannerman, T L·1994·Clinical Microbiology Reviews

Abstract

The clinical significance of coagulase-negative Staphylococcus species (CNS) continues to increase as strategies in medical practice lead to more invasive procedures. Hospitalized patients that are immunocompromised and/or suffering from chronic diseases are the most vulnerable to infection. Since CNS are widespread on the human body and are capable of producing very large populations, distinguishing the etiologic agent(s) from contaminating flora is a serious challenge. For this reason, culture identification should proceed to the species and strain levels. A much stronger case can be made for the identification of a CNS etiologic agent if the same strain is repeatedly isolated from a series of specimens as opposed to the isolation of different strains of one or more species. Strain identity initially can be based on colony morphology, and then one or more molecular approaches can be used to gain information on the genotype. Many of the CNS species are commonly resistant to antibiotics that are being indicated for staphylococcal infections, with the exception of vancomycin. The widespread use of antibiotics in hospitals has provided a reservoir of antibiotic-resistant genes. The main focus on mechanisms of pathogenesis has been with foreign body infections and the role of specific adhesins and slime produced by Staphylococcus epidermidis. Slime can reduce the immune response and opsonophagocytosis, thereby interfering with host defense mechanisms. As we become more aware of the various strategies used by CNS, we will be in a better position to compromise their defense mechanisms and improve treatment.

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Metadata

Authors
Kloos, W. E., & Bannerman, T. L.
Venue
Clinical Microbiology Reviews
Published
1994-01
Volume
7
Issue
1
Pages
117-140
ISSN
  • 0893-8512 (ISSN-L)
  • 1098-6618
OpenAlex
W1838399447
Cited by
835
References
120
FWCI
23.13
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Update on clinical significance of coagulase-negative staphylococci. https://app.cochat.ai/papers/10.1128/cmr.7.1.117
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Kloos, W. E., & Bannerman, T. L. (1994). Update on clinical significance of coagulase-negative staphylococci. Clinical Microbiology Reviews. https://doi.org/10.1128/cmr.7.1.117

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.