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Evaluation of two new commercial immunochromatographic assays for the rapid detection of OXA-48 and KPC carbapenemases from cultured bacteria.
Glupczynski, Youri; Evrard, Stéphanie; Ote, Isabelle; Mertens, Pascal; Huang, Te-Din; Leclipteux, Thierry; Bogaerts, Pierre.
Afiliación
  • Glupczynski Y; National Reference Laboratory for Monitoring of Antimicrobial Resistance in Gram-Negative Bacteria, CHU Dinant-Godinne, UCL Namur, B-5530 Yvoir, Belgium gerald.glupczynski@uclouvain.be.
  • Evrard S; National Reference Laboratory for Monitoring of Antimicrobial Resistance in Gram-Negative Bacteria, CHU Dinant-Godinne, UCL Namur, B-5530 Yvoir, Belgium.
  • Ote I; Coris BioConcept, Crealys Park, B-5032 Gembloux, Belgium.
  • Mertens P; Coris BioConcept, Crealys Park, B-5032 Gembloux, Belgium.
  • Huang TD; National Reference Laboratory for Monitoring of Antimicrobial Resistance in Gram-Negative Bacteria, CHU Dinant-Godinne, UCL Namur, B-5530 Yvoir, Belgium.
  • Leclipteux T; Coris BioConcept, Crealys Park, B-5032 Gembloux, Belgium.
  • Bogaerts P; National Reference Laboratory for Monitoring of Antimicrobial Resistance in Gram-Negative Bacteria, CHU Dinant-Godinne, UCL Namur, B-5530 Yvoir, Belgium.
J Antimicrob Chemother ; 71(5): 1217-22, 2016 May.
Article en En | MEDLINE | ID: mdl-26825120
BACKGROUND: Rapid detection and confirmation of carbapenemases remains very challenging for diagnostic laboratories. OBJECTIVES: The objective of this study was to assess the performance of two new immunochromatographic (IC) commercial assays for the rapid detection of OXA-48-producing and KPC-producing Enterobacteriaceae in pure bacterial isolates. METHODS: A panel of 92 bacterial isolates predominantly including carbapenem-non-susceptible Enterobacteriaceae with previously defined carbapenem resistance mechanisms was tested. Then, 342 consecutive carbapenem-non-susceptible Enterobacteriaceae isolates referred to the reference laboratory were investigated prospectively in parallel with other phenotypic tests and with multiplex PCR and sequencing as the gold standard. RESULTS: In the collection panel, each of the two IC assays correctly detected all 30 OXA-48-like-producing isolates and 25 KPC-producing isolates, whatever the species, their association with other ß-lactamases and the level of resistance to carbapenems. All other carbapenemase producers and all non-carbapenemase-producing isolates yielded negative results with both tests. In the prospective evaluation, all OXA-48-like-producing Enterobacteriaceae isolates (n = 130) and KPC-producing Enterobacteriaceae isolates (n = 33) were correctly detected by the individual IC assays, while 179 non-OXA-48-like-producing and non-KPC-producing strains (137 non-carbapenemase producers and 42 isolates belonging to other carbapenemase family types) yielded negative results. Thus, each assay yielded 100% sensitivity and 100% specificity for the detection of OXA-48-like or KPC enzymes, respectively, at 15 min. CONCLUSIONS: The two IC assays allow rapid and reliable direct confirmation of OXA-48 and KPC carbapenemases from culture colonies and appear to be very useful additions to the existing tests, obviating the need for more costly characterization by molecular amplification methods.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proteínas Bacterianas / Beta-Lactamasas / Cromatografía de Afinidad / Técnicas Bacteriológicas / Enterobacteriaceae Tipo de estudio: Diagnostic_studies / Evaluation_studies / Observational_studies Límite: Humans Idioma: En Revista: J Antimicrob Chemother Año: 2016 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Proteínas Bacterianas / Beta-Lactamasas / Cromatografía de Afinidad / Técnicas Bacteriológicas / Enterobacteriaceae Tipo de estudio: Diagnostic_studies / Evaluation_studies / Observational_studies Límite: Humans Idioma: En Revista: J Antimicrob Chemother Año: 2016 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido