Simplified Testing Method for Direct Detection of Carbapenemase-Producing Organisms from Positive Blood Cultures Using the NG-Test Carba 5 Assay

Simplified Testing Method for Direct Detection of Carbapenemase-Producing Organisms from Positive Blood Cultures Using the NG-Test Carba 5 Assay
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DOI:
10.1128/aac.00550-19
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发表时间:
2019-07-01
影响因子:
4.9
通讯作者:
Spanua, Teresa
Spanua, Teresa
中科院分区:
医学2区
文献类型:
--
作者:
Giordano, Liliana;Fiori, Barbara;Spanua, Teresa

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我们使用NG-Test Carba 5检测法直接检测了484种临床微生物(n = 310)和模拟(n = 174)阳性血液培养物,用于检测产碳青霉烯酶的肠杆菌。除4种KPC(170/171)、oxa -48样(22/22)、VIM(19/21)和NDM(14/15)产生者外,其余均无假阳性。在临床检测的肺炎克雷伯菌中,123株KPC菌中检出122株,1株oxa -48样菌中检出1株,2株VIM菌中检出1株。一些VIM和NDM生产商用该方法获得了少量但仍然可读的条带。没有生物产生该试验设计用于检测的IMPS。
We directly tested 484 organisms from clinical (n = 310) and simulated (n = 174) positive blood cultures using the NG-Test Carba 5 assay for carbapenemase-producing Enterobacterales detection. The assay identified all but 4 of the KPC (170/171), OXA-48-like (22/22), VIM (19/21), and NDM (14/15) producers with no false positives. Among the clinical Klebsiella pneumoniae organisms tested, 122 of 123 KPC, 1 of 1 OXA-48-like, and 1 of 2 VIM producers were detected by the assay. Some VIM and NDM producers yielded scant but still-readable bands with the assay. No organisms produced the IMPS that the assay was designed to detect.