Optimal detection of extended-spectrum β-lactamase producers, carbapenemase producers, polymyxin-resistant Enterobacterales, and vancomycin-resistant enterococci from stools.

Details

Serval ID
serval:BIB_71B75EBAB496
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Optimal detection of extended-spectrum β-lactamase producers, carbapenemase producers, polymyxin-resistant Enterobacterales, and vancomycin-resistant enterococci from stools.
Journal
Diagnostic microbiology and infectious disease
Author(s)
Sadek M., Poirel L., Nordmann P.
ISSN
1879-0070 (Electronic)
ISSN-L
0732-8893
Publication state
Published
Issued date
01/2020
Peer-reviewed
Oui
Volume
96
Number
1
Pages
114919
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
This study compared the impact of different approaches, namely, nonenrichment, nonselective enrichment, and selective (antibiotic-containing) enrichment steps, for detecting extended-spectrum β-lactamase producing Enterobacterales (ESBL-E), carbapenemase-producing Enterobacterales (CPE), polymyxin-resistant Enterobacterales (PMR-E), and vancomycin-resistant enterococci (VRE) from spiked stools. The use of a nonselective 18-h enrichment broth culture significantly improved the recovery rate of all types of resistant bacteria after their plating onto selective media. In addition, the detection of ESBL-E, CPE, PMR-E, and VRE was further improved when using an enrichment step using antibiotic-supplemented broths respectively supplemented with cefotaxime (0.1 μg/mL), ertapenem (0.1 μg/mL), colistin (0.5 μg/mL), and vancomycin (1 μg/mL). Therefore, we showed here that a screening strategy based on a selective broth enrichment step significantly contributes to an increased rate of detection of multidrug-resistant bacteria, which may be crucial in term of improvement of infection control.
Keywords
Anti-Bacterial Agents/pharmacology, Bacterial Proteins, Bacteriological Techniques, Culture Media/chemistry, Drug Resistance, Multiple, Bacterial, Enterobacteriaceae/drug effects, Enterobacteriaceae/enzymology, Enterobacteriaceae/isolation & purification, Feces/microbiology, Humans, Microbial Sensitivity Tests, Polymyxins/pharmacology, Vancomycin/pharmacology, Vancomycin-Resistant Enterococci/drug effects, Vancomycin-Resistant Enterococci/isolation & purification, beta-Lactamases, nontreponemal test, serological diagnostic assay, serum bank, syphilis diagnostic assay, syphilis serum repository, syphilis stage, treponemal test
Pubmed
Web of science
Open Access
Yes
Create date
07/11/2019 23:54
Last modification date
13/02/2024 8:23
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