Detection of colistin-resistant Gram-negative rods by using the SuperPolymyxin medium.

Details

Serval ID
serval:BIB_BFE2CA09660D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Detection of colistin-resistant Gram-negative rods by using the SuperPolymyxin medium.
Journal
Diagnostic microbiology and infectious disease
Author(s)
Jayol A., Poirel L., André C., Dubois V., Nordmann P.
ISSN
1879-0070 (Electronic)
ISSN-L
0732-8893
Publication state
Published
Issued date
10/2018
Peer-reviewed
Oui
Volume
92
Number
2
Pages
95-101
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The commercial SuperPolymyxin medium (ELITechGroup, Puteaux, France), currently licensed in Europe, is aimed to screen for either intrinsic or acquired colistin resistance in Gram negatives. It was tested for screening colistin-resistant Gram-negative rods from bacterial cultures of 145 colistin-resistant and 86 colistin-susceptible Gram-negative rods isolates. It exhibited a sensitivity and specificity of 95.2% (138/145) and 95.3% (82/86), respectively. The sensitivity for the detection of the 25 isolates carrying plasmid-mediated colistin resistance genes (mcr-1, mcr-2, mcr-3, and mcr-4) from bacterial cultures was of 100%. It was also evaluated for the detection of colistin-resistant Gram-negative rods from 57 rectal swab samples (41 clinical rectal swab samples and from 16 spiked rectal swab samples supplemented with colistin-resistant enterobacterial isolates carrying mcr genes). The overall sensitivity and specificity were of 100% (33/33) and 90.3% (56/62), respectively. The detection of isolates carrying plasmid-mediated mcr-like genes from rectal swabs was achieved with a lowest detection limit of 10 <sup>3</sup> to 10 <sup>4</sup>  CFU/mL. The SuperPolymyxin medium is adapted for screening and detection of colistin-resistant isolates from bacterial cultures and rectal swab samples, regardless of the level and the mechanism of colistin resistance. It might be useful in the context of prevention of outbreaks due to colistin-resistant isolates and for epidemiological surveillance.
Keywords
Anti-Bacterial Agents/pharmacology, Colistin/pharmacology, Culture Media, Drug Resistance, Bacterial, Enterobacteriaceae/drug effects, Enterobacteriaceae/isolation & purification, Gram-Negative Bacteria/drug effects, Gram-Negative Bacteria/isolation & purification, Humans, Microbial Sensitivity Tests, Plasmids, Polymyxins, Reagent Kits, Diagnostic, Colistin, MCR, Resistance, SuperPolymyxin medium, Susceptibility testing
Pubmed
Web of science
Create date
08/10/2018 17:34
Last modification date
20/08/2019 16:34
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