Evaluation of resazurin-based rapid test to detect colistin resistance in Acinetobacter baumannii isolates.

Details

Serval ID
serval:BIB_E9AF6BF79B2E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Evaluation of resazurin-based rapid test to detect colistin resistance in Acinetobacter baumannii isolates.
Journal
European journal of clinical microbiology & infectious diseases
Author(s)
Germ J., Poirel L., Kisek T.C., Spik V.C., Seme K., Premru M.M., Zupanc T.L., Nordmann P., Pirs M.
ISSN
1435-4373 (Electronic)
ISSN-L
0934-9723
Publication state
Published
Issued date
11/2019
Peer-reviewed
Oui
Volume
38
Number
11
Pages
2159-2162
Language
english
Notes
Publication types: Evaluation Study ; Journal Article
Publication Status: ppublish
Abstract
Acinetobacter baumannii primarily causes colonization, yet it can be an opportunistic pathogen associated with hospital-acquired infections. Many countries report rapid spread of carbapenem-resistant Acinetobacter baumannii (CRAb) which limits treatment options, with colistin frequently being the last line treatment option. The aim of our study was to evaluate a recently developed rapid method, namely the Rapid ResaPolymyxin test, for detection of colistin resistance (ColR) in Acinetobacter baumannii. This test was used for rapid screening of colistin resistance in a clinical setting where there is endemicity of CRAb isolates. A total of 82 A. baumannii clinical isolates were included in the evaluation. The majority of them were resistant to carbapenems (75/82, 91.5%). A total of 37 isolates (45.1%) were resistant to colistin, all being resistant to carbapenems. None of the ColR isolates carried the plasmid-mediated mcr-1 to -5 genes. The Rapid ResaPolymyxin NP test reached a 95.1% categorical agreement with results of reference broth microdilution method, with 93.3% sensitivity and specificity, and positive and negative predictive values being respectively at 92.3% and 97.7%. The Rapid ResaPolymyxin NP test performed well on our collection of clinical and surveillance CRAb isolates from the Central Slovenia region. The test is inexpensive and easy to integrate into laboratory workflow. The main value of the test is rapid categorization of susceptibility and resistance which has important implications with respect to the treatment strategy as well as the infection control measures.
Keywords
Acinetobacter Infections/microbiology, Acinetobacter baumannii/drug effects, Acinetobacter baumannii/genetics, Acinetobacter baumannii/isolation & purification, Anti-Bacterial Agents/pharmacology, Carbapenems/pharmacology, Colistin/pharmacology, Diagnostic Tests, Routine, Drug Resistance, Bacterial/genetics, Genes, Bacterial/genetics, Humans, Indicators and Reagents, Microbial Sensitivity Tests/methods, Microbial Sensitivity Tests/standards, Oxazines, Reagent Kits, Diagnostic, Sensitivity and Specificity, Xanthenes, Acinetobacter baumannii, Colistin resistance, Rapid diagnostic test, Susceptibility testing
Pubmed
Web of science
Create date
18/08/2019 15:04
Last modification date
18/02/2020 6:20
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