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2010 | 59 | 1 |

Tytuł artykułu

Evaluation of different methods for detection of metallo-beta-lactamases in Pseudomonas aeruginosa clinical isolates

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Metallo-beta-lactamases (MBLs) produced by Pseudomonas aeruginosa are a serious threat due to their ability to be transmitted between the same as well as different bacterial species. Different methods are applied in the clinical laboratory to detect MBLs. The aim of this study was to compare 4 phenotypic methods and a PCR assay for their ability to detect MBLs in clinical isolates of carbapenem-resistant P. aeruginosa strains. The study embraced a total of 70 carbapenem-resistant P. aeruginosa strains isolated in The Department of Microbiology of Dr A. Jurasz University Hospital in Bydgoszcz. The highest percentage (42.9%) of the strains were isolated from Intensive Care Unit patients, mainly from urine samples (31.4%). Methods used in this study were: double-disc synergy tests in two combinations: using ceftazidime with 2-mercaptopropionic acid and imipenem with EDTA, differences in inhibition zone diameters between discs with imipenem/ EDTA and imipenem, Etest MBL (AB Biodisk) and molecular amplification of blaIMP and blaVIM blaym genes responsible for producing MBLs, using PCR assay. The lowest percentage (1.4%) of positive results in detection of MBLs was obtained using PCR assay, the highest (72.9%) by double-disc synergy tests with imipenem and EDTA, but the specificity of this method may be low.

Wydawca

-

Rocznik

Tom

59

Numer

1

Opis fizyczny

p.45-48,fig.,ref.

Twórcy

autor
  • Nicolaus Copernicus University in Torun, Collegium Medicum in Bydgoszcz, 9 M.Sklodowska-Curie St., 85-094 Bydgoszcz, Poland
autor

Bibliografia

  • Arakawa Y., N. Shibata, K. Shibayama, H. Kurokawa, T. Yagi, H. Fujiwara and M. Goto. 2000. Convenient test for screening metallo-ß-lactamase producing Gram-negative bacteria by using thiol compounds. J. Clin. Microbiol. 38: 40-43.
  • Deptuła A. and E. Gospodarek. 2005. Resistance to carbapenems by metallo-beta-lactamases production - detection methods and cost analysis (in Polish). Laboratorium (Special Edition: Microbiology). 2: 19-21.
  • Fiett J, Baraniak A, Mrówka A, Fleischer M. Drulis-Kawa Z, Naumiuk Ł, Samet A, Hryniewicz W, Gniadkowski M. 2006. Molecular epidemiology of acquired-metallo-beta-lactamase-producing bacteria in Poland. Antimicrob. Agents Chemother. 50: 880-886.
  • Hemalatha V., U. Sekar and V. Kamat. 2005. Detection of metallo beta-lactamase producing Pseudomonas aeruginosa in hospitalized patients. Indian J. Med. Res. 122: 148-152.
  • Hryniewicz W., A. Sulikowska, K. Szczypa, J. Krzysztof-Russjan and M. Gniadkowski. 2006. Recommendations for susceptibility testing of selected bacterial species to antimicrobial agents. Narodowy Instytut Zdrowia Publicznego, Warszawa.
  • Kim S.V., S.G. Hong, E.S. Moland and K S. Thomson. 2007. Convenient test using a combination of chelating agents for detection of metallo-ß-lactamases in the clinical laboratory. J. Clin. Microbiol. 45:2798-2801.
  • Lee K„ Y.S. Lim, D. Yong, J.H. Yum and Y. Chong. 2003. Evaluation of the Hodge test and the imipenem-EDTA Double-Disk Synergy Test for differentiating metallo-ß-Lactamase-producing isolates of Pseudomonas spp. and Acinetobacter spp. J. Clin. Microbiol. 41: 4623-4629.
  • Lee K., D. Yong, J.H. Yum, Y.S. Lim, A. Bolmström, A. Qwärnström, A. Karlsson and Y. Chong. 2005. Evaluation of Etest MBL for detection of blaIMP-l and blaVIM-2 allelepositive clinical isolates of Pseudomonas spp. and Acinetobacter spp. J. Clin. Microbiol. 43: 942-944.
  • Performance Standards for Antimicrobial Susceptibility Testing; Seventeenth Informational Supplement. CLSI M100-S17, Vol. 27, No. 1, 2007.
  • Picão R.C., S.S. Andrade, A.G. Nicoletti, E.H. Campana, G.C. Moraes, R.E. Mendes and A.C. Gales. 2008. Metallo-beta-iactamase detection: comparative evaluation of double-disk synergy versus combined disk tests for IMP-, GIM-, SIM-, SPM-, or VIM-producing isolates. J. Clin. Microbiol. 46: 2028-2037.
  • Pitout J.D., D.B. Gregson, L. Poirel, J.A. McClure, P. Le and D.L. Church. 2005. Detection of Pseudomonas aeruginosa producing metallo-p-lactamases in a large centralized laboratory. J. Clin. Microbiol. 43: 3129-3135.
  • Qu T.T., J.L. Zhang, J. Wang, J. Tao, Y.S. Yu, Y.G. Chen, J.Y. Zhou and L.J. Li. 2009. Evaluation of phenotypic tests for the detection of metallo-beta-lactamase-producing Pseudomonas aeruginosa in China. J. Clin. Microbiol. 47: 1136-1142.
  • Quale J., S. Bratu, J. Gupta and D. Landman. 2006. Interplay of efflux system, ampC, and oprD expression in carbapenem resistance of Pseudomonas aeruginosa clinical isolates. Antimicrob. Agents Chemother. 5: 1633-1641.
  • Walsh T.R., A. Bolmström, A. Qwärnström and A. Gales. 2002. Evaluation of a new Etest MBL for detecting metallo-beta-lactamases in routine clinical testing. J. Clin. Microbiol. 40: 2755-2759.
  • Yan J.J., J.J. Wu, S.H. Tsai and C.L. Chuang. 2004. Comparison of the double-disk, combined disk, and Etest methods for detecting metallo-beta-lactamases in gram-negative bacilli. Diagn Microbiol. Infect. Dis. 49: 5-11.
  • Yong D., K. Lee, J.H. Yum, H.B. Shin, G.M. Rossolini and Y. Chong. 2002. Imipenem-EDTA disk method for differentiation of metallo-ß-lactamase-producing clinical isolates of Pseudomonas spp. and Acinetobacter spp. J. Clin. Microbiol. 40: 3798-3801.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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