論文

査読有り 国際誌
2020年9月

Comparative Evaluation of Five Assays for Detection of Carbapenemases with a Proposed Scheme for Their Precise Application.

The Journal of molecular diagnostics : JMD
  • Hazim O Khalifa
  • ,
  • Takashi Okanda
  • ,
  • Amer A Abd El-Hafeez
  • ,
  • Amera Abd El Latif
  • ,
  • Ahmed G K Habib
  • ,
  • Hisakazu Yano
  • ,
  • Yasuyuki Kato
  • ,
  • Tetsuya Matsumoto

22
9
開始ページ
1129
終了ページ
1138
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jmoldx.2020.05.012

The escalating problem of the dissemination of carbapenemase-producing bacteria (CPB) has gained worldwide attention. The prompt diagnosis of CPB and precise identification of carbapenemases are imperative to enable specific antibiotic therapy and control the spread of these bacteria. The present study was designed to assess the performance of five important assays for the detection of carbapenemases. The modified carbapenem inactivation method (mCIM), CARBA-5, GeneXpert Carba-R, BD MAX Check-Points CPO, and GeneFields CPE assays were evaluated with an international collection of 159 bacterial isolates, including 93 CPB and 66 non-CPB isolates. The overall accuracy/sensitivity/specificity for carbapenemase detection were 100% (95% CI, 97.7%-100%)/100% (95% CI, 96.1%-100%)/100% (95% CI, 94.6%-100%) for mCIM, 98.7% (95% CI, 95.5%-99.9%)/97.9% (95% CI, 92.5%-99.7%)/100% (95% CI, 94.6%-100%) for CARBA-5, 96.9% (95% CI, 92.8%-99%)/95.7% (95% CI, 89.4%-98.8%)/98.5% (95% CI, 91.8%-99.9%) for GeneXpert Carba-R, 94.3% (95% CI, 89.5%-97.4%)/90.3% (95% CI, 82.4%-95.5%)/100% (95% CI, 94.6%-100%) for BD MAX Check-Points CPO, and 86.2% (95% CI, 79.8%-91.1%)/77.4% (95% CI, 67.6%-85.5%)/98.5% (95% CI, 91.8%-100%) for GeneFields CPE. Interestingly, mCIM and CARBA-5 assays showed 100% accuracy/sensitivity/specificity for detection of the target genes. Furthermore, all the other assays showed comparable high accuracy (96.9% to 100%), sensitivity (100%), and specificity (96.4% to 100%) for the detection of the target genes. On the basis of these results, a new scheme was proposed for their efficient application. These results confirmed the high sensitivity of the evaluated assays, and the proposed scheme is reliable and improves the overall sensitivity and specificity of the assays.

リンク情報
DOI
https://doi.org/10.1016/j.jmoldx.2020.05.012
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32553883
ID情報
  • DOI : 10.1016/j.jmoldx.2020.05.012
  • PubMed ID : 32553883

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