1. Development of selective medium for IMP-type carbapenemase-producing Enterobacteriaceae in stool specimens
- Author
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Ryuji Kawahara, Kazunori Tomono, Rathina Kumar Shanmugakani, Noriko Sakamoto, Shigeyuki Hamada, Hideharu Hagiya, Yumi Sasaki, Kazuhiro Maeda, Hisao Yoshida, Yukihiro Akeda, Naohiro Hara, Rumiko Asada, Satomi Yukawa, Norihisa Yamamoto, and Isao Nishi
- Subjects
0301 basic medicine ,Carbapenemase-Producing Enterobacteriaceae ,genetic structures ,030106 microbiology ,Biology ,Meropenem ,beta-Lactamases ,Microbiology ,Feces ,03 medical and health sciences ,Cloxacillin ,Bacterial Proteins ,Enterobacteriaceae ,Inosine Monophosphate ,polycyclic compounds ,medicine ,Humans ,Carbapenemase-producing Enterobacteriaceae ,Enterobacteriaceae Infections ,IMP ,biochemical phenomena, metabolism, and nutrition ,bacterial infections and mycoses ,biology.organism_classification ,Bacterial Typing Techniques ,Culture Media ,stomatognathic diseases ,Infectious Diseases ,Selective culture medium ,Faecal specimens ,Research Article ,medicine.drug - Abstract
Background Identification of carbapenemase-producing Enterobacteriaceae (CPE) in faecal specimens is challenging. This fact is particularly critical because low-level carbapenem-resistant organisms such as IMP-producing CPE are most prevalent in Japan. We developed a modified selective medium more suitable for IMP-type CPE. Methods Fifteen reference CPE strains producing different types of β-lactamases were used to evaluate the commercially available CHROMagar KPC and chromID CARBA as well as the newly prepared MC-ECC medium (CHROMagar ECC supplemented with meropenem, cloxacillin, and ZnSO4) and M-ECC medium (CHROMagar ECC supplemented with meropenem and ZnSO4). A total of 1035 clinical samples were then examined to detect CPE using chromID CARBA and M-ECC medium. Results All tested strains producing NDM-, KPC-, and OXA-48-carbapenemases were successfully cultured in the media employed. Although most of the IMP-positive strains did not grow in CHROMagar KPC, chromID CARBA, or MC-ECC, all tested strains grew on M-ECC. When faecal samples were applied to the media, M-ECC medium allowed the best growth of IMP-type CPE with a significantly higher sensitivity (99.3%) than that of chromID CARBA (13.9%). Conclusions M-ECC medium was determined as the most favourable selective medium for the detection of IMP-type CPE as well as other types of CPE. Electronic supplementary material The online version of this article (doi:10.1186/s12879-017-2312-1) contains supplementary material, which is available to authorized users.
- Published
- 2017
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