1. Performance Evaluation of the Newly Developed BD Phoenix NMIC-500 Panel Using Clinical Isolates of Gram-Negative Bacilli
- Author
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Eun Jeong Yoon, Jun Sung Hong, Seok Hoon Jeong, Byeol Yi Park, Hyukmin Lee, Demiana Mourad, and Dokyun Kim
- Subjects
0301 basic medicine ,Bacilli ,Veterinary medicine ,Imipenem ,Performance ,Avibactam ,030106 microbiology ,Clinical Biochemistry ,Ceftazidime ,Bacillus ,Microbial Sensitivity Tests ,Meropenem ,beta-Lactamases ,03 medical and health sciences ,chemistry.chemical_compound ,Bacterial Proteins ,Enterobacteriaceae ,BD Phoenix NMIC-500 panel ,Drug Resistance, Bacterial ,Gram-Negative Bacteria ,medicine ,Antimicrobial susceptibility testing ,Carbapenemase-producing organisms ,biology ,Biochemistry (medical) ,Broth microdilution ,General Medicine ,biology.organism_classification ,Antimicrobial ,Anti-Bacterial Agents ,Clinical Microbiology ,030104 developmental biology ,chemistry ,Original Article ,Ertapenem ,medicine.drug - Abstract
Background The emergence of carbapenem resistance among gram-negative bacilli (GNB), mediated by carbapenemase production, has necessitated the development of a simple and accurate device for detecting minimum inhibitory concentrations (MICs) and resistance mechanisms, especially carbapenemase production. We evaluated the performance of the BD Phoenix NMIC-500 panel (BD Diagnostic Systems, Sparks, MD, USA) for antimicrobial susceptibility testing (AST) and carbapenemase-producing organism (CPO) detection. Methods We used 450 non-duplicate clinical GNB isolates from six general hospitals in Korea (409 Enterobacteriaceae and 41 glucose non-fermenting bacilli [GNFB] isolates). AST for meropenem, imipenem, ertapenem, ceftazidime, and ceftazidime/avibactam, and CPO detection were performed using the Phoenix NMIC-500 panel. Broth microdilution was used as the reference method for AST. The rates of categorical agreement (CA), essential agreement (EA), minor error (mE), major error (ME), and very major error (VME) were calculated in each antimicrobial. In addition, PCR and sequencing were performed to evaluate the accuracy of CPO detection by the BD Phoenix NMIC-500 panel, and the rate of correct identification was calculated. Results The CA rates were >90% for all antimicrobials tested with the Enterobacteriaceae isolates, except for imipenem (87.2%). The GNFB CA rates ranged from 92.7% to 100% for all antimicrobials. The ME rates were 1.7% for Enterobacteriaceae and 0% for GNFB. The panel identified 97.2% (243/250) of the carbapenemase-producing isolates. Conclusions The BD Phoenix NMIC-500 panel shows promise for AST and CPO detection.
- Published
- 2019
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