Evaluation of the Nanosphere Verigene BC-GN Assay for Direct Identification of Gram-Negative Bacilli and Antibiotic Resistance Markers from Positive Blood Cultures and Potential Impact for More-Rapid Antibiotic Interventions

被引:57
作者
Hill, Joseph T. [1 ]
Tran, Kim-Dung T. [1 ]
Barton, Karen L. [2 ]
Labreche, Matthew J. [2 ]
Sharp, Susan E. [1 ]
机构
[1] Kaiser Permanente, Sunnyside Med Ctr, Dept Mol Microbiol, Portland, OR 97201 USA
[2] Kaiser Permanente, Sunnyside Med Ctr, Reg Antimicrobial Stewardship Program, Portland, OR USA
关键词
OPTIMIZING ANTIMICROBIAL THERAPY; CLOSTRIDIUM-DIFFICILE; BACTEREMIA; DIARRHEA;
D O I
10.1128/JCM.01537-14
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The Verigene BC-GN assay correctly identified all 51 Gram-negative bacilli (GNB) from positive blood cultures and all 14 carbapenemase enzymes tested. The assay gave organism identification (ID) results an average of 24 h faster compared to conventional identifications. Medical management could have been modified for 31.8% of patients an average 33 h sooner. In conclusion, the BC-GN assay is a very accurate, rapid assay which would allow for more-immediate medical management decisions in patients with bacteremia from GNB.
引用
收藏
页码:3805 / 3807
页数:3
相关论文
共 16 条
[1]  
[Anonymous], 2014, VER GRAM NEG BLOOD C
[2]   An Antimicrobial Stewardship Program's Impact with Rapid Polymerase Chain Reaction Methicillin- Resistant Staphylococcus aureus/S. aureus Blood Culture Test in Patients with S. aureus Bacteremia [J].
Bauer, Karri A. ;
West, Jessica E. ;
Balada-Llasat, Joan-Miquel ;
Pancholi, Preeti ;
Stevenson, Kurt B. ;
Goff, Debra A. .
CLINICAL INFECTIOUS DISEASES, 2010, 51 (09) :1074-1080
[3]   Bacteremias: A leading cause of death [J].
Bearman, GML ;
Wenzel, RP .
ARCHIVES OF MEDICAL RESEARCH, 2005, 36 (06) :646-659
[4]   Hospital-wide restriction of clindamycin:: Effect on the incidence of Clostridium difficile-associated diarrhea and cost [J].
Climo, MW ;
Israel, DS ;
Wong, ES ;
Williams, D ;
Coudron, P ;
Markowitz, SM .
ANNALS OF INTERNAL MEDICINE, 1998, 128 (12) :989-+
[5]   Clinical Impact of a Real-Time PCR Assay for Rapid Identification of Staphylococcal Bacteremia [J].
Frye, Abigail M. ;
Baker, Catherine A. ;
Rustvold, D. Leif ;
Heath, Kim A. ;
Hunt, Jessica ;
Leggett, James E. ;
Oethinger, Margret .
JOURNAL OF CLINICAL MICROBIOLOGY, 2012, 50 (01) :127-133
[6]   Impact of Rapid Organism Identification via Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Combined With Antimicrobial Stewardship Team Intervention in Adult Patients With Bacteremia and Candidemia [J].
Huang, Angela M. ;
Newton, Duane ;
Kunapuli, Anjly ;
Gandhi, Tejal N. ;
Washer, Laraine L. ;
Isip, Jacqueline ;
Collins, Curtis D. ;
Nagel, Jerod L. .
CLINICAL INFECTIOUS DISEASES, 2013, 57 (09) :1237-1245
[7]   The influence of inadequate antimicrobial treatment of bloodstream infections on patient outcomes in the ICU setting [J].
Ibrahim, EH ;
Sherman, G ;
Ward, S ;
Fraser, VJ ;
Kollef, MH .
CHEST, 2000, 118 (01) :146-155
[8]   Optimizing Antimicrobial Therapy in Sepsis and Septic Shock [J].
Kumar, Anand .
CRITICAL CARE CLINICS, 2009, 25 (04) :733-+
[9]   Potential Impact of a Microarray-Based Nucleic Acid Assay for Rapid Detection of Gram-Negative Bacteria and Resistance Markers in Positive Blood Cultures [J].
Mancini, Nicasio ;
Infurnari, Laura ;
Ghidoli, Nadia ;
Valzano, Grazia ;
Clementi, Nicola ;
Burioni, Roberto ;
Clementi, Massimo .
JOURNAL OF CLINICAL MICROBIOLOGY, 2014, 52 (04) :1242-1245
[10]   Stewardship Approach for Optimizing Antimicrobial Therapy through Use of a Rapid Microarray Assay on Blood Cultures Positive for Enterococcus Species [J].
Sango, Aaron ;
McCarter, Yvette S. ;
Johnson, Donald ;
Ferreira, Jason ;
Guzman, Nilmarie ;
Jankowski, Christopher A. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2013, 51 (12) :4008-4011