Evaluation of a rapid immunochromatographic test for detection of KPC in clinical isolates of Enterobacteriaceae and Pseudomonas species

被引:16
作者
Wozniak, Aniela [1 ,2 ]
Paillavil, Braulio [1 ]
Legarraga, Paulette [1 ,2 ]
Zumaran, Cecilia [2 ]
Prado, Sandra [2 ]
Garcia, Patricia [1 ,2 ]
机构
[1] Pontificia Univ Catolica Chile, Dept Clin Labs, Escuela Med, Santiago 7820436, Chile
[2] Red Salud UC CHRISTUS, Lab Microbiol, Santiago, Chile
关键词
KPC; Carbapenemase detection; Immunochromatographic test; Pseudomonas species;
D O I
10.1016/j.diagmicrobio.2019.05.009
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The KPC K-SeT immunochromatographic test (Coris BioConcept (R), Gembloux, Belgium) has been widely used for detection of KPC in Enterobacteriaceae with reported sensitivities and specificities of 100%. However, to our knowledge, there are no reports of its use in KPC-positive Pseudomonas species. We evaluated the KPC K-SeT test in 36 clinical isolates of Enterobacteriaceae (21 KPC-positive and 15 KPC-negative) and 20 Pseudomonas species (5 KPC-positive and 15 KPC-negative) using conventional PCR for carbapenemase genes as the reference method. The KPC K-SeT test detected 25 out of 26 KPC-positive isolates (96.1%). The undetected isolate was 1 P. aeruginosa bearing the mutation D179Y in the omega loop region of KPC-2 carbapenemase. This mutation was already reported in Enterobacteriaceae as conferring resistance to ceftazidime-avibactam. To our knowledge, this is the first report of evaluation of KPC K-SeT test in KPC-positive P. aeruginosa isolates. (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码:131 / 133
页数:3
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