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Journal of Antimicrobial Chemotherapy
Article . 2023 . Peer-reviewed
License: CC BY
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Serveur académique lausannois
Article . 2023
License: CC BY
https://dx.doi.org/10.60692/76...
Other literature type . 2023
Data sources: Datacite
https://dx.doi.org/10.60692/x6...
Other literature type . 2023
Data sources: Datacite
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Rapid meropenem/vaborbactam NP test for detecting susceptibility/resistance in Enterobacterales

اختبار الميروبينيم/vaborbactam NP السريع للكشف عن الحساسية/المقاومة في الأمعاء العقدية
Authors: Patrice Nordmann; Auriane Kerbol; Maxime Bouvier; Mustafa Sadek; Laurent Poirel; Otávio Hallal Ferreira Raro;

Rapid meropenem/vaborbactam NP test for detecting susceptibility/resistance in Enterobacterales

Abstract

Abstract Background The treatment options for infections caused by carbapenem-resistant Enterobacterales (CRE) are extremely scarce nowadays and the development of new antibiotics does not follow the exponential increase in the dissemination of carbapenem resistance determinants worldwide. Meropenem/vaborbactam was recently approved for clinical use and it has been indicated for treating several infections. Although relatively rare, meropenem/vaborbactam resistance has already been reported in Enterobacterales and its early detection could be a valuable tool for faster clinical decision-making. Objectives To develop a rapid test, namely the Rapid MEV NP, for the identification of meropenem/vaborbactam resistance in Enterobacterales. Methods The Rapid MEV NP test is based on detection of glucose metabolization occurring upon bacterial growth in the presence of meropenem/vaborbactam at a concentration of 16/8 mg/L. Bacterial growth is detectable by a colour change of phenol red (from red to yellow) subsequent of the acidification of the medium upon bacterial growth. A total of 75 Enterobacterales isolates were randomly selected for evaluating the performance of the Rapid MEV NP test. Results The test showed 97.2% sensitivity and 93.8% specificity when compared with the reference method. The results are obtained after 3 h of incubation at 35°C ± 2°C, which is a gain of time of at least 15 h (one day in practice) compared with currently used antimicrobial susceptibility testing including broth microdilution methods. Conclusions The Rapid MEV NP test, easy to perform and to interpret, showed remarkable performance while providing fast results, and is therefore suitable for implementation in routine clinical microbiology laboratories.

Country
Switzerland
Keywords

Antibiotic resistance, Clinical Biochemistry, FOS: Basic medicine, Microbial Sensitivity Tests, Microbiology, beta-Lactamases, Global Challenge of Antibiotic Resistance in Bacteria, antimicrobial susceptibility test, Microbial Identification and Diagnosis, meropenem, Antibiotics, Biochemistry, Genetics and Molecular Biology, Health Sciences, Genetics, info:eu-repo/classification/udc/61, infections, Carbapenem, Biology, Original Research, Pharmacology, Bacterial growth, Bacteria, Rapid Diagnostic Testing, Life Sciences, Meropenem, Meropenem/pharmacology; Anti-Bacterial Agents/pharmacology; Carbapenems; Carbapenem-Resistant Enterobacteriaceae; Gammaproteobacteria; Drug Combinations; Microbial Sensitivity Tests; beta-Lactamases, Boronic Acids, color, Anti-Bacterial Agents, Drug Combinations, Carbapenem-Resistant Enterobacteriaceae, Carbapenems, Pharmacokinetics of Antibiotics in Critically Ill Patients, FOS: Biological sciences, Molecular Medicine, Medicine, vaborbactam, Gammaproteobacteria

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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Top 10%
Average
Top 10%
Green
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