Comparison of methods for detection of plasmid-mediated and chromosomally encoded colistin resistance in Enterobacteriaceae.
LEHOURS, Philippe
Laboratoire de bactériologie
Centre Hospitalier Universitaire de Bordeaux [CHU Bordeaux]
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Laboratoire de bactériologie
Centre Hospitalier Universitaire de Bordeaux [CHU Bordeaux]
LEHOURS, Philippe
Laboratoire de bactériologie
Centre Hospitalier Universitaire de Bordeaux [CHU Bordeaux]
Laboratoire de bactériologie
Centre Hospitalier Universitaire de Bordeaux [CHU Bordeaux]
POIREL, Laurent
Institut National de la Santé et de la Recherche Médicale [INSERM]
Université de Fribourg = University of Fribourg [UNIFR]
Infection, Anti-microbiens, Modélisation, Evolution [IAME (UMR_S_1137 / U1137)]
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Institut National de la Santé et de la Recherche Médicale [INSERM]
Université de Fribourg = University of Fribourg [UNIFR]
Infection, Anti-microbiens, Modélisation, Evolution [IAME (UMR_S_1137 / U1137)]
Langue
EN
Article de revue
Ce document a été publié dans
Clinical Microbiology and Infection. 2018-02-01, vol. 24, n° 2, p. 175-179
Résumé en anglais
Because of the emergence of plasmid-mediated (mcr-1 and mcr-2 genes) and chromosomally encoded colistin resistance, reliable methods for detecting colistin resistance/susceptibility in routine laboratories are required. ...Lire la suite >
Because of the emergence of plasmid-mediated (mcr-1 and mcr-2 genes) and chromosomally encoded colistin resistance, reliable methods for detecting colistin resistance/susceptibility in routine laboratories are required. We evaluated the respective performances of the BD Phoenix automated system, the newly developed Rapid Polymyxin NP test and the broth microdilution (BMD) reference method to detect colistin resistance in Enterobacteriaceae, and particularly those producing mcr-1 and mcr-2. Colistin susceptibility of 123 enterobacterial clinical isolates (40 colistin-susceptible and 83 colistin-resistant isolates) was tested with the BD Phoenix automated system, the Rapid Polymyxin NP test and the BMD method. Molecular mechanisms responsible for plasmid-mediated and chromosomally encoded colistin resistance mechanisms were investigated by PCR and sequencing. Considering BMD as a reference method, the BD Phoenix system failed to detect ten colistin-resistant isolates (one Escherichia coli, one Klebsiella pneumoniae, seven Enterobacter species and one Salmonella enterica). The Rapid Polymyxin NP test failed to detect the same single E. coli isolate. Those two latter methods detected the 16 E. coli, K. pneumoniae and S. enterica isolates producing the plasmid-encoded mcr-1 and mcr-2. The BD Phoenix system and the Rapid Polymyxin NP test are reliable techniques for detecting plasmid-mediated mcr-1 and mcr-2-related colistin resistance. However, a high rate of false susceptibility was observed with the BD Phoenix system, indicating that susceptibility results obtained with that system should be confirmed by BMD method. By contrast, the Rapid Polymyxin NP test showed a good agreement with the BMD method, and results were obtained rapidly (within 2 hours). The BMD method should be performed if minimum inhibitory concentration values are needed.< Réduire
Mots clés en anglais
Anti-Bacterial Agents
Chromosomes
Bacterial
Colistin
Drug Resistance
Bacterial
Enterobacteriaceae
Humans
Microbial Sensitivity Tests
Plasmids
Unités de recherche