Detection of metallo-β-lactamase genes in clinical specimens by a commercial multiplex PCR system

被引:32
作者
Avlami, Athina [2 ]
Bekris, S. [2 ]
Ganteris, G. [3 ]
Kraniotaki, Eleni [4 ]
Malamou-Lada, Eleni [3 ]
Orfanidou, Maria [3 ]
Paniara, Olga [4 ]
Pantazatou, Angeliki [2 ]
Papagiannitsis, C. C. [1 ]
Platsouka, Evangelia [4 ]
Stefanou, Ioanna [2 ]
Tzelepi, Eva [1 ]
Vagiakou, Helen [3 ]
Miriagou, Vivi [1 ]
机构
[1] Hellenic Pasteur Inst, Bacteriol Lab, Athens 11521, Greece
[2] Laikon Gen Hosp, Dept Microbiol, Athens, Greece
[3] Gen Hosp Athens G Gennimatas, Dept Microbiol, Athens, Greece
[4] Evangelismos Gen Hosp, Dept Microbiol, Athens, Greece
关键词
Metallo-beta-lactamase; bla(VIM); bla(IMP); Multiplex PCR; KLEBSIELLA-PNEUMONIAE; GREEK HOSPITALS; CARBAPENEMASES; PATHOGENS; STRAINS; ISSUES; VIM-1;
D O I
10.1016/j.mimet.2010.08.014
中图分类号
Q5 [生物化学];
学科分类号
071010 ; 081704 ;
摘要
hyplex (R)-MBL ID Multiplex PCR-ELISA, a novel method for identifying metallo-beta-lactamase genes directly in clinical specimens, was evaluated using a consecutive collection of 326 samples from three hospitals in Greece characterized by high prevalence of VIM producers. The method exhibited high sensitivity (98.0%) and specificity (98.6%) and was proven reliable in detecting bla(VIM) genes in blood, urine, pus, and sputum samples that, as confirmed by conventional methods, contained various VIM-producing species. Future multicenter studies should be considered for the thorough evaluation of this method and its potential ;diagnostic utility. (C) 2010 Elsevier B.V. All rights reserved.
引用
收藏
页码:185 / 187
页数:3
相关论文
共 10 条
[1]   Metallo-β-lactamases as emerging resistance determinants in Gram-negative pathogens:: open issues [J].
Cornaglia, Giuseppe ;
Akova, Murat ;
Amicosante, Gianfranco ;
Canton, Rafael ;
Cauda, Roberto ;
Docquier, Jean-Denis ;
Edelstein, Mikhail ;
Frere, Jean-Marie ;
Fuzi, Miklos ;
Galleni, Moreno ;
Giamarellou, Helen ;
Gniadkowski, Marek ;
Koncan, Raffaella ;
Libisch, Balazs ;
Luzzaro, Francesco ;
Miriagou, Vivi ;
Navarro, Ferran ;
Nordmann, Patrice ;
Pagani, Laura ;
Peixe, Luisa ;
Poirel, Laurent ;
Souli, Maria ;
Tacconelli, Evelina ;
Vatopoulos, Alkiviadis ;
Rossolini, Gian Maria .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2007, 29 (04) :380-388
[2]   Spread of integron-associated VIM-type metallo-β-lactamase genes among imipenem-nonsusceptible Pseudomonas aeruginosa strains in Greek hospitals [J].
Giakkoupi, P ;
Petrikkos, G ;
Tzouvelekis, LS ;
Tsonas, S ;
Legakis, NJ ;
Vatopoulos, AC .
JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (02) :822-825
[3]   VIM-1 metallo-β-lactamase-producing Klebsiella pneumoniae strains in Greek hospitals [J].
Giakkoupi, P ;
Xanthaki, A ;
Kanelopoulou, M ;
Vlahaki, A ;
Miriagou, V ;
Kontou, S ;
Papafraggas, E ;
Malamou-Lada, H ;
Tzouvelekis, LS ;
Legakis, NJ ;
Vatopoulos, AC .
JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (08) :3893-3896
[4]   Escherichia coli with a self-transferable, multiresistant plasmid coding for metallo-β-lactamase VIM-1 [J].
Miriagou, V ;
Tzelepi, E ;
Gianneli, D ;
Tzouvelekis, LS .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2003, 47 (01) :395-397
[5]   Acquired carbapenemases in Gram-negative bacterial pathogens: detection and surveillance issues [J].
Miriagou, V. ;
Cornaglia, G. ;
Edelstein, M. ;
Galani, I. ;
Giske, C. G. ;
Gniadkowski, M. ;
Malamou-Lada, E. ;
Martinez-Martinez, L. ;
Navarro, F. ;
Nordmann, P. ;
Peixe, L. ;
Pournaras, S. ;
Rossolini, G. M. ;
Tsakris, A. ;
Vatopoulos, A. ;
Canton, R. .
CLINICAL MICROBIOLOGY AND INFECTION, 2010, 16 (02) :112-122
[6]   Ongoing epidemic of blaVIM-1-positive Klebsiella pneumoniae in Athens, Greece:: a prospective survey [J].
Psichogiou, M. ;
Tassios, P. T. ;
Avlamis, A. ;
Stefanou, I. ;
Kosmidis, C. ;
Platsouka, E. ;
Paniara, O. ;
Xanthaki, A. ;
Toutouza, M. ;
Daikos, G. L. ;
Tzouvelekis, L. S. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2008, 61 (01) :59-63
[7]   Carbapenemases:: the versatile β-lactamases [J].
Queenan, Anne Marie ;
Bush, Karen .
CLINICAL MICROBIOLOGY REVIEWS, 2007, 20 (03) :440-458
[8]   PCR detection of metallo-beta-lactamase gene (bla(IMP)) in gram-negative rods resistant to broad-spectrum beta-lactams [J].
Senda, K ;
Arakawa, Y ;
Ichiyama, S ;
Nakashima, K ;
Ito, H ;
Ohsuka, S ;
Shimokata, K ;
Kato, N ;
Ohta, M .
JOURNAL OF CLINICAL MICROBIOLOGY, 1996, 34 (12) :2909-2913
[9]  
VATOPOULOS A, 2008, EURO SURVEIL, V24
[10]   Metallo-β-lactamases:: the quiet before the storm? [J].
Walsh, TR ;
Toleman, MA ;
Poirel, L ;
Nordmann, P .
CLINICAL MICROBIOLOGY REVIEWS, 2005, 18 (02) :306-+