Please use this identifier to cite or link to this item: https://hdl.handle.net/1/1523
Title: Evaluation of a Commercial Multiplex PCR for Rapid Detection of Multi Drug Resistant Gram Negative Infections
Authors: Chavada, Ruchir;Maley, M.
Issue Date: Aug-2015
Source: Volume 9, pp. 125 - 135
Journal title: The Open Microbiology Journal
Abstract: INTRODUCTION: Community and healthcare associated infections caused by multi-drug resistant gram negative organisms (MDR GN) represent a worldwide threat. Nucleic Acid Detection tests are becoming more common for their detection; however they can be expensive requiring specialised equipment and local expertise. This study was done to evaluate the utility of a commercial multiplex tandem (MT) PCR for detection of MDR GN. METHODS: The study was done on stored laboratory MDR GN isolates from sterile and non-sterile specimens (n=126, out of stored 567 organisms). Laboratory validation of the MT PCR was done to evaluate sensitivity, specificity and agreement with the current phenotypic methods used in the laboratory. Amplicon sequencing was also done on selected isolates for assessing performance characteristics. Workflow and cost implications of the MT PCR were evaluated. RESULTS: The sensitivity and specificity of the MT PCR were calculated to be 95% and 96.7% respectively. Agreement with the phenotypic methods was 80%. Major lack of agreement was seen in detection of AmpC beta lactamase in enterobacteriaceae and carbapenemase in non-fermenters. Agreement of the MT PCR with another multiplex PCR was found to be 87%. Amplicon sequencing confirmed the genotype detected by MT PCR in 94.2 % of cases tested. Time to result was faster for the MT PCR but cost per test was higher. CONCLUSION: This study shows that with carefully chosen targets for detection of resistance genes in MDR GN, rapid and efficient identification is possible. MT PCR was sensitive and specific and likely more accurate than phenotypic methods.
URI: https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1523
DOI: 10.2174/1874285801509010125
Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/26464612
ISSN: 1874-2858
Publicaton type: Journal Article
Keywords: Microbiology
Appears in Collections:Health Service Research

Show full item record

Page view(s)

4
checked on Jan 30, 2023

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.