Evaluation of 15 motility media and a direct microscopic method for detection of motility in enterococci

Kenneth Van Horn1, Clara Tóth, Reiko Kariyama

  • 1Microbiology, Westchester Medical Center, and New York Medical College, Valhalla, New York 10595, USA. vanhornk@wcmc.com

Insights

Rapid detection of motile vanC enterococci is crucial. Specific motility media and a direct microscopic method accurately identified these strains, highlighting the need for careful medium selection in clinical settings.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Clinical Diagnostics

Background:

  • Motile vanC enterococci are an emerging concern in healthcare settings.
  • Accurate and rapid detection methods for these pathogens are essential for infection control.
  • Enterococcal infections, particularly those with vanC resistance, require timely identification.

Purpose of the Study:

  • To evaluate the efficacy of various motility media and a direct microscopic method for detecting motile vanC enterococci.
  • To compare the performance of 15 different motility media from three manufacturers.
  • To assess the speed and accuracy of a 2-hour direct microscopic detection method.

Main Methods:

  • Tested 89 enterococcal strains, including 72 vanC strains, using 15 motility media and a direct microscopic method.
  • Confirmed vanC resistance genes using multiplex PCR.
  • Incubated cultures at 30°C and observed motility within 72 hours.

Main Results:

  • Motility was detected in 72 vanC enterococci using specific motility media (BD Biosciences motility nitrate, Remel motility B, supplemented motility B, motility S, motility test, and motility test with tetrazolium).
  • A 2-hour direct microscopic method also successfully detected motility in vanC enterococci.
  • All Enterococcus faecalis and Enterococcus faecium isolates tested were nonmotile across all methods.

Conclusions:

  • The selection of appropriate motility media is critical for accurate enterococcal motility detection.
  • Both specific motility media and a rapid direct microscopic method can effectively identify motile vanC enterococci.
  • Non-motility was consistent for Enterococcus faecalis and Enterococcus faecium.

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