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Published on: December 3, 2011
In vitro cost-effective methods to detect carbapenemases in Enterobacteriaceae
Varsha Gupta1, Ranu Soni1, Neha Jain1
1Department of Microbiology, Government Medical College Hospital, Chandigarh, India.
Abstract:
The rise in carbapenemases-producing organisms has challenged the scientific community. Infections caused by these bacteria have limited treatment options. There are various types such as Klebsiella pneumoniae carbapenemase (Ambler class A), metallo-beta-lactamases of VIM-type, IMP-type, NDM-type (Ambler class B), and OXA-48-types (Ambler class D). An efficient strategy for detection of carbapenemase producers is important to determine the appropriate therapeutic modalities. In this study, four methods - Carba NP test, modified Carba NP (MCNP) test, carbapenem inactivation method (CIM) test, and Rapidec Carba NP kit test were evaluated. We evaluated an in-house MCNP test to detect carbapenemase production using a single protocol which gave reliable results. Furthermore, CIM using routine antibiotic discs gives good results. Both these tests were found to be cost-effective.
Insights
Detecting carbapenemase-producing organisms is crucial for effective treatment. An in-house modified Carba NP (MCNP) test and the carbapenem inactivation method (CIM) test are reliable and cost-effective detection strategies.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Diagnostics
Background:
- Carbapenemase-producing organisms (CPOs) pose a significant threat due to limited treatment options.
- Key CPO types include Klebsiella pneumoniae carbapenemase (Ambler class A), VIM, IMP, NDM (Ambler class B), and OXA-48 (Ambler class D).
Purpose of the Study:
- To evaluate the efficiency of different methods for detecting carbapenemase production.
- To identify reliable and cost-effective diagnostic strategies for CPOs.
Main Methods:
- Evaluation of four detection methods: Carba NP test, modified Carba NP (MCNP) test, carbapenem inactivation method (CIM) test, and Rapidec Carba NP kit.
- Assessment of an in-house MCNP test using a single protocol.
- Evaluation of CIM using routine antibiotic discs.
Main Results:
- The in-house MCNP test demonstrated reliable carbapenemase detection.
- The CIM test using routine antibiotic discs also yielded good results.
- Both MCNP and CIM tests were found to be cost-effective.
Conclusions:
- The modified Carba NP (MCNP) test and carbapenem inactivation method (CIM) are effective and economical approaches for detecting carbapenemase producers.
- These validated methods can aid in selecting appropriate therapeutic interventions for CPO infections.
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