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.

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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