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Rapid and Specific Detection of Acinetobacter baumannii Infections Using a Recombinase Polymerase Amplification/Cas12a-based System
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Adjustment of Modified Carbapenem Inactivation Method Conditions for Rapid Detection of Carbapenemase-Producing
Thao Nguyen Vu1,2, Jung Hyun Byun1,3, Roshan D'Souza1,4
1Department of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea.
Background:
The existing modified carbapenem inactivation methods (mCIMs) recommended by the CLSI for detecting carbapenemase production have not been applicable for Acinetobacter baumannii. We evaluated the influence of matrices used in mCIMs and CIMTris on the stability of the disks for detecting carbapenemase producers and suggested optimal mCIM conditions for detecting carbapenemase-producing A. baumannii.
Methods:
Seventy-three A. baumannii isolates characterized for antimicrobial susceptibility and carbapenemase encoding genes were tested for carbapenemase production using mCIM and CIMTris. The influence of the matrices (Tryptic soy broth [TSB] and Tris-HCl) used in these methods on the stability of the meropenem (MEM) disk was also evaluated. The mCIM conditions were adjusted to enhance screening sensitivity and specificity for detecting carbapenemase-producing A. baumannii.
Results:
The matrices had an impact on the stability of the MEM disk after the incubation period (two or four hrs). TSB nutrient broth is an appropriate matrix for mCIM compared with Tris-HCl pH 7.6, which leads to the loss of MEM activity in CIMTris. The sensitivity and the specificity of the optimal mCIM were both 100%.
Conclusions:
We established optimal mCIM conditions for simple, accurate, and reproducible detection of carbapenemase-producing A. baumannii.
Insights
Optimized modified carbapenem inactivation methods (mCIMs) accurately detect carbapenemase-producing Acinetobacter baumannii. Tryptic soy broth ensures meropenem disk stability for reliable results.
Area of Science:
- Microbiology
- Antimicrobial Resistance
- Clinical Diagnostics
Background:
- Modified carbapenem inactivation methods (mCIMs) are crucial for detecting carbapenemase production.
- Existing mCIMs are not suitable for Acinetobacter baumannii detection.
- Carbapenemase-producing A. baumannii poses a significant public health threat.
Purpose of the Study:
- To evaluate the impact of different matrices on disk stability in mCIMs and CIMTris.
- To optimize mCIM conditions for detecting carbapenemase-producing A. baumannii.
- To establish a reliable diagnostic method for this challenging pathogen.
Main Methods:
- Seventy-three A. baumannii isolates were tested using mCIM and CIMTris.
- The stability of meropenem (MEM) disks in Tryptic soy broth (TSB) and Tris-HCl was assessed.
- mCIM conditions were modified to improve sensitivity and specificity.
Main Results:
- Matrices significantly affected MEM disk stability.
- TSB proved to be a suitable matrix for mCIM, preserving MEM activity.
- Tris-HCl led to loss of MEM activity in CIMTris.
- The optimized mCIM achieved 100% sensitivity and specificity.
Conclusions:
- Optimal mCIM conditions were established for A. baumannii.
- The developed method is simple, accurate, and reproducible.
- This advancement aids in the rapid identification of carbapenemase producers.
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