Rapid colistin susceptibility determination by a novel fluorogenic method in Klebsiella pneumoniae strains

Meliha Negin1,2, Meltem Ayas3,4, Isin Akyar4

  • 1Department of Medical Biotechnology, Institute of Health Sciences, Acibadem Mehmet Ali Aydinlar University, Istanbul, Türkiye.

Frontiers in Microbiology
|January 26, 2026
PubMed
Abstract

Insights

A novel fluorometric method rapidly determines colistin resistance in Klebsiella pneumoniae within 2 hours. This aids timely treatment decisions for critical infections, unlike standard 24-48 hour tests.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Clinical Diagnostics

Background:

  • Klebsiella pneumoniae causes severe infections, particularly in intensive care units.
  • Colistin is a last-resort antibiotic for multidrug-resistant K. pneumoniae.
  • Rising colistin resistance necessitates rapid susceptibility testing.

Purpose of the Study:

  • To evaluate a novel fluorometric method for determining colistin minimal inhibitory concentration (MIC).
  • To compare the accuracy and speed of the fluorometric method against standard susceptibility testing.

Main Methods:

  • Determined MIC values for 42 K. pneumoniae strains (24 resistant, 18 susceptible).
  • Compared results from a standard broth microdilution method with a new fluorometric assay.
  • Assessed method accuracy based on MIC value agreement and differences.

Main Results:

  • The fluorometric method yielded identical MIC values for 22 strains.
  • A 1-dilution difference was observed in 14 strains, and a 2-dilution difference in six strains.
  • The novel method provides results within 2 hours, significantly faster than standard methods.

Conclusions:

  • The fluorometric method accurately detects colistin resistance in K. pneumoniae.
  • This rapid test is a valuable tool for guiding colistin treatment in critically ill patients.
  • Faster susceptibility results can improve patient outcomes and antibiotic stewardship.

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