The acquisition of hypervirulence-associated genes by carbapenemase-producing is being increasingly observed, and easy-to-use diagnostic tests are needed for the surveillance of the hypervirulent (hvKp). In this pilot study, 87 isolates from invasive infections collected in 2022 and 2023 were analysed using the LAMP-based eazyplex Superbug CRE and hvKp assays for the simultaneous identification of carbapenemases and virulence genes (, , , , ). Nine isolates showed a Kleborate virulence score of 4 or 5 (10.3%). The time for the results of the eazyplex assays ranged from 6.5 to 13 min, and the total turnaround time, including sample preparation, was less than 30 min. Five isolates, three of which produced New Delhi metallo-beta lactamase (NDM), were subjected to whole-genome sequencing (WGS) analysis for further characterisation. The eazyplex test results for beta-lactamase and virulence genes were confirmed. The eazyplex hvKp, currently only available as a Research Use Only assay, may be a useful tool for the rapid identification of hvKp without significant additional workload when combined with the eazyplex Superbug CRE assay for the detection of carbapenemases.
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http://dx.doi.org/10.3390/antibiotics12060959 | DOI Listing |
J Microbiol Methods
June 2024
Division of Clinical Bacteriology and Mycology, University Hospital Basel, Basel, Switzerland; Institute of Medical Microbiology, University of Zurich, Zurich, Switzerland; Applied Microbiology Research, Department of Biomedicine, University of Basel, Basel, Switzerland.
Current methods for plasmid-mediated AmpC β-lactamase (pAmpC) detection in routine microbiological laboratories are based on various phenotypic tests. Eazyplex®SuperBug AmpC assay is a molecular assay based on isothermal amplification for rapid detection of the most common pAmpC types from bacterial culture: CMY-2 group, DHA, ACC and MOX. Our aim was to evaluate the diagnostic performance of this assay.
View Article and Find Full Text PDFAntibiotics (Basel)
May 2023
Institute of Medical Microbiology, Jena University Hospital, Friedrich Schiller University, 07747 Jena, Germany.
The acquisition of hypervirulence-associated genes by carbapenemase-producing is being increasingly observed, and easy-to-use diagnostic tests are needed for the surveillance of the hypervirulent (hvKp). In this pilot study, 87 isolates from invasive infections collected in 2022 and 2023 were analysed using the LAMP-based eazyplex Superbug CRE and hvKp assays for the simultaneous identification of carbapenemases and virulence genes (, , , , ). Nine isolates showed a Kleborate virulence score of 4 or 5 (10.
View Article and Find Full Text PDFJ Antimicrob Chemother
September 2022
Microbiology and Virology Unit, University Hospital Città della Salute e della Scienza di Torino, Turin, Italy.
Objectives: To evaluate a rapid diagnostic algorithm based on MALDI-TOF MS, lateral flow immunoassays (LFIAs) and molecular testing performed directly from positive blood cultures (BCs) for Gram-negative species identification and detection of CTX-M extended-spectrum β-lactamases and main carbapenemases.
Methods: Non-duplicate BCs positive to Gram-negative bacteria at microscope examination were subjected to species identification by direct MALDI-TOF MS following recovery of bacterial pellet by Rapid MBT Sepsityper® kit. Subsequently, NG-Test® CARBA 5 and NG-Test® CTX-M MULTI LFIAs were performed according to identified microbial species.
Antibiotics (Basel)
March 2022
Microbiology Department, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-094 Bydgoszcz, Poland.
Multidrug-resistant , particularly those producing carbapenemases, are spread worldwide. A reliable detection of carbapenemases is essential to choose the appropriate antimicrobial therapy and, consequently, prevent the dissemination of carbapenem-resistant strains. The aim of this study is to examine the molecular basis of the carbapenem resistance mechanism and estimation of conventional PCR and real-time PCR usefulness for the detection of oxacillinases when compared to phenotypic carbapenemases detection.
View Article and Find Full Text PDFAntibiotics (Basel)
January 2022
Department of Microbiology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, 9 M. Sklodowska-Curie Street, 85-094 Bydgoszcz, Poland.
Increasing antimicrobial resistance of Gram-negative rods is an important diagnostic, clinical and epidemiological problem of modern medicine. Therefore, it is important to detect multi-drug resistant strains as early on as possible. This study aimed to evaluate Eazyplex SuperBug CRE assay usefulness for beta-lactamase gene detection among Gram-negative rods, directly from urine samples and positive blood cultures.
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