MDR直接流动芯片试剂盒检测多种抗生素耐药决定因素的评价。

IF 2.3 4区 医学 Q3 INFECTIOUS DISEASES
Ángel Rodríguez-Villodres, Antonio Galiana-Cabrera, Ignacio Torres Fink, Rosario Duran Jiménez, José Miguel Cisneros, José Antonio Lepe
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引用次数: 0

摘要

本研究的目的是评估MDR直接流动芯片试剂盒检测细菌菌落抗菌素耐药性(AMR)决定因素的准确性。使用92株已知AMR决定因子基因典型特征的临床分离株。MDR直接流动芯片试剂盒是一种基于微阵列的检测方法,包括55种AMR决定因素,包括β -内酰胺类(23种)、喹诺酮类(13种)、氨基糖苷类(5种)、大环内酯类(5种)、磺胺类(3种)、粘菌素(2种)、万古霉素(2种)、氯霉素(1种)和利奈唑胺(1种)。MDR直接流动芯片试剂盒正确检测了53种AMR决定因素中的52种。未检出利奈唑胺耐药cfr基因。计算的总体敏感性、特异性、阳性预测值、阴性预测值分别为98%、100%、100%、97%。计算得到的Cohen's Kappa系数为0.97[95%置信区间(0.90-1.03)]。总之,MDR直接流动芯片是一种在一个简单反应中检测多个AMR决定因素的准确方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the MDR Direct Flow Chip Kit for the Detection of Multiple Antimicrobial Resistance Determinants.

The objective of this study was to evaluate the accuracy of the MDR Direct Flow Chip Kit for the detection of antimicrobial resistance (AMR) determinants from bacterial colonies. Ninety-two clinical isolates with known AMR determinants genotypically characterized were used. The MDR Direct Flow Chip Kit is a microarray-based assay that included 55 AMR determinants for beta-lactams (23), quinolones (13), aminoglycosides (5), macrolides (5), sulfonamides (3), colistin (2), vancomycin (2), chloramphenicol (1), and linezolid (1). The MDR Direct Flow Chip Kit correctly detects 52 of 53 AMR determinants tested. The cfr gene (linezolid resistance) was not detected. The global sensibility, specificity, positive predictive value, and the negative predictive value calculated were 98%, 100%, 100%, and 97%. The Cohen's Kappa coefficient calculated was 0.97 [95% Confidence Interval (0.90-1.03)]. In conclusion, the MDR Direct Flow Chip is an accurate assay for the detection of multiple AMR determinants in one simple reaction.

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来源期刊
Microbial drug resistance
Microbial drug resistance 医学-传染病学
CiteScore
6.00
自引率
3.80%
发文量
118
审稿时长
6-12 weeks
期刊介绍: Microbial Drug Resistance (MDR) is an international, peer-reviewed journal that covers the global spread and threat of multi-drug resistant clones of major pathogens that are widely documented in hospitals and the scientific community. The Journal addresses the serious challenges of trying to decipher the molecular mechanisms of drug resistance. MDR provides a multidisciplinary forum for peer-reviewed original publications as well as topical reviews and special reports. MDR coverage includes: Molecular biology of resistance mechanisms Virulence genes and disease Molecular epidemiology Drug design Infection control.
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