author_facet Yong, Dongeun
Lee, Yangsoon
Jeong, Seok Hoon
Lee, Kyungwon
Chong, Yunsop
Yong, Dongeun
Lee, Yangsoon
Jeong, Seok Hoon
Lee, Kyungwon
Chong, Yunsop
author Yong, Dongeun
Lee, Yangsoon
Jeong, Seok Hoon
Lee, Kyungwon
Chong, Yunsop
spellingShingle Yong, Dongeun
Lee, Yangsoon
Jeong, Seok Hoon
Lee, Kyungwon
Chong, Yunsop
Journal of Clinical Microbiology
Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
Microbiology (medical)
author_sort yong, dongeun
spelling Yong, Dongeun Lee, Yangsoon Jeong, Seok Hoon Lee, Kyungwon Chong, Yunsop 0095-1137 1098-660X American Society for Microbiology Microbiology (medical) http://dx.doi.org/10.1128/jcm.00818-12 <jats:title>ABSTRACT</jats:title> <jats:p> Accurate detection of metallo-β-lactamase (MBL)-producing <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. became very important with the increasing prevalence of carbapenem-nonsusceptible clinical isolates. The performance of phenotypic MBL detection methods may depend on the types of MBL and the characteristics of the isolates. A high false-positive rate is a problem with EDTA-based MBL detection methods. We evaluated the performance of double-disk potentiation tests (DDPTs) and disk potentiation tests (DPTs) with dipicolinic acid (DPA) using 44 isolates of <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. producing IMP-1-like, VIM-2-like, and SIM-1 type MBLs. Also, we characterized <jats:named-content content-type="genus-species">P. aeruginosa</jats:named-content> isolates with positive imipenem (IPM)-DPA DDPT, but negative meropenem (MEM)-DPA DDPT, and determined possibility of improving a DDPT by using MacConkey agar. Among five different DDPT methods, the IPM-DPA 250-μg method showed the highest sensitivity (97.7%) and specificity (100%). Among four DPT tests, the highest sensitivity (100%) was shown by the IPM-EDTA 1,900-μg disk method, but the specificity was very low (11.4%). Five of six <jats:named-content content-type="genus-species">P. aeruginosa</jats:named-content> isolates with false-negative DDPTs with MEM-DPA 250-μg disks carried <jats:italic>bla</jats:italic> <jats:sub>IMP-6,</jats:sub> and the high level resistance to MEM (MIC ≥ 512 μg/ml) was reduced by the presence of phenylalanine arginine β-naphtylamide. Improvement of DDPTs was observed when MacConkey agar was used instead of Mueller-Hinton agar. In conclusion, DPA is a better MBL inhibitor than EDTA for detection of <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. with IMP-1-like, VIM-2-like, and SIM-1-type MBLs. In DPA DDPTs, IPM disks perform better than MEM disks when the isolates are highly resistant to MEM due to the overexpression of efflux pumps. </jats:p> Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp Journal of Clinical Microbiology
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title Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
title_unstemmed Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
title_full Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
title_fullStr Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
title_full_unstemmed Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
title_short Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
title_sort evaluation of double-disk potentiation and disk potentiation tests using dipicolinic acid for detection of metallo-β-lactamase-producing pseudomonas spp. and acinetobacter spp
topic Microbiology (medical)
url http://dx.doi.org/10.1128/jcm.00818-12
publishDate 2012
physical 3227-3232
description <jats:title>ABSTRACT</jats:title> <jats:p> Accurate detection of metallo-β-lactamase (MBL)-producing <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. became very important with the increasing prevalence of carbapenem-nonsusceptible clinical isolates. The performance of phenotypic MBL detection methods may depend on the types of MBL and the characteristics of the isolates. A high false-positive rate is a problem with EDTA-based MBL detection methods. We evaluated the performance of double-disk potentiation tests (DDPTs) and disk potentiation tests (DPTs) with dipicolinic acid (DPA) using 44 isolates of <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. producing IMP-1-like, VIM-2-like, and SIM-1 type MBLs. Also, we characterized <jats:named-content content-type="genus-species">P. aeruginosa</jats:named-content> isolates with positive imipenem (IPM)-DPA DDPT, but negative meropenem (MEM)-DPA DDPT, and determined possibility of improving a DDPT by using MacConkey agar. Among five different DDPT methods, the IPM-DPA 250-μg method showed the highest sensitivity (97.7%) and specificity (100%). Among four DPT tests, the highest sensitivity (100%) was shown by the IPM-EDTA 1,900-μg disk method, but the specificity was very low (11.4%). Five of six <jats:named-content content-type="genus-species">P. aeruginosa</jats:named-content> isolates with false-negative DDPTs with MEM-DPA 250-μg disks carried <jats:italic>bla</jats:italic> <jats:sub>IMP-6,</jats:sub> and the high level resistance to MEM (MIC ≥ 512 μg/ml) was reduced by the presence of phenylalanine arginine β-naphtylamide. Improvement of DDPTs was observed when MacConkey agar was used instead of Mueller-Hinton agar. In conclusion, DPA is a better MBL inhibitor than EDTA for detection of <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. with IMP-1-like, VIM-2-like, and SIM-1-type MBLs. In DPA DDPTs, IPM disks perform better than MEM disks when the isolates are highly resistant to MEM due to the overexpression of efflux pumps. </jats:p>
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author Yong, Dongeun, Lee, Yangsoon, Jeong, Seok Hoon, Lee, Kyungwon, Chong, Yunsop
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container_issue 10
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description <jats:title>ABSTRACT</jats:title> <jats:p> Accurate detection of metallo-β-lactamase (MBL)-producing <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. became very important with the increasing prevalence of carbapenem-nonsusceptible clinical isolates. The performance of phenotypic MBL detection methods may depend on the types of MBL and the characteristics of the isolates. A high false-positive rate is a problem with EDTA-based MBL detection methods. We evaluated the performance of double-disk potentiation tests (DDPTs) and disk potentiation tests (DPTs) with dipicolinic acid (DPA) using 44 isolates of <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. producing IMP-1-like, VIM-2-like, and SIM-1 type MBLs. Also, we characterized <jats:named-content content-type="genus-species">P. aeruginosa</jats:named-content> isolates with positive imipenem (IPM)-DPA DDPT, but negative meropenem (MEM)-DPA DDPT, and determined possibility of improving a DDPT by using MacConkey agar. Among five different DDPT methods, the IPM-DPA 250-μg method showed the highest sensitivity (97.7%) and specificity (100%). Among four DPT tests, the highest sensitivity (100%) was shown by the IPM-EDTA 1,900-μg disk method, but the specificity was very low (11.4%). Five of six <jats:named-content content-type="genus-species">P. aeruginosa</jats:named-content> isolates with false-negative DDPTs with MEM-DPA 250-μg disks carried <jats:italic>bla</jats:italic> <jats:sub>IMP-6,</jats:sub> and the high level resistance to MEM (MIC ≥ 512 μg/ml) was reduced by the presence of phenylalanine arginine β-naphtylamide. Improvement of DDPTs was observed when MacConkey agar was used instead of Mueller-Hinton agar. In conclusion, DPA is a better MBL inhibitor than EDTA for detection of <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. with IMP-1-like, VIM-2-like, and SIM-1-type MBLs. In DPA DDPTs, IPM disks perform better than MEM disks when the isolates are highly resistant to MEM due to the overexpression of efflux pumps. </jats:p>
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spelling Yong, Dongeun Lee, Yangsoon Jeong, Seok Hoon Lee, Kyungwon Chong, Yunsop 0095-1137 1098-660X American Society for Microbiology Microbiology (medical) http://dx.doi.org/10.1128/jcm.00818-12 <jats:title>ABSTRACT</jats:title> <jats:p> Accurate detection of metallo-β-lactamase (MBL)-producing <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. became very important with the increasing prevalence of carbapenem-nonsusceptible clinical isolates. The performance of phenotypic MBL detection methods may depend on the types of MBL and the characteristics of the isolates. A high false-positive rate is a problem with EDTA-based MBL detection methods. We evaluated the performance of double-disk potentiation tests (DDPTs) and disk potentiation tests (DPTs) with dipicolinic acid (DPA) using 44 isolates of <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. producing IMP-1-like, VIM-2-like, and SIM-1 type MBLs. Also, we characterized <jats:named-content content-type="genus-species">P. aeruginosa</jats:named-content> isolates with positive imipenem (IPM)-DPA DDPT, but negative meropenem (MEM)-DPA DDPT, and determined possibility of improving a DDPT by using MacConkey agar. Among five different DDPT methods, the IPM-DPA 250-μg method showed the highest sensitivity (97.7%) and specificity (100%). Among four DPT tests, the highest sensitivity (100%) was shown by the IPM-EDTA 1,900-μg disk method, but the specificity was very low (11.4%). Five of six <jats:named-content content-type="genus-species">P. aeruginosa</jats:named-content> isolates with false-negative DDPTs with MEM-DPA 250-μg disks carried <jats:italic>bla</jats:italic> <jats:sub>IMP-6,</jats:sub> and the high level resistance to MEM (MIC ≥ 512 μg/ml) was reduced by the presence of phenylalanine arginine β-naphtylamide. Improvement of DDPTs was observed when MacConkey agar was used instead of Mueller-Hinton agar. In conclusion, DPA is a better MBL inhibitor than EDTA for detection of <jats:named-content content-type="genus-species">Pseudomonas</jats:named-content> spp. and <jats:named-content content-type="genus-species">Acinetobacter</jats:named-content> spp. with IMP-1-like, VIM-2-like, and SIM-1-type MBLs. In DPA DDPTs, IPM disks perform better than MEM disks when the isolates are highly resistant to MEM due to the overexpression of efflux pumps. </jats:p> Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp Journal of Clinical Microbiology
spellingShingle Yong, Dongeun, Lee, Yangsoon, Jeong, Seok Hoon, Lee, Kyungwon, Chong, Yunsop, Journal of Clinical Microbiology, Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp, Microbiology (medical)
title Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
title_full Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
title_fullStr Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
title_full_unstemmed Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
title_short Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
title_sort evaluation of double-disk potentiation and disk potentiation tests using dipicolinic acid for detection of metallo-β-lactamase-producing pseudomonas spp. and acinetobacter spp
title_unstemmed Evaluation of Double-Disk Potentiation and Disk Potentiation Tests Using Dipicolinic Acid for Detection of Metallo-β-Lactamase-Producing Pseudomonas spp. and Acinetobacter spp
topic Microbiology (medical)
url http://dx.doi.org/10.1128/jcm.00818-12