Skip to main content
Erschienen in: Wiener klinische Wochenschrift 1-2/2017

01.01.2017 | original article

Cilastatin does not affect Carba NP test performance for detection of carbapenemase production in Enterobacteriaceae

verfasst von: Dr. Rainer Hartl, Sarah Widhalm, Dr. Heidrun Kerschner, Univ. Prof. Petra Apfalter, Dr. Rainer Gattringer

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 1-2/2017

Einloggen, um Zugang zu erhalten

Summary

The Carba NP test is a simple confirmation method for carbapenemase-producing Enterobacteriaceae (CPE) but reagents have to be freshly prepared as imipenem sodium salt is unstable. We evaluated the Carba NP test performance based on a commercially available 10-fold cheaper drug formulation containing cilastatin against 217 CPE and 78 non-CPE isolates with reduced meropenem susceptibility. Specificity and sensitivity were 100 % and 98.6 %, respectively and 3 false negative results of blaVIM-1-producing Proteus mirabilis were reproducible with the RAPIDEC® Carba NP test. Cilastatin does not disturb test performance provided that the imipenem drug quantity is doubled.
Literatur
1.
Zurück zum Zitat Nordmann P, Dortet L, Poirel L. Carbapenem resistance in enterobacteriaceae: Here is the storm! Trends Mol Med. 2012;18:263–72.CrossRefPubMed Nordmann P, Dortet L, Poirel L. Carbapenem resistance in enterobacteriaceae: Here is the storm! Trends Mol Med. 2012;18:263–72.CrossRefPubMed
2.
Zurück zum Zitat Grundmann H, Livermore DM, Giske CG, et al. Carbapenem-non-susceptible enterobacteriaceae in Europe: conclusions from a meeting of national experts. Euro Surveill. 2010;15(46):pii=19711. Grundmann H, Livermore DM, Giske CG, et al. Carbapenem-non-susceptible enterobacteriaceae in Europe: conclusions from a meeting of national experts. Euro Surveill. 2010;15(46):pii=19711.
3.
Zurück zum Zitat Tacconelli E, Cataldo MA, Dancer SJ, et al. Escmid guidelines for the management of the infection control measures to reduce transmission of multidrug-resistant gram-negative bacteria in hospitalized patients. Clin Microbiol Infect. 2014;20(Suppl):1–55.CrossRefPubMed Tacconelli E, Cataldo MA, Dancer SJ, et al. Escmid guidelines for the management of the infection control measures to reduce transmission of multidrug-resistant gram-negative bacteria in hospitalized patients. Clin Microbiol Infect. 2014;20(Suppl):1–55.CrossRefPubMed
4.
Zurück zum Zitat Nordmann P, Poirel L. The difficult-to-control spread of carbapenemase producers among enterobacteriaceae worldwide. Clin Microbiol Infect. 2014;20:821–30.CrossRefPubMed Nordmann P, Poirel L. The difficult-to-control spread of carbapenemase producers among enterobacteriaceae worldwide. Clin Microbiol Infect. 2014;20:821–30.CrossRefPubMed
6.
Zurück zum Zitat Tijet N, Boyd D, Patel SN, Mulvey MR, Melano RG. Evaluation of the carba np test for rapid detection of carbapenemase-producing enterobacteriaceae and pseudomonas aeruginosa. Antimicrob Agents Chemother. 2013;57:4578–80.CrossRefPubMedPubMedCentral Tijet N, Boyd D, Patel SN, Mulvey MR, Melano RG. Evaluation of the carba np test for rapid detection of carbapenemase-producing enterobacteriaceae and pseudomonas aeruginosa. Antimicrob Agents Chemother. 2013;57:4578–80.CrossRefPubMedPubMedCentral
7.
8.
Zurück zum Zitat Dortet L, Brechard L, Poirel L, Nordmann P. Impact of the isolation medium for detection of carbapenemase-producing enterobacteriaceae using an updated version of the carba np test. J Med Microbiol. 2014;63:772–6.CrossRefPubMed Dortet L, Brechard L, Poirel L, Nordmann P. Impact of the isolation medium for detection of carbapenemase-producing enterobacteriaceae using an updated version of the carba np test. J Med Microbiol. 2014;63:772–6.CrossRefPubMed
9.
Zurück zum Zitat Giske CG, Gezelius L, Samuelsen O, Warner M, Sundsfjord A, Woodford N. A sensitive and specific phenotypic assay for detection of metallo-beta-lactamases and kpc in klebsiella pneumoniae with the use of meropenem disks supplemented with aminophenylboronic acid, dipicolinic acid and cloxacillin. Clin Microbiol Infect. 2011;17:552–6.CrossRefPubMed Giske CG, Gezelius L, Samuelsen O, Warner M, Sundsfjord A, Woodford N. A sensitive and specific phenotypic assay for detection of metallo-beta-lactamases and kpc in klebsiella pneumoniae with the use of meropenem disks supplemented with aminophenylboronic acid, dipicolinic acid and cloxacillin. Clin Microbiol Infect. 2011;17:552–6.CrossRefPubMed
10.
Zurück zum Zitat Naas T, Cuzon G, Bogaerts P, Glupczynski Y, Nordmann P. Evaluation of a DNA microarray (check-mdr ct102) for rapid detection of tem, shv, and ctx-m extended-spectrum beta-lactamases and of kpc, oxa-48, vim, imp, and ndm-1 carbapenemases. J Clin Microbiol. 2011;49:1608–13.CrossRefPubMedPubMedCentral Naas T, Cuzon G, Bogaerts P, Glupczynski Y, Nordmann P. Evaluation of a DNA microarray (check-mdr ct102) for rapid detection of tem, shv, and ctx-m extended-spectrum beta-lactamases and of kpc, oxa-48, vim, imp, and ndm-1 carbapenemases. J Clin Microbiol. 2011;49:1608–13.CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Dallenne C, Da Costa A, Decre D, Favier C, Arlet G. Development of a set of multiplex pcr assays for the detection of genes encoding important beta-lactamases in enterobacteriaceae. J Antimicrob Chemother. 2010;65:490–5.CrossRefPubMed Dallenne C, Da Costa A, Decre D, Favier C, Arlet G. Development of a set of multiplex pcr assays for the detection of genes encoding important beta-lactamases in enterobacteriaceae. J Antimicrob Chemother. 2010;65:490–5.CrossRefPubMed
12.
Zurück zum Zitat Poirel L, Walsh TR, Cuvillier V, Nordmann P. Multiplex pcr for detection of acquired carbapenemase genes. Diagn Microbiol Infect Dis. 2011;70:119–23.CrossRefPubMed Poirel L, Walsh TR, Cuvillier V, Nordmann P. Multiplex pcr for detection of acquired carbapenemase genes. Diagn Microbiol Infect Dis. 2011;70:119–23.CrossRefPubMed
13.
Zurück zum Zitat Vasoo S, Cunningham SA, Kohner PC, et al. Comparison of a novel, rapid chromogenic biochemical assay, the carba np test, with the modified hodge test for detection of carbapenemase-producing gram-negative bacilli. J Clin Microbiol. 2013;51:3097–101.CrossRefPubMedPubMedCentral Vasoo S, Cunningham SA, Kohner PC, et al. Comparison of a novel, rapid chromogenic biochemical assay, the carba np test, with the modified hodge test for detection of carbapenemase-producing gram-negative bacilli. J Clin Microbiol. 2013;51:3097–101.CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Keynan S, Hooper NM, Felici A, Amicosante G, Turner AJ. The renal membrane dipeptidase (dehydropeptidase i) inhibitor, cilastatin, inhibits the bacterial metallo-beta-lactamase enzyme cpha. Antimicrob Agents Chemother. 1995;39:1629–31.CrossRefPubMedPubMedCentral Keynan S, Hooper NM, Felici A, Amicosante G, Turner AJ. The renal membrane dipeptidase (dehydropeptidase i) inhibitor, cilastatin, inhibits the bacterial metallo-beta-lactamase enzyme cpha. Antimicrob Agents Chemother. 1995;39:1629–31.CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Adler A, Assous MV, Paikin S, et al. Emergence of vim-producing aeromonas caviae in israeli hospitals. J Antimicrob Chemother. 2014;69(5):1211–4.CrossRefPubMed Adler A, Assous MV, Paikin S, et al. Emergence of vim-producing aeromonas caviae in israeli hospitals. J Antimicrob Chemother. 2014;69(5):1211–4.CrossRefPubMed
17.
Zurück zum Zitat Dortet L, Poirel L, Errera C, Nordmann P. Carbacineto np test for rapid detection of carbapenemase-producing acinetobacter spp. J Clin Microbiol. 2014;52:2359–64.CrossRefPubMedPubMedCentral Dortet L, Poirel L, Errera C, Nordmann P. Carbacineto np test for rapid detection of carbapenemase-producing acinetobacter spp. J Clin Microbiol. 2014;52:2359–64.CrossRefPubMedPubMedCentral
Metadaten
Titel
Cilastatin does not affect Carba NP test performance for detection of carbapenemase production in Enterobacteriaceae
verfasst von
Dr. Rainer Hartl
Sarah Widhalm
Dr. Heidrun Kerschner
Univ. Prof. Petra Apfalter
Dr. Rainer Gattringer
Publikationsdatum
01.01.2017
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 1-2/2017
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-016-1106-6

Weitere Artikel der Ausgabe 1-2/2017

Wiener klinische Wochenschrift 1-2/2017 Zur Ausgabe