Evaluation of the rapid ResaPolymyxin Acinetobacter/Pseudomonas NP test for rapid colistin resistance detection in lactose non-fermenting Gram-negative bacteria

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dc.contributor.author Jung, Hyunsul
dc.contributor.author Pitout, Johann D.D.
dc.contributor.author Mitton, Barend C.
dc.contributor.author Strydom, Kathy-Anne
dc.contributor.author Kingsburgh, Chanel
dc.contributor.author Coetzee, Jennifer
dc.contributor.author Ehlers, Marthie Magdaleen
dc.contributor.author Kock, Marleen M.
dc.date.accessioned 2022-06-30T08:39:16Z
dc.date.available 2022-06-30T08:39:16Z
dc.date.issued 2021-06
dc.description TABLE S1: The Rapid ResaPolymyxin Acinetobacter/Pseudomonas NP test results in comparison with the reference broth microdilution (BMD). en_US
dc.description.abstract INTRODUCTION : Colistin is one of the last-resort antibiotics for treating multidrug-resistant (MDR) or extensively drug-resistant (XDR) lactose non-fermenting Gram-negative bacteria such as Pseudomonas aeruginosa and Acinetobacter baumannii. GAP STATEMENT : As the rate of colistin resistance is steadily rising, there is a need for rapid and accurate antimicrobial susceptibility testing methods for colistin. The Rapid ResaPolymyxin Acinetobacter/Pseudomonas NP test has recently been developed for rapid detection of colistin resistance in P. aeruginosa and A. baumannii. AIM : The present study aimed to evaluate the performance of the Rapid ResaPolymyxin Acinetobacter/Pseudomonas NP test in comparison with the reference broth microdilution (BMD) method. METHODOLOGY : The Rapid ResaPolymyxin Acinetobacter/Pseudomonas NP test was performed using a total of 135 P. aeruginosa (17 colistin-resistant and 118 colistin-susceptible) and 66 A. baumannii isolates (32 colistin-resistant and 34 colistin-susceptible), in comparison with the reference BMD method. RESULTS : The categorical agreement of the Rapid ResaPolymyxin Acinetobacter/Pseudomonas NP test with the reference BMD method was 97.5 % with a major error rate of 0 % (0/152) and a very major error (VME) rate of 10.2 %. The VME rate was higher (23.5 %) when calculated separately for P. aeruginosa isolates. The overall sensitivity and specificity were 89.8 and 100 %, respectively. CONCLUSION : The Rapid ResaPolymyxin Acinetobacter/Pseudomonas NP test performed better for A. baumannii than for P. aeruginosa. en_US
dc.description.department Medical Microbiology en_US
dc.description.librarian hj2022 en_US
dc.description.sponsorship The National Health Laboratory Service Research trust. en_US
dc.description.uri https://www.microbiologyresearch.org/content/journal/jmm en_US
dc.identifier.citation Jung, H., Pitout, J.D.D., Mitton, B.C. et al., Evaluation of the rapid ResaPolymyxin Acinetobacter/Pseudomonas NP test for rapid colistin resistance detection in lactose non-fermenting Gram-negative bacteria. Journal of Medical Microbiology 2021;70:001373, DOI 10.1099/jmm.0.001373. en_US
dc.identifier.issn 0022-2615 (print)
dc.identifier.issn 1473-5644 (online)
dc.identifier.other 10.1099/jmm.0.001373
dc.identifier.uri https://repository.up.ac.za/handle/2263/86006
dc.language.iso en en_US
dc.publisher Microbiology Society en_US
dc.rights © 2021 The Authors. This is a open access article. en_US
dc.subject Colistin en_US
dc.subject Acinetobacter baumannii en_US
dc.subject Pseudomonas aeruginosa en_US
dc.subject Rapid resistance detection test en_US
dc.subject Multidrug-resistant (MDR) en_US
dc.subject Extensively drug-resistant (XDR) en_US
dc.title Evaluation of the rapid ResaPolymyxin Acinetobacter/Pseudomonas NP test for rapid colistin resistance detection in lactose non-fermenting Gram-negative bacteria en_US
dc.type Article en_US


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