Evaluation of the Hodge Test and the Imipenem-EDTA Double-Disk Synergy Test for Differentiating Metallo-β-Lactamase-Producing Isolates of Pseudomonas spp. and Acinetobacter spp
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| Published in | Journal of Clinical Microbiology Vol. 41; no. 10; pp. 4623 - 4629 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
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Washington, DC
American Society for Microbiology
01.10.2003
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| Online Access | Get full text |
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| AbstractList | ABSTRACT
Gram-negative bacilli with acquired metallo-β-lactamase (MBL) production have been increasingly reported in some countries, necessitating their detection. The aim of this study was to evaluate the performance of the Hodge test and those of the imipenem (IPM)-EDTA, ceftazidime (CAZ)-mercaptopropionic acid (MPA), and CAZ-sodium mercaptoacetic acid (SMA) double-disk synergy tests (DDSTs). The efficiencies of testing CAZ-resistant and IPM-nonsusceptible isolates were also compared. Strains used for the evaluation were known IMP-1 and VIM-2 MBL-producing isolates and consecutive and CAZ-nonsusceptible isolates of pseudomonads and acinetobacters. The performance of the Hodge test was improved by addition of zinc sulfate (140 μg/disk) to an IPM disk. In DDSTs, EDTA (ca. 1,900 μg) disks were better at detecting MBL-producing strains among pseudomonads, while MPA (3 μl) and SMA (3 mg) disks performed better for acinetobacters. EDTA (ca. 750 μg)-plus-SMA (ca. 2 mg) disks performed better than EDTA, MPA, or SMA disks with both organisms. CAZ-SMA DDSTs failed to detect 22 of 80 (28%) MBL-producing acinetobacters. In conclusion, use of an IPM disk and an EDTA (750 μg)-plus-SMA (2 mg) disk improves performance, and testing IPM-nonsusceptible isolates rather than CAZ-resistant isolates could reduce screening work. Further evaluation of the test is required for the detection of other types of MBL-producing gram-negative bacilli. Gram-negative bacilli with acquired metallo- beta -lactamase (MBL) production have been increasingly reported in some countries, necessitating their detection. The aim of this study was to evaluate the performance of the Hodge test and those of the imipenem (IPM)-EDTA, ceftazidime (CAZ)-mercaptopropionic acid (MPA), and CAZ-sodium mercaptoacetic acid (SMA) double-disk synergy tests (DDSTs). The efficiencies of testing CAZ-resistant and IPM-nonsusceptible isolates were also compared. Strains used for the evaluation were known IMP-1 and VIM-2 MBL-producing isolates and consecutive and CAZ-nonsusceptible isolates of pseudomonads and acinetobacters. The performance of the Hodge test was improved by addition of zinc sulfate (140 mu g/disk) to an IPM disk. In DDSTs, EDTA (ca. 1,900 mu g) disks were better at detecting MBL-producing strains among pseudomonads, while MPA (3 mu l) and SMA (3 mg) disks performed better for acinetobacters. EDTA (ca. 750 mu g)-plus-SMA (ca. 2 mg) disks performed better than EDTA, MPA, or SMA disks with both organisms. CAZ-SMA DDSTs failed to detect 22 of 80 (28%) MBL-producing acinetobacters. In conclusion, use of an IPM disk and an EDTA (750 mu g)-plus-SMA (2 mg) disk improves performance, and testing IPM-nonsusceptible isolates rather than CAZ-resistant isolates could reduce screening work. Further evaluation of the test is required for the detection of other types of MBL-producing gram-negative bacilli. Article Usage Stats Services JCM Citing Articles Google Scholar PubMed Related Content Social Bookmarking CiteULike Delicious Digg Facebook Google+ Mendeley Reddit StumbleUpon Twitter current issue JCM About JCM Subscribers Authors Reviewers Advertisers Inquiries from the Press Permissions & Commercial Reprints ASM Journals Public Access Policy JCM RSS Feeds 1752 N Street N.W. • Washington DC 20036 202.737.3600 • 202.942.9355 fax • journals@asmusa.org Print ISSN: 0095-1137 Online ISSN: 1098-660X Copyright © 2014 by the American Society for Microbiology. For an alternate route to JCM .asm.org, visit: JCM Gram-negative bacilli with acquired metallo-beta-lactamase (MBL) production have been increasingly reported in some countries, necessitating their detection. The aim of this study was to evaluate the performance of the Hodge test and those of the imipenem (IPM)-EDTA, ceftazidime (CAZ)-mercaptopropionic acid (MPA), and CAZ-sodium mercaptoacetic acid (SMA) double-disk synergy tests (DDSTs). The efficiencies of testing CAZ-resistant and IPM-nonsusceptible isolates were also compared. Strains used for the evaluation were known IMP-1 and VIM-2 MBL-producing isolates and consecutive and CAZ-nonsusceptible isolates of pseudomonads and acinetobacters. The performance of the Hodge test was improved by addition of zinc sulfate (140 microg/disk) to an IPM disk. In DDSTs, EDTA (ca. 1,900 microg) disks were better at detecting MBL-producing strains among pseudomonads, while MPA (3 microl) and SMA (3 mg) disks performed better for acinetobacters. EDTA (ca. 750 microg)-plus-SMA (ca. 2 mg) disks performed better than EDTA, MPA, or SMA disks with both organisms. CAZ-SMA DDSTs failed to detect 22 of 80 (28%) MBL-producing acinetobacters. In conclusion, use of an IPM disk and an EDTA (750 microg)-plus-SMA (2 mg) disk improves performance, and testing IPM-nonsusceptible isolates rather than CAZ-resistant isolates could reduce screening work. Further evaluation of the test is required for the detection of other types of MBL-producing gram-negative bacilli. Gram-negative bacilli with acquired metallo-β-lactamase (MBL) production have been increasingly reported in some countries, necessitating their detection. The aim of this study was to evaluate the performance of the Hodge test and those of the imipenem (IPM)-EDTA, ceftazidime (CAZ)-mercaptopropionic acid (MPA), and CAZ-sodium mercaptoacetic acid (SMA) double-disk synergy tests (DDSTs). The efficiencies of testing CAZ-resistant and IPM-nonsusceptible isolates were also compared. Strains used for the evaluation were known IMP-1 and VIM-2 MBL-producing isolates and consecutive and CAZ-nonsusceptible isolates of pseudomonads and acinetobacters. The performance of the Hodge test was improved by addition of zinc sulfate (140 μg/disk) to an IPM disk. In DDSTs, EDTA (ca. 1,900 μg) disks were better at detecting MBL-producing strains among pseudomonads, while MPA (3 μl) and SMA (3 mg) disks performed better for acinetobacters. EDTA (ca. 750 μg)-plus-SMA (ca. 2 mg) disks performed better than EDTA, MPA, or SMA disks with both organisms. CAZ-SMA DDSTs failed to detect 22 of 80 (28%) MBL-producing acinetobacters. In conclusion, use of an IPM disk and an EDTA (750 μg)-plus-SMA (2 mg) disk improves performance, and testing IPM-nonsusceptible isolates rather than CAZ-resistant isolates could reduce screening work. Further evaluation of the test is required for the detection of other types of MBL-producing gram-negative bacilli. |
| Author | J. H. Yum Y. Chong K. Lee Y. S. Lim D. Yong |
| AuthorAffiliation | Department of Laboratory Medicine, Research Institute of Bacterial Resistance, and BK21 Project for Medical Sciences, Yonsei University College of Medicine, Seodaemun-ku, Seoul 120-752, Korea |
| AuthorAffiliation_xml | – name: Department of Laboratory Medicine, Research Institute of Bacterial Resistance, and BK21 Project for Medical Sciences, Yonsei University College of Medicine, Seodaemun-ku, Seoul 120-752, Korea |
| Author_xml | – sequence: 1 givenname: K surname: LEE fullname: LEE, K organization: Department of Laboratory Medicine, Research Institute of Bacterial Resistance, and BK21 Project for Medical Sciences, Yonsei University College of Medicine, Seodaemun-ku, Seoul 120-752, Korea, Republic of – sequence: 2 givenname: Y. S surname: LIM fullname: LIM, Y. S organization: Department of Laboratory Medicine, Research Institute of Bacterial Resistance, and BK21 Project for Medical Sciences, Yonsei University College of Medicine, Seodaemun-ku, Seoul 120-752, Korea, Republic of – sequence: 3 givenname: D surname: YONG fullname: YONG, D organization: Department of Laboratory Medicine, Research Institute of Bacterial Resistance, and BK21 Project for Medical Sciences, Yonsei University College of Medicine, Seodaemun-ku, Seoul 120-752, Korea, Republic of – sequence: 4 givenname: J. H surname: YUM fullname: YUM, J. H organization: Department of Laboratory Medicine, Research Institute of Bacterial Resistance, and BK21 Project for Medical Sciences, Yonsei University College of Medicine, Seodaemun-ku, Seoul 120-752, Korea, Republic of – sequence: 5 givenname: Y surname: CHONG fullname: CHONG, Y organization: Department of Laboratory Medicine, Research Institute of Bacterial Resistance, and BK21 Project for Medical Sciences, Yonsei University College of Medicine, Seodaemun-ku, Seoul 120-752, Korea, Republic of |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15214701$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/14532193$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1128/AAC.44.4.891-897.2000 10.1128/AAC.38.5.991 10.1128/JCM.38.1.40-43.2000 10.1016/S1369-5274(00)00128-4 10.3201/eid0702.010235 10.1128/AAC.45.3.710-714.2001 10.1128/AAC.46.1.255-258.2002 10.1128/AAC.39.6.1211 10.1128/AAC.46.4.1053-1058.2002 10.1128/JCM.39.8.2864-2872.2001 10.1093/jac/dkf210 10.1046/j.1469-0691.2001.00204.x 10.1128/JCM.38.2.526-529.2000 10.1128/JCM.40.10.3798-3801.2002 10.1128/AAC.35.1.147 10.1128/AAC.45.4.1151-1161.2001 10.1128/JCM.40.11.4388-4390.2002 10.1128/AAC.44.8.2023-2027.2000 |
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| Keywords | Pseudomonadales Microbiology Enzyme Neisseriaceae β-Lactamase Pseudomonas Antibiotic Bacteria Hydrolases Micrococcales Pseudomonadaceae Acinetobacter Isolate Antibacterial agent Imipenem |
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| Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Undefined-1 ObjectType-Feature-3 Corresponding author. Mailing address: Department of Laboratory Medicine, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-ku, Seoul 120-752, Korea. Phone: 82-2-361-5866. Fax: 82-2-313-0908. E-mail: whonetkor@yumc.yonsei.ac.kr. |
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Mendeley... Gram-negative bacilli with acquired metallo-beta-lactamase (MBL) production have been increasingly reported in some countries, necessitating their detection.... ABSTRACT Gram-negative bacilli with acquired metallo-β-lactamase (MBL) production have been increasingly reported in some countries, necessitating their... Gram-negative bacilli with acquired metallo- beta -lactamase (MBL) production have been increasingly reported in some countries, necessitating their detection.... Gram-negative bacilli with acquired metallo-β-lactamase (MBL) production have been increasingly reported in some countries, necessitating their detection. The... |
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| SubjectTerms | Acinetobacter - drug effects Acinetobacter - enzymology Anti-Bacterial Agents - pharmacology Bacteriology beta-Lactamases - metabolism Biological and medical sciences Ceftazidime - pharmacology Drug Resistance, Bacterial Edetic Acid - pharmacology Fundamental and applied biological sciences. Psychology Humans Imipenem - pharmacology Infectious diseases Medical sciences Microbial Sensitivity Tests - methods Microbiology Miscellaneous Pseudomonas - drug effects Pseudomonas - enzymology |
| Title | Evaluation of the Hodge Test and the Imipenem-EDTA Double-Disk Synergy Test for Differentiating Metallo-β-Lactamase-Producing Isolates of Pseudomonas spp. and Acinetobacter spp |
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