J 2015

Application of Molecular Diagnostics in Primary Detection of ESBL Directly from Clinical Specimens

SITTOVÁ, Martina; Magdaléna RÖDEROVÁ; Miloš DENDIS; Kristýna HRICOVÁ; Vendula PUDOVÁ et al.

Základní údaje

Originální název

Application of Molecular Diagnostics in Primary Detection of ESBL Directly from Clinical Specimens

Autoři

SITTOVÁ, Martina; Magdaléna RÖDEROVÁ; Miloš DENDIS; Kristýna HRICOVÁ; Vendula PUDOVÁ; Radek HORVÁTH; Filip RŮŽIČKA ORCID; Šárka DOSOUDILOVÁ a Milan KOLÁŘ

Vydání

Microbial Drug Resistance, New Rochelle, Mary Ann Liebert, 2015, 1076-6294

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

10600 1.6 Biological sciences

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.529

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/15:00084517

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

SPECTRUM BETA-LACTAMASES; MULTIPLEX PCR; PSEUDOMONAS-AERUGINOSA; KLEBSIELLA-PNEUMONIAE; ESCHERICHIA-COLI; ENTEROBACTERIACEAE; RESISTANCE; GENES; INFECTIONS; SHV

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 27. 11. 2015 16:21, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

The infections caused by extended-spectrum beta-lactamase (ESBL)-producing organisms are associated with increased mortality. The real-time polymerase chain reaction (PCR) method, which enables detection of ESBLs directly from patients’ clinical material, was developed. This study focused on blaCTX-M and blaSHV determination in endotracheal aspirates. Each sample was identified with standard microbiological procedures and simultaneously analyzed for the presence of nucleic acids, which encode CTX-M and SHV ESBL enzymes using realtime PCR. A total of 341 samples were investigated. In the set, 27 ESBL-positive samples were identified by phenotypic methods, while 60 positive samples were identified by the PCR method. Of the 60 PCR-positive samples, 58 were positive for the blaCTX-M. In two samples, the ESBL blaSHV-ESBL gene was detected. One phenotypically positive sample was PCR negative. The real-time PCR assay does not require a cultivation step and therefore enables detection of ESBL in 6 hours. The rapid method is necessary for early and adequate antimicrobial treatment.