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RESEARCH PRODUCT

Evaluation of the DNA microarray “AMR Direct Flow Chip Kit” for detection of antimicrobial resistance genes from Gram-positive and Gram-negative bacterial isolated colonies

David Navarro OrtegaConcepción Gimeno CardonaJavier Buesa GómezRafael Borrás SalvadorIgnacio Torres FinkNuria Tormo Palop

subject

DNA Bacterial0301 basic medicineMicrobiology (medical)030106 microbiologyGram-Positive BacteriaSensitivity and Specificitybeta-Lactam Resistancebeta-LactamasesMicrobiology03 medical and health sciences0302 clinical medicineAntibiotic resistanceBacterial ProteinsVancomycinDrug Resistance Multiple BacterialGram-Negative Bacteriapolycyclic compoundsmedicineHumans030212 general & internal medicineGeneGram-Positive Bacterial InfectionsOligonucleotide Array Sequence AnalysisGrambiologyDrug Resistance Microbialbiochemical phenomena metabolism and nutritionbacterial infections and mycosesbiology.organism_classificationIn vitroGenes BacterialGenetic markerVancomycinReagent Kits DiagnosticDNA microarrayGram-Negative Bacterial InfectionsBacteriamedicine.drug

description

Abstract Introduction The AMR Direct Flow Chip assay allows the simultaneous detection of a large variety of antibiotic resistance genetic markers. To assess this kit's performance, we use isolated colonies as starting material. The assay has been approved by the European Economic Area as a suitable device for in vitro diagnosis (CE IVD) using clinical specimens. Methods A total of 210 bacterial isolates harbouring either one or more antimicrobial resistance genes including plasmid-encoded extended-spectrum β-lactamases (SHV, CTX-M) and carbapenemases (GES, SME, KPC, NMC/IMI, SIM, GIM, SPM, NDM, VIM, IMP, and OXA), mecA, vanA and vanB, and 30 controls were included. Results The assay displayed a sensitivity and specificity of 100% for all target genes included in the array. Conclusion The AMR Direct Flow Chip Kit is an accurate assay for detecting genes which commonly confer resistance to β-lactams and vancomycin from isolated colonies in culture of Gram-positive and Gram-negative bacteria.

https://doi.org/10.1016/j.eimce.2018.12.009