Title
Comparison of four phenotypic methods to detect extended-spectrum betalactamases
Other title
Comparación de cuatro métodos fenotípicos para la detección de beta-lactamasas de espectro extendido
Date Issued
01 January 2010
Access level
open access
Resource Type
journal article
Publisher(s)
Instituto Nacional de Salud
Abstract
Objective. To compare the efficacy of four phenotypic methods for the identification of strains producing extendedspectrum β-lactamases isolated from urine cultures. Materials and methods. Comparative cross-sectional study. 147 strains isolated from positive urine cultures for Escherichia coli, Klebsiella pneumoniae and Proteus mirabilis between January and February 2009 in the National Institute of Health of Children underwent a screening test, those which resulted positive were processed for confirmatory testing through the four phenotypic methods evaluated. Results. Out of the 147 strains, 43 (29.3%) were suspicious in the screening tests. Using the method described by the Clinical and Laboratory Standards Institute (CLSI) as a reference standard for this study, 27 strains (62.8%) were positive, with similar results using Jarlieŕs method. On the other hand, using Hodge's and tridimensional methods 23 (53.5%) of samples were positive. The evaluation of the confirmation methods in comparison to the one described by CLSI, showed a sensitivity and specificity of 100% for Jarlieŕs method, on the other hand, for Hodge's and tridimensional methods we found a sensitivity of 85.2% and 100%, respectively. Conclusions. All the evaluated methods showed a high efficacy, without significant differences, so they could all be used according to the available facilities of each clinical laboratory. Nevertheless, due to its advantages besides the technical aspect, like costs, easiness and feasibility of its application, we recommend the use of Jarlier's method.
Start page
345
End page
351
Volume
27
Issue
3
Language
Spanish
OCDE Knowledge area
Pediatría
Scopus EID
2-s2.0-78649409936
Source
Revista Peruana de Medicina Experimental y Salud Publica
ISSN of the container
17264634
Sources of information: Directorio de Producción Científica Scopus