Evidence map›Paper›PMID 27328762›Full record

ArticleAnnals of clinical microbiology and antimicrobials2016

Performance evaluation of three automated identification systems in detecting carbapenem-resistant Enterobacteriaceae.

Qingwen He, Weiyuan Chen, Liya Huang, Qili Lin, Jingling Zhang, Rui Liu, Bin Li

Abstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Detection of Multidrug-ResistantAntibiotics (Basel, Switzerland) · 2021
    Review
  4. Acquisition of a Stable and TransferableFrontiers in cellular and infection microbiology · 2021
    Article
  5. Article
  6. Article
  7. Article
  8. Contrasting treatment responses byOpen veterinary journal
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Qingwen HeDepartment of Clinical Laboratory, Fujian Medical University Union Hospital, 29 Xinquan Rd., Fuzhou, 350001, Fujian, People's Republic of China.
Weiyuan ChenMedical Technology and Engineering College, Fujian Medical University, Fuzhou, 350004, Fujian, People's Republic of China.
Liya HuangMedical Technology and Engineering College, Fujian Medical University, Fuzhou, 350004, Fujian, People's Republic of China.
Qili LinMedical Technology and Engineering College, Fujian Medical University, Fuzhou, 350004, Fujian, People's Republic of China.
Jingling ZhangMedical Technology and Engineering College, Fujian Medical University, Fuzhou, 350004, Fujian, People's Republic of China.
Rui LiuMedical Technology and Engineering College, Fujian Medical University, Fuzhou, 350004, Fujian, People's Republic of China.
Bin LiDepartment of Clinical Laboratory, Fujian Medical University Union Hospital, 29 Xinquan Rd., Fuzhou, 350001, Fujian, People's Republic of China. leonlee307@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarbapenem-resistant Enterobacteriaceae (CRE) is prevalent around the world. Rapid and accurate detection of CRE is urgently needed to provide effective treatment. Automated identification systems have been widely used in clinical microbiology laboratories for rapid and high-efficient identification of pathogenic bacteria. However, critical evaluation and comparison are needed to determine the specificity and accuracy of different systems. The aim of this study was to evaluate the performance of three commonly used automated identification systems on the detection of CRE.

methodsA total of 81 non-repetitive clinical CRE isolates were collected from August 2011 to August 2012 in a Chinese university hospital, and all the isolates were confirmed to be resistant to carbapenems by the agar dilution method. The potential presence of carbapenemase genotypes of the 81 isolates was detected by PCR and sequencing. Using 81 clinical CRE isolates, we evaluated and compared the performance of three automated identification systems, MicroScan WalkAway 96 Plus, Phoenix 100, and Vitek 2 Compact, which are commonly used in China. To identify CRE, the comparator methodology was agar dilution method, while the PCR and sequencing was the comparator one to identify CPE.

resultsPCR and sequencing analysis showed that 48 of the 81 CRE isolates carried carbapenemase genes, including 23 (28.4 %) IMP-4, 14 (17.3 %) IMP-8, 5 (6.2 %) NDM-1, and 8 (9.9 %) KPC-2. Notably, one Klebsiella pneumoniae isolate produced both IMP-4 and NDM-1. One Klebsiella oxytoca isolate produced both KPC-2 and IMP-8. Of the 81 clinical CRE isolates, 56 (69.1 %), 33 (40.7 %) and 77 (95.1 %) were identified as CRE by MicroScan WalkAway 96 Plus, Phoenix 100, and Vitek 2 Compact, respectively. The sensitivities/specificities of MicroScan WalkAway, Phoenix 100 and Vitek 2 were 93.8/42.4 %, 54.2/66.7 %, and 75.0/36.4 %, respectively.

conclusionsThe MicroScan WalkAway and Viteck2 systems are more reliable in clinical identification of CRE, whereas additional tests are required for the Pheonix 100 system. Our study provides a useful guideline for using automated identification systems for CRE identification.

Indexed as

Anti-Bacterial AgentsAutomation, LaboratoryBacterial Proteinsbeta-Lactamasesbeta-Lactam ResistanceCarbapenemsDNA, BacterialEnterobacteriaceaeEnterobacteriaceae InfectionsGene ExpressionGenotypeHospitals, UniversityHumansMicrobial Sensitivity TestsPolymerase Chain ReactionSensitivity and SpecificityAnti-Bacterial AgentsBacterial Proteinsbeta-LactamasescarbapenemaseCarbapenemsDNA, BacterialAutomated identification systemsCarbapenem-resistant EnterobacteriaceaePCR

Identifiers

PMID27328762
PMCPMC4915035

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.