Evidence map›Paper›PMID 41081987›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2025

Performance of CHROMAgar™ LIN-R screening medium for the detection of linezolid-resistant enterococci in Croatian tertiary care hospital.

Mislav Peras, Jennifer Karin Bender, Guido Werner, Lucija Brechelmacher, Tomislav Kuliš, Ivana Mareković

Abstract readMulticenter StudyEvaluation Study
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Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Mislav PerasInstitute of Public Health Zagreb County, Zaprešić, Croatia.
Jennifer Karin BenderRobert Koch Institute, Wernigerode, Germany.
Guido WernerRobert Koch Institute, Wernigerode, Germany.
Lucija BrechelmacherClinical Department of Clinical Microbiology, Infection Prevention and Control, University Hospital Centre Zagreb, Kišpatićeva 12, Zagreb, 10 000, Croatia.
Tomislav KulišClinical Department of Clinical Microbiology, Infection Prevention and Control, University Hospital Centre Zagreb, Kišpatićeva 12, Zagreb, 10 000, Croatia.
Ivana MarekovićClinical Department of Clinical Microbiology, Infection Prevention and Control, University Hospital Centre Zagreb, Kišpatićeva 12, Zagreb, 10 000, Croatia. imarekov@kbc-zagreb.hr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe evaluated the performance of CHROMAgar™LIN-R agar plates as part of a multicenter study ("APPLE").

methodsThe study was performed using 1200 rectal swabs and stool samples.

resultsWe identified 168 enterococci with 75.6% (127/168) confirmed as linezolid-resistant (LRE) by the disc diffusion method. Among these, 48 LRE were single-patient isolates, of which 75% (36/48) showed resistance to vancomycin and 4.2% (2/48) to vancomycin and tigecycline. Overall LRE prevalence was 4.3% (48/1113) with the highest prevalence at adult hematology wards (11.3%). False-positivity rate was 24.4% (41/168) and significantly lower in neurological intensive care and hematology departments compared to pediatric hematology (adjusted p = 0.0034 and p = 0.0014, respectively). Prevalence was significantly higher in stool samples (8.8% vs. 1.6%) (p < 0.0001).

conclusionAssessing the performance of CHROMAgar™LIN-R among different patient groups and sample types may enhance its application.

Indexed as

Anti-Bacterial AgentsCulture MediaDrug Resistance, BacterialEnterococcusGram-Positive Bacterial InfectionsLinezolidAdolescentAdultAgedChildChild, PreschoolCroatiaFecesFemaleHumansMaleAnti-Bacterial AgentsCulture MediaLinezolidAntimicrobial resistanceChromogenic mediaInfection controlSurveillance culture

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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.