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.
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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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.
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