Multicenter interlaboratory study of routine systems for the susceptibility testing of temocillin using a challenge panel of multidrug-resistant strains

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

Accurate susceptibility result of temocillin (TMO) is important for treating infections caused by multidrug-resistant Enterobacterales. This multicenter study aimed to investigate the performance of routine temocillin testing assays against Enterobacterales challenging strains. Forty-seven selected clinical isolates were blindly analyzed by 12 Belgian laboratories using VITEK® 2 (n = 5) and BD Phoenix™ (n = 3) automated systems, ETEST® gradient strip (n = 3), and disk (3 brands) diffusion method (DD; n = 6) for temocillin susceptibility using standardized methodology. Results were interpreted using EUCAST 2023 criteria and compared to the broth microdilution (BMD; Sensititre™ panel) method used as gold standard. Methods' reproducibility was assessed by testing 3 reference strains in triplicate. A total of 702 organism-drug results were obtained against 33 TMO-susceptible and 14 TMO-resistant isolates. Excluding Proteae species (P. mirabilis and M. morganii), the essential agreement rates were excellent (91.5-100%) for all MIC-based methods. The highest category agreement was achieved by ETEST® (97.5%) followed by VITEK® 2 (93.2%), disk diffusion (91.6%), and BD Phoenix™ (88.5%). BD Phoenix™ and paper disk diffusion overcalled resistance (11.5% and 6.8% of major discrepancies, respectively), while ROSCO tablets diffusion and VITEK® 2 generated higher very major discrepancies (7.1% and 4.2% respectively). Inter-assay reproducibility was unsatisfactory using recommended E. coli ATCC 25922 strain but was excellent with E. coli ATCC 35218 and K. pneumoniae ATCC 700603 strains. This interlaboratory study suggests that routine testing methods provide accurate and reproducible TMO categorization results except for Proteae species.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:42

Enthalten in:

European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology - 42(2023), 12 vom: 01. Dez., Seite 1477-1483

Sprache:

Englisch

Beteiligte Personen:

Deckers, Corentin [VerfasserIn]
Bélik, Florian [VerfasserIn]
Denis, Olivier [VerfasserIn]
Montesinos, Isabel [VerfasserIn]
Bogaerts, Pierre [VerfasserIn]
Boelens, Jerina [VerfasserIn]
Brassinne, Laetitia [VerfasserIn]
Descy, Julie [VerfasserIn]
Desmet, Stefanie [VerfasserIn]
Gils, Sarah [VerfasserIn]
Lissoir, Bénédicte [VerfasserIn]
Magerman, Koen [VerfasserIn]
Matheeussen, Veerle [VerfasserIn]
Meex, Cécile [VerfasserIn]
Rodriguez Villalobos, Hector [VerfasserIn]
Van den Abeele, Anne Marie [VerfasserIn]
Vernelen, Kris [VerfasserIn]
Ceyssens, Pieter-Jan [VerfasserIn]
Huang, Te-Din [VerfasserIn]
Belgian National Antibiogram Committee [VerfasserIn]
Boelens, Jerina [Sonstige Person]
Brassinne, Laetitia [Sonstige Person]
Catteau, Lucy [Sonstige Person]
Ceyssens, Pieter-Jan [Sonstige Person]
Descy, Julie [Sonstige Person]
Desmet, Stefanie [Sonstige Person]
Gils, Sarah [Sonstige Person]
Latour, Katrien [Sonstige Person]
Lissoir, Bénédicte [Sonstige Person]
Magerman, Koen [Sonstige Person]
Matheeussen, Veerle [Sonstige Person]
Meex, Cécile [Sonstige Person]
Rodriguez Villalobos, Hector [Sonstige Person]
Vandamme, Sarah [Sonstige Person]
Van den Abeele, Anne-Marie [Sonstige Person]
Vilain, Aline [Sonstige Person]
Vernelen, Kris [Sonstige Person]
Wybo, Ingrid [Sonstige Person]
Yaras, Harun [Sonstige Person]
Yin, Nicolas [Sonstige Person]

Links:

Volltext

Themen:

03QB156W6I
Anti-Bacterial Agents
Antimicrobial susceptibility testing
EUCAST Breakpoints
Enterobacterales
Journal Article
Multicenter Study
Penicillins
Temocillin

Anmerkungen:

Date Completed 14.02.2024

Date Revised 14.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s10096-023-04681-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363630198