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262697

Evaluation of Carba NP Version II Test for Rapid Detection and Categorization of Carbapenemases Produced by Klebsiella Pneumoniae Clinical Isolates

Article

Last updated: 23 Jan 2023

Subjects

-

Tags

Diagnostics

Abstract

Background: Carbapenemase producing K. pneumoniae poses severe clinical problems. The accurate phenotypic detection and differentiation of the carbapenemase types in clinical laboratories is now of utmost importance for the determination of appropriate therapeutic schemes and the implementation of infection control measures. Objective: to identify the prevalent carbapenemases among carbapenem non-susceptible K. pneumoniae isolated from AMUH, to evaluate the ability of Carba NP version II test to detect carbapenemase production and identify their Ambler classes compared to PCR as a gold standard, in addition to comparing the Carba NP version II test with MHT and inhibitor-based phenotypic tests regarding sensitivity, specificity, turnaround time and cost effectiveness. Methodology: This study was carried out on 96 non-duplicate carbapenem non-susceptible K. pneumoniae isolates carrying one or more of carbapenemase genes. phenotypic screening methods included: Carba NP II test, MHT, meropenem/PBA CDT and meropenem/EDTA CDT. Results: Carbapenemase class B was the most prevalent (94.8%). Carba NP II showed the highest sensitivity in detecting class B (72.5%) with PPV (95.7%). Increase in the number of class B genes in a given isolate, improved the sensitivity from 55.6% to 80%. The Carba NP II test was found to be 15% sensitive and 91.7% specific in detecting class D and it could not detect class A in any of the 19 isolates that harbored KPC gene. Conclusion: The main advantages of Carba NP II test over CDT and MHT are; the rapidity of the test and its relatively higher sensitivity in detecting class B carbapenemases.

DOI

10.21608/ejmm.2022.262697

Authors

First Name

Manal

Last Name

Hassan

MiddleName

Ismail

Affiliation

Medical Microbiology and Immunology department, Faculty of medicine, Alexandria University

Email

mahassan2000@yahoo.com

City

-

Orcid

-

First Name

Omnia

Last Name

Kotb

MiddleName

saad

Affiliation

Kafr eldawa, Ministry of health hospital.

Email

omniasaad36@gmail.com

City

-

Orcid

-

First Name

Shams

Last Name

Arafa

MiddleName

Abd elfattah

Affiliation

Medical microbiology and immunology, faculty of medicine, Alexandria university

Email

shams.arafa@alexmed.edu.eg

City

Alexandria

Orcid

0000-0002-9683-4530

Volume

31

Article Issue

4

Related Issue

36977

Issue Date

2022-10-01

Receive Date

2022-10-01

Publish Date

2022-10-01

Page Start

113

Page End

121

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_262697.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=262697

Order

262,697

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

23 Jan 2023