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Jin, Jang, Kim, Park, Moon, and Park: Comparison of MicroScan and Phoenix Automated Systems for Detection of Extended-Spectrum β-Lactamase-Producing Escherichia coli and Klebsiella pneumoniae

Abstract

The aim of this study was to evaluate the performances of MicroScan (Siemens Healthcare, USA) and Phoenix (Becton Dickinson Diagnostic Systems, USA) automated systems for the detection of extended-spectrum β-lactamase (ESBL)-producing Escherichia coli and Klebsiella pneumoniae. ESBL-producers were detected from 18 E. coli strains and 26 K. pneumoniae strains using MicroScan, Phoenix, and double-disk synergy test (DDST). The ESBL types were determined by PCR direct sequencing. ESBL genes were detected in 38 (86.4%) of the 44 test strains. The sensitivities of MicroScan, Phoenix, and DDST were 94.6%, 79%, and 89.5%, respectively. Both MicroScan and Phoenix provided acceptable results for the examination of clinical isolates.

Figures and Tables

Table 1
Characterization of ESBL-producing clinical isolates (N=44) and results of ESBL detection performed using MicroScan, Phoenix, and DDST
lmo-2-55-i001

*Possible ESBL: confirmation test required to distinguish AmpC from ESBL.

Abbreviations: ESBL, extended-spectrum β-lactamase; ECO, E. coli; KPN, K. pneumoniae; DDST, double-disk synergy test; NT, not tested.

Notes

This article is available from http://www.labmedonline.org

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