Rapid and sensitive detection of blaKPC gene in clinical isolates of Klebsiella pneumoniae by a molecular real-time assay View Full Text


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Article Info

DATE

2013-01-30

AUTHORS

Adriana Mosca, Luisa Miragliotta, Raffaele Del Prete, Gerasimos Tzakis, Lidia Dalfino, Francesco Bruno, Laura Pagani, Roberta Migliavacca, Aurora Piazza, Giuseppe Miragliotta

ABSTRACT

BackgroundThe aim of this study was the rapid identification of blaKPC gene in 38 Klebsiella pneumoniae clinical isolates with reduced susceptibility to carbapenems. The modified Hodge Test (MHT) was carried out to phenotypically determine whether resistance to carbapenems was mediated by a carbapenemase. The detection of the blaKPC gene was performed by real-time acid nucleic sequence-based amplification (NASBA™™), specifically designed for the detection of KPC RNA target.ResultsThirty-two/38 isolates evaluated by MHT showed the production of carbapenemases, while all the strains exhibited the production of KPC by inhibition test with phenylboronic acid (the combined disk test with IPM/IPM plus phenylboronic acid). The detection of blaKPC gene by Nuclisens EasyQ KPC yielded positive results in 38/38 (100%) strains. The presence of blaKPC gene was confirmed in all K. pneumoniae isolates when tested by the gold standard PCR assay.ConclusionsIn consideration of the serious challenge represented by infections due to K. pneumoniae it appears necessary the rapid identification of carbapenemases in clinical settings as it is made possible by the use of NASBA™ assay. More... »

PAGES

31

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/2193-1801-2-31

DOI

http://dx.doi.org/10.1186/2193-1801-2-31

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https://app.dimensions.ai/details/publication/pub.1047992677

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23450269


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178 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0776455535.19
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180 grid-institutes:grid.7644.1 schema:alternateName Department of Emergency and Organ Transplantation Anesthesia and Intensive Care Unit, University of Bari, Piazza Giulio Cesare, 70124, Bari, Italy
181 Department of Interdisciplinary Medicine Microbiology, University of Bari, Piazza Giulio Cesare, 70124, Bari, Italy
182 schema:name Department of Emergency and Organ Transplantation Anesthesia and Intensive Care Unit, University of Bari, Piazza Giulio Cesare, 70124, Bari, Italy
183 Department of Interdisciplinary Medicine Microbiology, University of Bari, Piazza Giulio Cesare, 70124, Bari, Italy
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185 grid-institutes:grid.8982.b schema:alternateName Microbiology, University of Pavia, via Brambilla 74, 27100, Pavia, Italy
186 schema:name Microbiology, University of Pavia, via Brambilla 74, 27100, Pavia, Italy
187 rdf:type schema:Organization
 




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