Identification and antimicrobial susceptibility profiles of Nocardia species clinically isolated in Japan

Abstract The aims of the present study were to profile the antimicrobial susceptibility patterns of a diverse range of Nocardia species isolated in Japan, and to determine the ability of matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) for species/complex i...

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Autores principales: Masahiro Toyokawa, Noboru Ohana, Akiko Ueda, Minako Imai, Daiki Tanno, Mutsuko Honda, Yukiko Takano, Kazutaka Ohashi, Kyoichi Saito, Hiroki Shimura
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:21f140bb4a6947ce80950276f91e0f9f2021-12-02T17:08:23ZIdentification and antimicrobial susceptibility profiles of Nocardia species clinically isolated in Japan10.1038/s41598-021-95870-22045-2322https://doaj.org/article/21f140bb4a6947ce80950276f91e0f9f2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95870-2https://doaj.org/toc/2045-2322Abstract The aims of the present study were to profile the antimicrobial susceptibility patterns of a diverse range of Nocardia species isolated in Japan, and to determine the ability of matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) for species/complex identification. Identification of 153 clinical isolates was performed by full-length 16S rRNA gene sequencing as a reference method to evaluate the usefulness of MALDI-TOF MS identification. Antimicrobial susceptibility testing (AST) for 14 antibiotics was performed using the broth microdilution method against 146 of the isolates. Among the total 153 clinical isolates, Nocardia farcinica complex (25%) was the most common species, followed by Nocardia cyriacigeorgica (18%), Nocardia brasiliensis (9%), Nocardia nova (8%), and Nocardia otitidiscaviarum (7%). Among 150 isolates identified to the species/complex level by 16S rRNA gene sequencing, MALDI-TOF MS with the use of a supplemental Nocardia library (JMLD library ver.ML01) correctly identified 97.3% (n = 146) to the species/complex level and 1.3% (n = 2) to the genus level. Among the 146 Nocardia isolates that underwent AST, the susceptibilities were 100% to linezolid, 96% to amikacin, 94% to trimethoprim-sulfamethoxazole, and 76% to imipenem. None of the trimethoprim-sulfamethoxazole-resistant isolates carried either plasmid-mediated sulfonamide-resistant genes (sul1, sul2) or trimethoprim-resistant genes (dfrA).Masahiro ToyokawaNoboru OhanaAkiko UedaMinako ImaiDaiki TannoMutsuko HondaYukiko TakanoKazutaka OhashiKyoichi SaitoHiroki ShimuraNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Masahiro Toyokawa
Noboru Ohana
Akiko Ueda
Minako Imai
Daiki Tanno
Mutsuko Honda
Yukiko Takano
Kazutaka Ohashi
Kyoichi Saito
Hiroki Shimura
Identification and antimicrobial susceptibility profiles of Nocardia species clinically isolated in Japan
description Abstract The aims of the present study were to profile the antimicrobial susceptibility patterns of a diverse range of Nocardia species isolated in Japan, and to determine the ability of matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) for species/complex identification. Identification of 153 clinical isolates was performed by full-length 16S rRNA gene sequencing as a reference method to evaluate the usefulness of MALDI-TOF MS identification. Antimicrobial susceptibility testing (AST) for 14 antibiotics was performed using the broth microdilution method against 146 of the isolates. Among the total 153 clinical isolates, Nocardia farcinica complex (25%) was the most common species, followed by Nocardia cyriacigeorgica (18%), Nocardia brasiliensis (9%), Nocardia nova (8%), and Nocardia otitidiscaviarum (7%). Among 150 isolates identified to the species/complex level by 16S rRNA gene sequencing, MALDI-TOF MS with the use of a supplemental Nocardia library (JMLD library ver.ML01) correctly identified 97.3% (n = 146) to the species/complex level and 1.3% (n = 2) to the genus level. Among the 146 Nocardia isolates that underwent AST, the susceptibilities were 100% to linezolid, 96% to amikacin, 94% to trimethoprim-sulfamethoxazole, and 76% to imipenem. None of the trimethoprim-sulfamethoxazole-resistant isolates carried either plasmid-mediated sulfonamide-resistant genes (sul1, sul2) or trimethoprim-resistant genes (dfrA).
format article
author Masahiro Toyokawa
Noboru Ohana
Akiko Ueda
Minako Imai
Daiki Tanno
Mutsuko Honda
Yukiko Takano
Kazutaka Ohashi
Kyoichi Saito
Hiroki Shimura
author_facet Masahiro Toyokawa
Noboru Ohana
Akiko Ueda
Minako Imai
Daiki Tanno
Mutsuko Honda
Yukiko Takano
Kazutaka Ohashi
Kyoichi Saito
Hiroki Shimura
author_sort Masahiro Toyokawa
title Identification and antimicrobial susceptibility profiles of Nocardia species clinically isolated in Japan
title_short Identification and antimicrobial susceptibility profiles of Nocardia species clinically isolated in Japan
title_full Identification and antimicrobial susceptibility profiles of Nocardia species clinically isolated in Japan
title_fullStr Identification and antimicrobial susceptibility profiles of Nocardia species clinically isolated in Japan
title_full_unstemmed Identification and antimicrobial susceptibility profiles of Nocardia species clinically isolated in Japan
title_sort identification and antimicrobial susceptibility profiles of nocardia species clinically isolated in japan
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/21f140bb4a6947ce80950276f91e0f9f
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