Usefulness of Xpert® Carba-R on enrichment broth for the early detection of carbapenemase-producing Enterobacterales

ABSTRACT: Early detection of patients colonized with carbapenemase-producing Enterobacterales is crucial to limit their spread. Molecular biology tests are rapid but might miss low-level carriage. Culture-based methods using enrichment are cheap and detect low-level carriage but cause delay. Two cli...

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Autores principales: Delphine Girlich, Souad Ouzani, Isabelle Langlois, Nicolas Fortineau, Thierry Naas, Laurent Dortet
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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CPE
Acceso en línea:https://doaj.org/article/cb1800428f7f4c6fa9b24638269a5b0b
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Sumario:ABSTRACT: Early detection of patients colonized with carbapenemase-producing Enterobacterales is crucial to limit their spread. Molecular biology tests are rapid but might miss low-level carriage. Culture-based methods using enrichment are cheap and detect low-level carriage but cause delay. Two clinical cases are reported, which demonstrated that molecular biology (Xpert® Carb-R) on enriched broth cumulates advantages of both strategies. In both cases, this strategy enabled early detection of patients colonized at low-level with carbapenemase-producing Enterobacterales because it saved 24 hours in detection time.