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Esposito, Fernanda; Fernandes, Miriam R; Lopes, Ralf; Muñoz, Maria; Sabino, Caetano P; Cunha, Marcos P; Silva, Ketrin C; Cayô, Rodrigo; Martins, Willames M B S; Moreno, Andrea M; Knöbl, Terezinha; Gales, Ana C; Lincopan, Nilton
Journal of clinical microbiology, 12/2017, Letnik: 55, Številka: 12Journal Article
The emergence and rapid dissemination of colistin-resistant carrying the plasmid-mediated gene have created an urgent need to develop specific screening methods. In this study, we evaluated four assays based on the inhibition of MCR-1 activity by EDTA: (i) a combined-disk test (CDT) comparing the inhibition zones of colistin and colistin (10 μg) plus EDTA (100 mM); (ii) reduction of colistin MIC (CMR) in the presence of EDTA (80 μg/ml); (iii) a modified rapid polymyxin Nordmann/Poirel test (MPNP); and (iv) alteration of zeta potential (R = ZP /ZP ). We obtained encouraging results for the detection of MCR-1 in isolates recovered from human, food, and animal samples, using the following assay parameters: ≥3 mm difference in the inhibition zones between colistin disks without and with EDTA; ≥4-fold colistin MIC decrease in the presence of EDTA; R of ≥2.5; and the absence of metabolic activity and proliferation, indicated by unchanged color of phenol red in the presence of colistin-EDTA, in the MPNP test. In this regard, the CDT, CMR, R , and MPNP assays exhibited sensitivities of 96.7, 96.7, 95.1, and 96.7% and specificities of 89.6, 83.3, 100, and 100%, respectively, for detecting MCR-1-positive Our results demonstrate that inhibition by EDTA and zeta potential assays may provide simple and inexpensive methods for the presumptive detection of MCR-1-producing isolates in human and veterinary diagnostic laboratories.
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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in: SICRIS
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