In vitro cost-effective methods to detect carbapenemases in Enterobacteriaceae

The rise in carbapenemases-producing organisms has challenged the scientific community. Infections caused by these bacteria have limited treatment options. There are various types such as Klebsiella pneumoniae carbapenemase (Ambler class A), metallo-beta-lactamases of VIM-type, IMP-type, NDM-type (A...

Full description

Bibliographic Details
Main Authors: Varsha Gupta, Ranu Soni, Neha Jain, Jagdish Chander
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2018-01-01
Series:Journal of Laboratory Physicians
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/JLP.JLP_25_17
_version_ 1819049583404122112
author Varsha Gupta
Ranu Soni
Neha Jain
Jagdish Chander
author_facet Varsha Gupta
Ranu Soni
Neha Jain
Jagdish Chander
author_sort Varsha Gupta
collection DOAJ
description The rise in carbapenemases-producing organisms has challenged the scientific community. Infections caused by these bacteria have limited treatment options. There are various types such as Klebsiella pneumoniae carbapenemase (Ambler class A), metallo-beta-lactamases of VIM-type, IMP-type, NDM-type (Ambler class B), and OXA-48-types (Ambler class D). An efficient strategy for detection of carbapenemase producers is important to determine the appropriate therapeutic modalities. In this study, four methods - Carba NP test, modified Carba NP (MCNP) test, carbapenem inactivation method (CIM) test, and Rapidec Carba NP kit test were evaluated. We evaluated an in-house MCNP test to detect carbapenemase production using a single protocol which gave reliable results. Furthermore, CIM using routine antibiotic discs gives good results. Both these tests were found to be cost-effective.
first_indexed 2024-12-21T11:34:27Z
format Article
id doaj.art-bbff02b855f0475ab796f2304fae5c69
institution Directory Open Access Journal
issn 0974-2727
0974-7826
language English
last_indexed 2024-12-21T11:34:27Z
publishDate 2018-01-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Journal of Laboratory Physicians
spelling doaj.art-bbff02b855f0475ab796f2304fae5c692022-12-21T19:05:28ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Laboratory Physicians0974-27270974-78262018-01-01100110110510.4103/JLP.JLP_25_17In vitro cost-effective methods to detect carbapenemases in EnterobacteriaceaeVarsha Gupta0Ranu Soni1Neha Jain2Jagdish Chander3Department of Microbiology, Government Medical College Hospital, Chandigarh, IndiaDepartment of Microbiology, Government Medical College Hospital, Chandigarh, IndiaDepartment of Microbiology, Government Medical College Hospital, Chandigarh, IndiaDepartment of Microbiology, Government Medical College Hospital, Chandigarh, IndiaThe rise in carbapenemases-producing organisms has challenged the scientific community. Infections caused by these bacteria have limited treatment options. There are various types such as Klebsiella pneumoniae carbapenemase (Ambler class A), metallo-beta-lactamases of VIM-type, IMP-type, NDM-type (Ambler class B), and OXA-48-types (Ambler class D). An efficient strategy for detection of carbapenemase producers is important to determine the appropriate therapeutic modalities. In this study, four methods - Carba NP test, modified Carba NP (MCNP) test, carbapenem inactivation method (CIM) test, and Rapidec Carba NP kit test were evaluated. We evaluated an in-house MCNP test to detect carbapenemase production using a single protocol which gave reliable results. Furthermore, CIM using routine antibiotic discs gives good results. Both these tests were found to be cost-effective.http://www.thieme-connect.de/DOI/DOI?10.4103/JLP.JLP_25_17carbapenemases enterobacteriaceae imipenem
spellingShingle Varsha Gupta
Ranu Soni
Neha Jain
Jagdish Chander
In vitro cost-effective methods to detect carbapenemases in Enterobacteriaceae
Journal of Laboratory Physicians
carbapenemases
enterobacteriaceae
imipenem
title In vitro cost-effective methods to detect carbapenemases in Enterobacteriaceae
title_full In vitro cost-effective methods to detect carbapenemases in Enterobacteriaceae
title_fullStr In vitro cost-effective methods to detect carbapenemases in Enterobacteriaceae
title_full_unstemmed In vitro cost-effective methods to detect carbapenemases in Enterobacteriaceae
title_short In vitro cost-effective methods to detect carbapenemases in Enterobacteriaceae
title_sort in vitro cost effective methods to detect carbapenemases in enterobacteriaceae
topic carbapenemases
enterobacteriaceae
imipenem
url http://www.thieme-connect.de/DOI/DOI?10.4103/JLP.JLP_25_17
work_keys_str_mv AT varshagupta invitrocosteffectivemethodstodetectcarbapenemasesinenterobacteriaceae
AT ranusoni invitrocosteffectivemethodstodetectcarbapenemasesinenterobacteriaceae
AT nehajain invitrocosteffectivemethodstodetectcarbapenemasesinenterobacteriaceae
AT jagdishchander invitrocosteffectivemethodstodetectcarbapenemasesinenterobacteriaceae