Evaluation of presumptive identification of Enterobacterales using CHROMagar Orientation medium and rapid biochemical tests.


Journal

Journal of clinical laboratory analysis
ISSN: 1098-2825
Titre abrégé: J Clin Lab Anal
Pays: United States
ID NLM: 8801384

Informations de publication

Date de publication:
Oct 2020
Historique:
received: 03 04 2020
revised: 07 05 2020
accepted: 29 05 2020
pubmed: 1 7 2020
medline: 14 8 2021
entrez: 29 6 2020
Statut: ppublish

Résumé

The use of matrix-assisted laser desorption/ionization time-of-flight mass spectrometry is gradually spreading among large-scale laboratories; however, this method is impractical for small-scale laboratories. In laboratories without access to these rapid identification methods, problems related to them remain unsolved. In this study, we aimed to develop a rapid and inexpensive method to presumptively identify Enterobacterales using CHROMagar Orientation medium. The algorithm for presumptive identification of Enterobacteriaceae using CHROMagar Orientation medium was based on our previous studies. Modified property tests for indole, lysine decarboxylase, ornithine decarboxylase, and hydrogen sulfide were performed to evaluate the differentiation of the bacterial species. Using the type strains and clinical isolates, it was possible to conduct the property tests at a low cost, within 4 hours. The spot indole test was performed without any nonspecific reactions for the bacteria forming colored colonies. The presumptive identification of bacteria was thereby possible within 24 hours after specimen submission. All these results suggest that the rapid presumptive identification of Enterobacterales is possible with this new identification method using CHROMagar Orientation medium. This is therefore a prompt and economical method that can be used in routine laboratory work.

Sections du résumé

BACKGROUND BACKGROUND
The use of matrix-assisted laser desorption/ionization time-of-flight mass spectrometry is gradually spreading among large-scale laboratories; however, this method is impractical for small-scale laboratories. In laboratories without access to these rapid identification methods, problems related to them remain unsolved. In this study, we aimed to develop a rapid and inexpensive method to presumptively identify Enterobacterales using CHROMagar Orientation medium.
METHODS METHODS
The algorithm for presumptive identification of Enterobacteriaceae using CHROMagar Orientation medium was based on our previous studies. Modified property tests for indole, lysine decarboxylase, ornithine decarboxylase, and hydrogen sulfide were performed to evaluate the differentiation of the bacterial species.
RESULTS RESULTS
Using the type strains and clinical isolates, it was possible to conduct the property tests at a low cost, within 4 hours. The spot indole test was performed without any nonspecific reactions for the bacteria forming colored colonies. The presumptive identification of bacteria was thereby possible within 24 hours after specimen submission.
CONCLUSION CONCLUSIONS
All these results suggest that the rapid presumptive identification of Enterobacterales is possible with this new identification method using CHROMagar Orientation medium. This is therefore a prompt and economical method that can be used in routine laboratory work.

Identifiants

pubmed: 32594571
doi: 10.1002/jcla.23453
pmc: PMC7595914
doi:

Substances chimiques

Culture Media 0
Indoles 0
Carboxy-Lyases EC 4.1.1.-
Ornithine Decarboxylase EC 4.1.1.17
lysine decarboxylase EC 4.1.1.18
Hydrogen Sulfide YY9FVM7NSN

Types de publication

Evaluation Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e23453

Informations de copyright

© 2020 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC.

Références

J Clin Microbiol. 2013 Apr;51(4):1179-83
pubmed: 23363839
Am J Clin Pathol. 2012 Apr;137(4):620-6
pubmed: 22431539
J Clin Microbiol. 2000 Dec;38(12):4586-92
pubmed: 11101600
J Clin Lab Anal. 2020 Oct;34(10):e23453
pubmed: 32594571
Biochim Biophys Acta. 2015 Jun;1854(6):528-37
pubmed: 25448014
J Clin Microbiol. 2012 Oct;50(10):3301-8
pubmed: 22855510
Diagn Microbiol Infect Dis. 2017 Mar;87(3):207-209
pubmed: 27916545
J Infect Chemother. 2017 Apr;23(4):224-229
pubmed: 28161293
J Infect Chemother. 2018 Sep;24(9):769-772
pubmed: 29656900
J Clin Microbiol. 2004 Jan;42(1):60-4
pubmed: 14715732
Clin Microbiol Rev. 2016 Dec 14;30(1):381-407
pubmed: 27974411

Auteurs

Hirofumi Ohtaki (H)

Department of Clinical Laboratory Science, Graduate School of Kansai University of Health Sciences, Osaka, Japan.
Department of Informative Clinical Medicine, Gifu University Graduate School of Medicine, Gifu, Japan.

Akifumi Takahashi (A)

Department of Clinical Laboratory Science, Graduate School of Kansai University of Health Sciences, Osaka, Japan.

Ayumi Niwa (A)

Department of Clinical Laboratory, Gifu University Hospital, Gifu, Japan.

Jun Yonetamari (J)

Department of Clinical Laboratory, Gifu University Hospital, Gifu, Japan.

Asami Nakayama (A)

Department of Clinical Laboratory, Yamagata University Hospital, Yamagata, Japan.

Tomokazu Kuchibiro (T)

Department of Clinical Laboratory, Naga Municipal Hospital, Kinokawa, Japan.

Hirotoshi Ohta (H)

Department of Clinical Laboratory, Gifu University Hospital, Gifu, Japan.

Hiroyasu Ito (H)

Department of Informative Clinical Medicine, Gifu University Graduate School of Medicine, Gifu, Japan.

Hisashi Baba (H)

Center for Nutrition Support & Infection Control, Gifu University Hospital, Gifu, Japan.

Nobuo Murakami (N)

Center for Nutrition Support & Infection Control, Gifu University Hospital, Gifu, Japan.

Kiyofumi Ohkusu (K)

Department of Microbiology, Tokyo Medical University, Tokyo, Japan.

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Classifications MeSH