Table 1.
Carbapenemase | No. of isolates | Incubation time (min) | Assay results |
||||
---|---|---|---|---|---|---|---|
Hydrolysed | Non-hydrolysed | Sensitivity (95% CI*) | Specificity (95% CI*) | ||||
A. Assay performed on bacterial colonies | |||||||
Enterobacteriaceae (n = 89) | 100% (95.3–100.0) | 100% (74.1–100.0) | |||||
K. pneumoniae (n = 49), E. coli | OXA-48-like | 41 | 30 | 41 | – | ||
(n = 22), K. oxytoca (n = 5) | NDM | 27 | 30 | 27 | – | ||
E. cloacae (n = 6), C. freundii | KPC | 6 | 30 | 6 | – | ||
(n = 4), E. aerogenes (n = 2), | VIM | 4 | 30 | 4 | – | ||
P. stuartii (n = 1) | Negative | 11 | 30 | – | 11 | ||
Pseudomonas spp. (n = 29) | 100% (82.4–100.0) | 100% (74.1–100.0) | |||||
P. aeruginosa (n = 28), | VIM | 17 | 30 | 17 | – | ||
P. chlororaphis (n = 1) | GES (ESBL) | 1 | 30 | – | 1 | ||
IMP | 1 | 30 | 1 | – | |||
Negative | 10 | 30 | – | 10 | |||
A. baumannii complex (n = 12) | 100% (75.7–100.0) | NA# | |||||
OXA-23 | 8 | 60 | 8 | – | |||
OXA-24/-40 | 2 | 60 | 2 | – | |||
OXA-58 | 2 | 60 | 2 | – | |||
B. Assay performed on positive blood cultures | |||||||
Enterobacteriaceae (n = 26) | 100% (85.7–100.0) | 66.7% (20.8–93.8) | |||||
K. pneumoniae (n = 16), | OXA-48-like | 12 | 60 | 12 | – | ||
E. coli (n = 5), E. cloacae | NDM | 5 | 60 | 5 | – | ||
(n = 2), C. freundii (n = 2), | KPC | 4 | 60 | 4 | – | ||
E. aerogenes (n = 1) | VIM | 2 | 60 | 2 | – | ||
Negative | 3 | 60 | 1 | 2 | |||
Pseudomonas spp. (n = 7) | 100% (51.0–100.0) | 100% (43.8–100.0) | |||||
P. aeruginosa (n = 6), | VIM | 3 | 60 | 3 | – | ||
P. chlororaphis (n = 1) | IMP | 1 | 60 | 1 | – | ||
Negative | 3 | 60 | – | 3 | |||
A. baumannii complex (n = 12) | 25%/58.3% (8.3–53.2)/(31.9–80.7) | NA# | |||||
OXA-23 | 8 | 60/120 | 2/4 | 6/4 | |||
OXA-24/-40 | 2 | 60/120 | –/2 | 2/– | |||
OXA-58 | 2 | 60/120 | 1/1 | 1/1 |
*95% CI: 95% confidence interval. #NA: non-applicable.