TABLE 8.
Distinct multiple organism/antibiotic resistance gene combinations detected by the BCID-GN and discrepancies with comparator methods (clinical samples)
Distinct codetection combinations detected by the BCID-GN panelb |
||||
---|---|---|---|---|
1 | 2 | 3 | ARG | No. of samples (no. discrepanta) |
A. baumannii* | K. pneumoniae GP* | Pan GP* | CTX-M, OXA | 1 (1) |
A. baumannii | Pan GP | 4 (0) | ||
A. baumannii | Pan GP^ | OXA | 4 (1) | |
B. fragilis* | E. cloacae complex | Pan GP | 1 (1) | |
B. fragilis* | E. coli | 2 (1) | ||
B. fragilis | Pan GP | 1 (0) | ||
Citrobacter | E. cloacae complex^ | 1 (1) | ||
Citrobacter* | E. cloacae complex* | K. oxytoca | 2 (2) | |
Citrobacter | E. coli | 1 (0) | ||
Citrobacter* | K. oxytoca | 1 (1) | ||
Citrobacter* | K. oxytoca | K. pneumoniae GP | 1 (1) | |
Citrobacter | K. oxytoca* | K. pneumoniae GP | 1 (1) | |
Citrobacter | K. pneumoniae GP | 1 (0) | ||
Citrobacter | K. pneumoniae GP | Pan GP | CTX-M | 1 (0) |
Citrobacter | M. morganii* | Pan GP | 1 (1) | |
Citrobacter | P. mirabilis | Pan GP* | 1 (1) | |
Citrobacter | Pan GP* | 3 (2) | ||
E. cloacae complex | E. coli | K. pneumoniae GP | 1 (0) | |
E. cloacae complex | K. pneumoniae GP | 1 (0) | ||
E. cloacae complex | P. aeruginosa* | Pan GP | 1 (1) | |
E. cloacae complex | Pan Candida* | 1 (1) | ||
E. cloacae complex | Pan Candida | Pan GP | 1 (0) | |
E. cloacae complex | Pan GP^ | 4 (1) | ||
E. coli | K. oxytoca* | 3 (1) | ||
E. coli | K. oxytoca | Pan GP | 1 (0) | |
E. coli | K. pneumoniae GP | 2 (0) | ||
E. coli* | K. pneumoniae GP | CTX-M | 1 (1) | |
E. coli | M. morganii | 1 (0) | ||
E. coli | P. mirabilis | 3 (0) | ||
E. coli | P. mirabilis | Pan GP | 1 (0) | |
E. coli | Pan GP* | 10 (3) | ||
E. coli | Pan GP | CTX-M | 1 (0) | |
Enterobacter ^ | K. pneumoniae GP | 1 (1) | ||
Enterobacter | Pan Candida | 1 (0) | ||
Enterobacter | Pan GP | 1 (0) | ||
H. influenzae | N. meningitidis^ | P. aeruginosa^ | 1 (1) | |
K. oxytoca | K. pneumoniae GP* | 2 (1) | ||
K. oxytoca | Pan GP* | 4 (2) | ||
K. oxytoca | S. marcescens* | 2 (1) | ||
K. pneumoniae GP | P. mirabilis | 1 (0) | ||
K. pneumoniae GP | Pan GP* | 6 (1) | ||
K. pneumoniae GP | Pan GP^ | CTX-M, KPC | 1 (1) | |
K. pneumoniae GP* | Pan GP | S. marcescens | 1 (1) | |
K. pneumoniae GP | S. maltophilia | 1 (0) | ||
M. morganii | P. aeruginosa* | Pan GP | 1 (1) | |
M. morganii | P. mirabilis | 2 (0) | ||
M. morganii | Pan GP | Proteus | 1 (0) | |
P. aeruginosa | P. mirabilis | Pan GP | 1 (0) | |
P. aeruginosa | Pan GP | 2 (0) | ||
P. mirabilis | Pan GP* | 8 (2) | ||
P. mirabilis | Pan GP | CTX-M | 1 (0) | |
Pan Candida | Pan GP | 2 (0) | ||
Pan GP | S. maltophilia | 1 (0) | ||
Pan GP | S. marcescens | 3 (0) |
A discrepant organism/ARG is one that was detected by the BCID-GN but not by the comparator method(s) (i.e., false positive); 36/39 false-positive organisms were investigated using PCR/sequencing (3 Pan GP organisms were not tested). Of the 36 false-positive organisms tested, 32 were detected, 3 were not detected, and 1 was indeterminate.
*, Discordant false-positive organism confirmed present by PCR/sequencing; ^, discordant false-positive organism not confirmed present by PCR/sequencing.