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首页> 外文期刊>Journal of Clinical Microbiology >Comparison of SpectraCell RA Typing and Multilocus Sequence Typing for Extended-Spectrum-β-Lactamase-Producing Escherichia coli
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Comparison of SpectraCell RA Typing and Multilocus Sequence Typing for Extended-Spectrum-β-Lactamase-Producing Escherichia coli

机译:产生广谱β-内酰胺酶的大肠杆菌的SpectraCell RA分型和多基因座序列分型的比较

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Multilocus sequence typing (MLST) is one of the most reliable methods for typing of Escherichia coli, including extended-spectrum-β-lactamase-producing E. coli (ESBL-EC). We investigated the performance of a new typing method, SpectraCell RA (River Diagnostics, Madison, WI), in comparison on MLST on a well-defined collection of ESBL-EC isolates obtained from chicken meat and humans. Ninety-two ESBL-EC isolates obtained from meat and 59 ESBL-EC isolates obtained from human rectal swabs and clinical blood cultures were typed using MLST and SpectraCell RA. The sensitivity and specificity of SpectraCell RA were calculated, using MLST as a reference method. Subsequently, the results of SpectraCell RA were used to determine the relatedness of ESBL-EC isolates from chicken and humans. Using MLST as the gold standard, the performance of SpectraCell RA was evaluated for 3 different cutoff values: 0.99975, 0.99955, and 0.99935. Depending on the cutoff value, the sensitivity was mediocre to unacceptably low, with values of 9.4%, 43.9%, and 66.7%, respectively. When sensitivity increased, the specificity decreased rapidly, from 95.6% to 69.8% and 34.4%, respectively. Also, the number of clusters containing both human and meat samples varied from 0 (0.0%) to 14 (38.9%). Our study shows that SpectraCell RA is not a suitable typing method for ESBL-EC when evaluating relationships of ESBL-EC at the population level.
机译:多基因座序列分型(MLST)是最可靠的大肠杆菌分型方法之一,包括产生广谱β-内酰胺酶的大肠杆菌(ESBL-EC)。我们比较了从鸡和人获得的ESBL-EC分离株的明确定义上,在MLST上进行了比较,研究了新的分型方法SpectraCell RA(River Diagnostics,麦迪逊,威斯康星州)的性能。使用MLST和SpectraCell RA对来自肉类的92种ESBL-EC分离株和从人直肠拭子和临床血液培养物中分离的59种ESBL-EC分离株进行分型。使用MLST作为参考方法,计算SpectraCell RA的敏感性和特异性。随后,使用SpectraCell RA的结果确定了来自鸡和人的ESBL-EC分离株的相关性。使用MLST作为金标准,针对3个不同的截断值(0.99975、0.99955和0.99935)评估了SpectraCell RA的性能。取决于临界值,灵敏度中等至不可接受的低,分别为9.4%,43.9%和66.7%。当敏感性增加时,特异性迅速下降,分别从95.6%降至69.8%和34.4%。同样,包含人类和肉类样品的簇的数量从0(0.0%)到14(38.9%)不等。我们的研究表明,在人群水平评估ESBL-EC的关系时,SpectraCell RA不是适合ESBL-EC的分型方法。

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