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Development of a LAMP method for detection of carbapenem-resistant Acinetobacter baumannii during a hospital outbreak
CAROLINA GARCIGLIA MERCADO
Ramón Gaxiola Robles
Felipe de Jesús Ascencio Valle
JESUS SILVA SANCHEZ
MARIA TERESA ESTRADA GARCIA
GRACIA ALICIA GOMEZ ANDURO
Acceso Abierto
Atribución-NoComercial-SinDerivadas
DOI: 10.3855/jidc.11692
URL: https://jidc.org/index.php/journal/article/view/32525836/2255
ISSN: 19722680
Acinetobacter baumannii, loop mediated isothermal amplification, carbapenem resistance
"Introduction: Carbapenem-resistant A. baumannii (CRAB) represents a public health threat increasing worldwide. We assess the suitability of a loop-mediated isothermal amplification (LAMP) method for on-site screening of CRAB in a hospital facility. Methodology: A set of six primers were designed for recognizing eight distinct sequences on six targets: blaOXA-23-like, blaOXA-24-like, blaOXA-51- like, blaOXA-58-like, blaIMP, and blaVIM. A LAMP method was developed, optimized and evaluated for the identification of CRAB in thirty-three environmental samples from an outbreak in an Intensive Care Unit (ICU) facility. Results: The sensitivity of the LAMP assay for the detection of A. baumannii was ten-fold higher than the PCR assay (1.0 ng.µL-1). The LAMP assays showed a higher detection rate for CRAB samples and robust diagnosis performance in comparison to a conventional PCR, with clinical sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of 100% for blaOXA-23-like, blaOXA-51-like and blaVIM. Conclusions: The developed LAMP assays are powerful tools that can be useful in on-site screening of CRAB causing local outbreaks in clinics and hospitals facilities where costs and equipment restraints are imperative."
Journal of Infection in Developing Countries
2020
Artículo
Journal of Infection in Developing Countries
Inglés
OTRAS
Versión publicada
publishedVersion - Versión publicada
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