检验医学 ›› 2012, Vol. 27 ›› Issue (7): 544-548.

• 微生物学检验论著 • 上一篇    下一篇

不同方法检测黏液型铜绿假单胞菌药物敏感性结果准确性探讨

蓝锴   

  1. 1.广东省中医院检验科,广东 广州 510120;2. 广东省中医院大学城分院检验科,广东 广州 510006;3. 广东省中医院芳村分院检验科,广东 广州 510370;4. 广东省中医院二沙岛分院检验科,广东 广州 510105
  • 收稿日期:2012-05-17 修回日期:2012-03-08 出版日期:2012-07-30 发布日期:2012-07-05
  • 作者简介:蓝 锴,女,1979年生,硕士,主管技师,主要从事临床微生物学检验及细菌耐药分子机制研究。
  • 基金资助:

    国家自然科学基金资助项目(81071397);广东省科技计划项目(2011B031800028)

Accuracy evaluation of different antibiotic susceptibility testing for mucoid isolates of Pseudomonas aeruginosa

  1. 1.Department of Clinical Laboratory,Guangdong Province Chinese Medicine Hospital,Guangdong Guangzhou 510120,China;2. Department of Clinical Laboratory,Daxuecheng Branch,Guangdong Province Chinese Medicine Hospital,Guangdong Guangzhou 510006,China;3. Department of Clinical Laboratory,Fangcun Branch,Guangdong Province Chinese Medicine Hospital,Guangdong Guangzhou 510370,China;4. Department of Clinical Laboratory,Ershadao Branch,Guangdong Province Chinese Medicine Hospital,Guangdong Guangzhou 510105,China
  • Received:2012-05-17 Revised:2012-03-08 Online:2012-07-30 Published:2012-07-05

摘要: 目的 探讨黏液型铜绿假单胞菌(PA)药物敏感性检测方法准确性,以找出适合临床开展的、准确的药物敏感性检测方法。方法 分别用药物敏感性纸片琼脂扩散法(K-B法)、假单胞菌和非发酵菌药物敏感性试剂盒(ATB PSE5)、仪器法(MicroScan WalkAway 96 plus和VITEK 2)和微量肉汤稀释法同时检测66株黏液型PA,以微量肉汤稀释法作为参考方法,其余方法作为测试方法进行对照分析。结果 K-B法与微量肉汤稀释法的完全符合率(CA)为92.63%,严重错误(VME)为0.30%,重大错误(ME)为3.13%,一般错误(MIE)为3.94%;ATB PSE5与与微量肉汤稀释法的CA为88.89%,VME为0.83%,ME为5.83%,MIE为4.44%;MicroScan仪器法与微量肉汤稀释法的CA为89.38%,VME为0.34%,ME为5.19%,MIE为5.07%。 VITEK 2因结果缺失严重未进行比较。结论 临床常用检测PA药物敏感性的方法中,以K-B法检测黏液型PA最为可靠,但应延长孵育时间至48 h或放至CO2孵箱24 h后读取结果更为直观、准确。

关键词: 黏液型铜绿假单胞菌, 药物敏感性试验, 微量肉汤稀释法, 评价

Abstract: Objective To investigate the accuracy of different methods of antibiotic susceptibility testing for mucoid isolates of Pseudomonas aeruginosa(PA). Methods A total of 66 isolates of mucoid PA were detected by Kirby-Bauer(K-B) method,ATB PSE5 kits,MicroScan WalkAway 96 plus,VITEK 2 and micro-broth dilution method. The micro-broth dilution method was adopted as reference method,and the other methods were as test methods. Results Compared to micro-broth dilution method,the complete accordances(CA) of K-B method,ATB PSE5 kits and MicroScan were 92.63%,88.89% and 89.38%. The very major errors(VME) of the 3 methods were 0.30%,0.83% and 0.34%,respectively. The major errors(ME) of the 3 methods were 3.13%,5.83% and 5.19%. The minor errors(MIE) of the 3 methods were 3.94%,4.44% and 5.07%. The results lack in VITEK 2,since the relevant data were not analyzed. Conclusions K-B method is a reliable method for mucoid PA antibiotic susceptibility testing,especially prolonging the incubation time to 48 h or incubating in CO2 incubator for 24 h.

Key words: Mucoid Pseudomonas aeruginosa, Antibiotic susceptibility test, Micro-broth dilution method, Evaluation