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Microscan panel

Manufactured by Beckman Coulter
Sourced in United States

The MicroScan Panels are a series of laboratory test panels designed to identify and determine the antimicrobial susceptibility of a wide range of microorganisms, including bacteria and yeast. These panels utilize automated and manual testing methods to provide accurate and reliable results for clinical microbiology laboratories.

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5 protocols using microscan panel

1

Antibiotic-Resistant GNR Prevalence Evaluation

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Clinical information extracted from the database included patient age, sex, residence in nursing home, antibiotic use within the last three months, hospital admission within the last three months, history of isolation of resistant GNR within the last six months, bed-ridden status (unable to get off the bed without assistance), comorbidities (including diabetes mellitus, malignancy, and immunodeficiency), and placement of a long-term urinary catheter before admission.
The automated Vitek 2 (bioMerieux) method was used for bacterial identification and antimicrobial susceptibility testing of GNRs. Susceptibility test results were interpreted according to the Clinical and Laboratory Standards Institute (CLSI) breakpoints [16 ]. The third-generation cephalosporin used for susceptibility testing was changed from ceftriaxone to cefotaxime in our hospital during the study period. Therefore, we have presented the susceptibility results for cefotaxime instead of ceftriaxone throughout this manuscript. The ESBL confirmation tests were performed using the MicroScan Panel (Beckman Coulter). When multiple GNRs were isolated from a single patient, we regarded the patient as being in the resistant GNR group if at least one GNR was resistant to ceftriaxone.
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2

Antibiotic Susceptibility Testing of Respiratory Pathogens

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Nasopharyngeal swabs were obtained by trained staff from all patients immediately upon admission. Aerobic culture was performed using blood agar medium and mannitol salt medium; 5%-6% carbon dioxide gas cultures were performed using chocolate medium. Drug susceptibility analysis was performed by using a microliquid dilution method with a microscan panel (Beckman Coulter, Brea, CA, USA) that complied with the 2012 criteria of the Clinical and Laboratory Standards Institute. In accordance with these criteria, S. pneumoniae with a minimum inhibitory concentration (MIC) for penicillin of ≤0.06 μg/ml, 0.12-1.0 μg/ml, or ≥2.0 μg/ml was defined as penicillin-susceptible S. pneumoniae (PSSP), penicillin-intermediately resistant S. pneumoniae (PISP), or penicillin-resistant S. pneumoniae (PRSP). H. influenzae was categorized in accordance with the combined results of a β-lactamase production test and the MIC for ampicillin (ABPC). β-lactamase-nonproducing, ABPC-susceptible H. influenzae (BLNAS) isolates had an ABPC MIC of <4 μg/ml; β-lactamase-nonproducing, ABPC-resistant H. influenzae (BLNAR) isolates had an ABPC MIC of ≥4 μg/ml; and β-lactamase producing, ABPC-resistant H. influenzae (BLPAR) isolates had an ABPC MIC of ≥4 μg/ml. S. aureus with an MIC of ≥4 μg/ml for oxacillin was defined as methicillin-resistant S. aureus (MRSA).
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3

Antimicrobial Susceptibility Testing of Staphylococcus aureus

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Antimicrobial susceptibility testing was conducted using the DxM MicroScan WalkAway ID/AST system. The antibiotics tested included: FOX (cefoxitin), OXA (oxacillin), ERY (erythromycin), CLI (clindamycin), CIP (ciprofloxacin), TET (tetracycline), GEN (gentamicin), RIF (rifampicin), SXT (sulfamethoxazole/trimethoprim), QD (quinupristin-dalfopristin), DAP (daptomycin), LNZ (linezolid), and VAN (vancomycin). Antibiotic MIC results were tested using MicroScan Panels (Beckman Coulter, Inc., Calif., United States). The resistance criteria were based on the Clinical and Laboratory Standards Institute (CLSI) 2021 guidelines (CLSI, 2021 ). Staphylococcus aureus ATCC 29213 was used as standard bacterial strain.
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4

Urine Culture and Antibiotic Susceptibility

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Urine cultures were performed as part of clinical routine following standard laboratory procedures. Cultures with growth yielding ≥105 colony-forming units/mL of a single bacterial type in a urine sample collected midstream were considered positive. Pyuria was defined as ≥10 white blood cells/mm3. Only one urine culture per patient was included.
Antibiotic susceptibility testing was performed by microdilution using MicroScan panels (Beckman Coulter, Brea, CA, USA) in an automated WalkAway system (Beckman Coulter). Results were interpreted following European Committee for Antimicrobial Susceptibility Testing (EUCAST) 2019 guidelines [8 ]. Isolates with AMC minimum inhibitory concentration (MIC) values >8 mg/L were considered resistant. Phenotypic detection of ESBLs and carbapenemases was in accordance with EUCAST recommendations [33 ]. Molecular confirmation of carbapenemases was by real time PCR, using LightMix® modular carbapenemase kits (TIB Molbiol, Berlin, Germany) in a LightCycler 480 II instrument (Roche Diagnostics, Rotkreuz, Switzerland).
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5

Antibiotic Susceptibility of P. aeruginosa

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Bacterial isolates were identified as P. aeruginosa following standard procedures. Antibiotic susceptibility testing of isolates was performed by broth microdilution using MicroScan® panels [Beckman-Coulter] in the automated MicroScan® WalkAway system [Beckman-Coulter]. The following antimicrobials were tested: ciprofloxacin, piperacillin-tazobactam, ceftazidime, cefepime, imipenem, meropenem, aztreonam, gentamicin, tobramycin, amikacin, and colistin. Ceftolozane-tazobactam was not in routine use for a large part of the study; it was tested by Etest® gradient diffusion (bioMérieux, Marcy-l'Etoile, France) from 2017 onwards. Antibiotic susceptibility testing results were categorized according to the European Committee on Antimicrobial Susceptibility Testing (EUCAST) criteria [25 ] in force at the time of urine culture.
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