Twenty-three blood cultures spiked with genotypically characterized isolates were tested, plus four blood cultures from bacteraemic ill patients. Spiked blood cultures were generated by inoculating blood culture flasks (Bactec TM, Aerobic/F Culture Vials, Becton Dickinson, Germany) containing 10 mL of human blood and 200 μL of a suspension of the respective isolate derived from a fresh overnight culture (with a turbidity equivalent to that of a 0.5 McFarland standard). The spiked isolates were four
blaKPC, three
blaVIM, four
blaNDM, four
blaIMP, five
blaOXA-48 and three negative controls: one
blaSHV-12, one
blaCMY-2 and one
blaCTX-M-15. Incubation was performed in an automated system (
Bactec FX, Becton Dickinson, Germany) until the flask was flagged positive. In blood cultures obtained directly from the patients, the procedure was applied after the flask flagged was positive and once the GeneXpert procedure had been positive.
To 200 μL of sample (PBS from swab or blood culture) were added 180 μL of
MagNa Pure Bacteria Lysis Buffer (Roche Diagnostics) and 20 μL of
Proteinase K (20 μg/μL, Sigma–Aldrich, Germany). After incubation at 65°C for 10 min the solution was submitted to automatic DNA extraction, using the
MagNa Pure Compact Nucleic Acid Isolation Kit (Roche Diagnostics). After 25 min, the extraction was complete and the multiplex PCR was performed as explained above.
Oviaño M., Torres I., González M, & Bou G. (2016). Evaluation of a novel procedure for rapid detection of carbapenemase-producing Enterobacteriaceae (CPE) using the LightMix® modular carbapenemase kits. Journal of Antimicrobial Chemotherapy, 71(12), 3420-3423.