Odumeru J A, Steele M, Fruhner L, Larkin C, Jiang J, Mann E, McNab W B
Laboratory Services Division, University of Guelph, Guelph, Ontario, Canada N1H 8J7.
J Clin Microbiol. 1999 Apr;37(4):944-9. doi: 10.1128/JCM.37.4.944-949.1999.
The performances of five automated microbial identification systems, relative to that of a reference identification system, for their ability to accurately and repeatedly identify six common food-borne pathogens were assessed. The systems assessed were the MicroLog system (Biolog Inc., Hayward, Calif.), the Microbial Identification System (MIS; MIDI Inc., Newark, Del.), the VITEK system (bioMérieux Vitek, Hazelwood, Mo.), the MicroScan WalkAway 40 system (Dade-MicroScan International, West Sacramento, Calif.), and the Replianalyzer system (Oxoid Inc., Nepean, Ontario, Canada). The sensitivities and specificities of these systems for the identification of food-borne isolates of Bacillus cereus, Campylobacter jejuni, Listeria monocytogenes, Staphylococcus aureus, Salmonella spp., and verotoxigenic Escherichia coli were determined with 40 reference positive isolates and 40 reference negative isolates for each pathogen. The sensitivities of these systems for the identification of these pathogens ranged from 42.5 to 100%, and the specificities of these systems for the identification of these pathogens ranged from 32.5 to 100%. Some of the systems had difficulty correctly identifying the reference isolates when the results were compared to those from the reference identification tests. The sensitivity of MIS for the identification of S. aureus, B. cereus, E. coli, and C. jejuni, for example, ranged from 47.5 to 72. 5%. The sensitivity of the Microlog system for the identification of E. coli was 72.5%, and the sensitivity of the VITEK system for the identification of B. cereus was 42.5%. The specificities of four of the five systems for the identification of all of the species tested with the available databases were greater than or equal to 97.5%; the exception was MIS for the identification of C. jejuni, which displayed a specificity of 32.5% when it was tested with reference negative isolates including Campylobacter coli and other Campylobacter species. All systems had >80% sensitivities for the identification of Salmonella species and Listeria species at the genus level. The repeatability of these systems for the identification of test isolates ranged from 30 to 100%. Not all systems included all six pathogens in their databases; thus, some species could not be tested with all systems. The choice of automated microbial identification system for the identification of a food-borne pathogen would depend on the availability of identification libraries within the systems and the performance of the systems for the identification of the pathogen.
评估了五种自动化微生物鉴定系统相对于一种参考鉴定系统准确且重复鉴定六种常见食源性病原体的能力。所评估的系统包括MicroLog系统(加利福尼亚州海沃德市的Biolog公司)、微生物鉴定系统(MIS;特拉华州纽瓦克市的MIDI公司)、VITEK系统(密苏里州黑兹尔伍德市的bioMérieux Vitek公司)、MicroScan WalkAway 40系统(加利福尼亚州西萨克拉门托市的Dade-MicroScan国际公司)以及Replianalyzer系统(加拿大安大略省内皮恩市的Oxoid公司)。用每种病原体的40株参考阳性菌株和40株参考阴性菌株测定了这些系统对蜡样芽孢杆菌、空肠弯曲菌、单核细胞增生李斯特菌、金黄色葡萄球菌、沙门氏菌属以及产志贺毒素大肠杆菌食源分离株的敏感性和特异性。这些系统对这些病原体的鉴定敏感性范围为42.5%至100%,特异性范围为32.5%至100%。将结果与参考鉴定试验结果相比较时,一些系统在正确鉴定参考菌株方面存在困难。例如,MIS对金黄色葡萄球菌、蜡样芽孢杆菌、大肠杆菌和空肠弯曲菌的鉴定敏感性范围为47.5%至72.5%。MicroLog系统对大肠杆菌的鉴定敏感性为72.5%,VITEK系统对蜡样芽孢杆菌的鉴定敏感性为42.5%。使用现有数据库时,五种系统中的四种对所有测试菌种的鉴定特异性大于或等于97.5%;例外的是MIS对空肠弯曲菌的鉴定,在用包括结肠弯曲菌和其他弯曲菌属菌种的参考阴性菌株进行测试时,其特异性为32.5%。所有系统对沙门氏菌属和李斯特菌属菌种在属水平上的鉴定敏感性均大于80%。这些系统对测试菌株鉴定的重复性范围为30%至100%。并非所有系统的数据库中都包含所有六种病原体;因此,有些菌种无法用所有系统进行测试。选择自动化微生物鉴定系统来鉴定食源性病原体将取决于系统内鉴定文库的可用性以及系统对该病原体的鉴定性能。