O'Hara C M, Smith P B, Schable B A
Hospital Infections Program, Centers for Disease Control, Atlanta.
J Clin Microbiol. 1988 Dec;26(12):2604-7. doi: 10.1128/jcm.26.12.2604-2607.1988.
A total of 932 typical and atypical enteric fermenters were used to evaluate the Mini-ID Enterobacteriaceae Screen/Identification System. At 4 h, final identifications were available for only 13.3%, but an additional 71% were screened into the correct group, according to the product's database. At 24 h, 58.8% were correctly identified to the species level, often with the use of an additional tube. When 118 of the cultures were arranged into a weighted assortment, as might be found in a clinical laboratory, 35 were definitively identified at 4 h, and another 72 were screened into the correct group. Of these 72, 31 were correctly identified to the species level at 24 h, for a total of 56.0%. False-negative ornithine and incorrect L-pyrrolidonyl-beta-naphthylamide and glucuronide xylopyranoside reactions accounted for 54% of the identification errors, while database problems accounted for 10.2% of the errors. Of the eight Salmonella paratyphi A cultures, seven were missed because of a false-positive lysine reaction. At best, the system serves only as a rough screen.
共有932株典型和非典型肠道发酵菌用于评估Mini-ID肠杆菌科筛查/鉴定系统。4小时时,仅13.3%的菌株可得到最终鉴定结果,但根据该产品的数据库,另有71%的菌株被筛选到正确的类别中。24小时时,58.8%的菌株被正确鉴定到种水平,通常需要额外使用一管培养基。当按照临床实验室可能出现的情况将118株培养物进行加权分类时,4小时时有35株被明确鉴定,另有72株被筛选到正确的类别中。在这72株中,24小时时有31株被正确鉴定到种水平,总计56.0%。鸟氨酸假阴性以及L-吡咯烷酮-β-萘酰胺和葡萄糖醛酸木糖苷反应错误占鉴定错误的54%,而数据库问题占错误的10.2%。在8株甲型副伤寒沙门菌培养物中,有7株因赖氨酸假阳性反应而未被检出。该系统充其量只能作为一个粗略的筛查工具。