Westerdijk Fungal Biodiversity Institute, Utrecht, The Netherlands.
Department of Medical Microbiology, University Medical Center Utrecht, Utrecht, The Netherlands.
J Clin Microbiol. 2021 Mar 19;59(4). doi: 10.1128/JCM.03220-20.
Non- species are emerging in the nosocomial environment, with the multidrug-resistant (MDR) species being the most notorious example. Consequently, rapid and accurate species identification has become essential. The objective of this study was to evaluate five commercially available chromogenic media for the presumptive identification of Two novel chromogenic formulations, CHROMagar Plus (CHROMagar) and HiCrome MDR selective agar (HiMedia), and three reference media, CandiSelect (Bio-Rad), CHROMagar (CHROMagar), and Chromatic (Liofilchem), were inoculated with a collection of 9 genetically diverse strains and 35 strains from closely related comparator species. After 48 h of incubation, the media were evaluated for their ability to detect and identify All media had the same limitations in the differentiation of the more common species and Only on CHROMagar Plus did colonies develop a species-specific coloration. Nevertheless, the closely related pathogenic species and developed a similar appearance as on this medium. CHROMagar Plus was shown to be superior in the detection and identification of , with 100% inclusivity for compared to 0% and 33% for the reference media and HiCrome MDR selective agar, respectively. Although and can cause false positives, CHROMagar Plus was shown to be a valuable addition to the plethora of mostly molecular methods for detection and identification.
在医院环境中出现了非典型种,其中多药耐药(MDR)种是最臭名昭著的例子。因此,快速准确的种鉴定变得至关重要。本研究的目的是评估五种市售显色培养基对两种新型显色配方,CHROMagar Plus(CHROMagar)和 HiCrome MDR 选择性琼脂(HiMedia)以及三种参考培养基,CandiSelect(Bio-Rad),CHROMagar(CHROMagar)和 Chromatic(Liofilchem)进行鉴定。用 9 种遗传上不同的菌株和 35 种密切相关的比较种菌株接种后,在 48 小时孵育后,评估这些培养基检测和鉴定的能力。所有培养基在区分更常见的种方面都有相同的局限性,并且只有在 CHROMagar Plus 上,种特异性的颜色才能在 上发展。然而,密切相关的致病种 也在这种培养基上呈现出相似的外观。CHROMagar Plus 在检测和鉴定 方面表现出优越性,与参考培养基和 HiCrome MDR 选择性琼脂相比,其对 的包容性为 100%,而对 的包容性分别为 0%和 33%。尽管 和 可能导致假阳性,但 CHROMagar Plus 是对大多数主要基于分子方法的检测和鉴定的有益补充。