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Limbago, Brandi

Mayo Clinic

Centers for Disease Control and Prevention

Citations 1

Multicenter Performance Assessment of Carba NP Test
Cunningham, Scott A. , Limbago, Brandi, Traczewski, Maria M., Anderson, Karen, Hackel, Meredith , Hindler, Janet A., Sahm, Dan, Alyanak, Efe, Lawsin, Adrian , Man, Tom J. B. de , Mandrekar, Jayawant N. , Jenkins, Stephen G., Humphries, Romney M. , Palavecino, Elizabeth , Patel, Robin , Vasoo, Shawn , Gulvik, Christopher A. , Schuetz, Audrey N. , Patel, Robin , Humphries, Romney , Cunningham, Scott A

Journal of Clinical Microbiology | April 13, 2017 | Volume: 55 | Issue: 6 | Pages: 1954-1960

10.1128/jcm.00244-17 Get It

ABSTRACT Eighty Gram-negative bacilli (54 Enterobacteriaceae and 26 nonfermenting Gram-negative bacilli) obtained from multiple institutions in the United States were distributed in a blinded manner to seven testing laboratories to compare their performance of a test for detection of carbapenemase production, the Carba NP test. The Carba NP test was performed by all laboratories, following the Clinical and Laboratory Standards Institute (CLSI) procedure. Site-versus-site comparisons demonstrated a high level of consistency for the Carba NP assay, with just 3/21 site comparisons yielding a difference in sensitivity ( P < 0.05). Previously described limitations with bla OXA-48-like carbapenemases and bla OXA carbapenemases associated with Acinetobacter baumannii were noted. Based on these data, we demonstrate that the Carba NP test, when implemented with the standardized CLSI methodology, provides reproducible results across multiple sites for detection of carbapenemases.