Performance of the automated multiplex PCR Unyvero implant and tissue infections system in the management of diabetic foot osteomyelitis
We evaluated the performance of Unyvero implant and tissue infections system (ITI) application (Curetis) to diagnose Diabetic Foot Osteomyelitis (DFOM). The study was conducted in the Diabetic Foot reference center of Nîmes University Hospital (France) from 1 December 2016 to 31 May 2017. We compare...
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| Veröffentlicht in: | Future microbiology 2018-11, Vol.13 (15), p.1669-1681 |
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| creator | Dunyach-Remy, Catherine Carrere, Charlotte Marchandin, Hélène Schuldiner, Sophie Guedj, Anne-Marie Cellier, Nicolas Cadière, Axelle Lechiche, Catherine Sotto, Albert Lavigne, Jean-Philippe |
| description | We evaluated the performance of Unyvero implant and tissue infections system (ITI) application (Curetis) to diagnose Diabetic Foot Osteomyelitis (DFOM).
The study was conducted in the Diabetic Foot reference center of Nîmes University Hospital (France) from 1 December 2016 to 31 May 2017. We compared the Unyvero ITI PCR to conventional culture and alternative molecular approaches.
A total of 79 patients with DFOM were included: 177 microorganisms were isolated by culture, 146 detected by PCR, resulting in a concordance level of 66.7% (65.0-68.4). Discrepant results were obtained for 45 samples, with 59 microorganisms being detected by PCR only (18 samples) or by culture only (27 samples).
Unyvero ITI PCR represents an interesting additional diagnosis solution to manage DFOM. |
| doi_str_mv | 10.2217/fmb-2018-0213 |
| format | Article |
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The study was conducted in the Diabetic Foot reference center of Nîmes University Hospital (France) from 1 December 2016 to 31 May 2017. We compared the Unyvero ITI PCR to conventional culture and alternative molecular approaches.
A total of 79 patients with DFOM were included: 177 microorganisms were isolated by culture, 146 detected by PCR, resulting in a concordance level of 66.7% (65.0-68.4). Discrepant results were obtained for 45 samples, with 59 microorganisms being detected by PCR only (18 samples) or by culture only (27 samples).
Unyvero ITI PCR represents an interesting additional diagnosis solution to manage DFOM.</description><identifier>ISSN: 1746-0913</identifier><identifier>EISSN: 1746-0921</identifier><identifier>DOI: 10.2217/fmb-2018-0213</identifier><identifier>PMID: 30489144</identifier><language>eng</language><publisher>England: Future Medicine Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Amputation ; Antibiotics ; Antimicrobial agents ; Automation ; Bacteria ; Bacteria - genetics ; Bacteria - isolation & purification ; Bacteria - pathogenicity ; Biopsy ; culture ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 1 ; Diabetes Mellitus, Type 2 ; Diabetic Foot - diagnosis ; Diabetic Foot - microbiology ; diabetic foot osteomyelitis ; Disease Management ; Drug Resistance, Microbial ; Feet ; Female ; Foot diseases ; France ; Fungi - genetics ; Fungi - isolation & purification ; Fungi - pathogenicity ; Genes ; Humans ; Infections ; Life Sciences ; Male ; Medical diagnosis ; microbial diagnosis ; Microorganisms ; Middle Aged ; multiplex PCR ; Multiplex Polymerase Chain Reaction - instrumentation ; Multiplex Polymerase Chain Reaction - methods ; Osteomyelitis ; Osteomyelitis - diagnosis ; Osteomyelitis - microbiology ; Pathogens ; Prostheses and Implants ; Prosthesis-Related Infections - diagnosis ; Prosthesis-Related Infections - microbiology ; resistance ; Sepsis - diagnosis ; Sepsis - microbiology ; Software ; Ulcers ; Unyvero ITI</subject><ispartof>Future microbiology, 2018-11, Vol.13 (15), p.1669-1681</ispartof><rights>2018 Future Medicine Ltd</rights><rights>Copyright Future Medicine Ltd Nov 2018</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-466ba37cc7dbc06c5823f06f0075caa6b76e5ccde847d386091917378d26c2523</citedby><cites>FETCH-LOGICAL-c405t-466ba37cc7dbc06c5823f06f0075caa6b76e5ccde847d386091917378d26c2523</cites><orcidid>0000-0003-2130-6335 ; 0000-0001-8070-2077</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30489144$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-02359778$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Dunyach-Remy, Catherine</creatorcontrib><creatorcontrib>Carrere, Charlotte</creatorcontrib><creatorcontrib>Marchandin, Hélène</creatorcontrib><creatorcontrib>Schuldiner, Sophie</creatorcontrib><creatorcontrib>Guedj, Anne-Marie</creatorcontrib><creatorcontrib>Cellier, Nicolas</creatorcontrib><creatorcontrib>Cadière, Axelle</creatorcontrib><creatorcontrib>Lechiche, Catherine</creatorcontrib><creatorcontrib>Sotto, Albert</creatorcontrib><creatorcontrib>Lavigne, Jean-Philippe</creatorcontrib><title>Performance of the automated multiplex PCR Unyvero implant and tissue infections system in the management of diabetic foot osteomyelitis</title><title>Future microbiology</title><addtitle>Future Microbiol</addtitle><description>We evaluated the performance of Unyvero implant and tissue infections system (ITI) application (Curetis) to diagnose Diabetic Foot Osteomyelitis (DFOM).
The study was conducted in the Diabetic Foot reference center of Nîmes University Hospital (France) from 1 December 2016 to 31 May 2017. We compared the Unyvero ITI PCR to conventional culture and alternative molecular approaches.
A total of 79 patients with DFOM were included: 177 microorganisms were isolated by culture, 146 detected by PCR, resulting in a concordance level of 66.7% (65.0-68.4). Discrepant results were obtained for 45 samples, with 59 microorganisms being detected by PCR only (18 samples) or by culture only (27 samples).
Unyvero ITI PCR represents an interesting additional diagnosis solution to manage DFOM.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amputation</subject><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>Automation</subject><subject>Bacteria</subject><subject>Bacteria - genetics</subject><subject>Bacteria - isolation & purification</subject><subject>Bacteria - pathogenicity</subject><subject>Biopsy</subject><subject>culture</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Type 1</subject><subject>Diabetes Mellitus, Type 2</subject><subject>Diabetic Foot - diagnosis</subject><subject>Diabetic Foot - microbiology</subject><subject>diabetic foot osteomyelitis</subject><subject>Disease Management</subject><subject>Drug Resistance, Microbial</subject><subject>Feet</subject><subject>Female</subject><subject>Foot diseases</subject><subject>France</subject><subject>Fungi - genetics</subject><subject>Fungi - isolation & purification</subject><subject>Fungi - pathogenicity</subject><subject>Genes</subject><subject>Humans</subject><subject>Infections</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>microbial diagnosis</subject><subject>Microorganisms</subject><subject>Middle Aged</subject><subject>multiplex PCR</subject><subject>Multiplex Polymerase Chain Reaction - instrumentation</subject><subject>Multiplex Polymerase Chain Reaction - methods</subject><subject>Osteomyelitis</subject><subject>Osteomyelitis - diagnosis</subject><subject>Osteomyelitis - microbiology</subject><subject>Pathogens</subject><subject>Prostheses and Implants</subject><subject>Prosthesis-Related Infections - diagnosis</subject><subject>Prosthesis-Related Infections - microbiology</subject><subject>resistance</subject><subject>Sepsis - diagnosis</subject><subject>Sepsis - microbiology</subject><subject>Software</subject><subject>Ulcers</subject><subject>Unyvero ITI</subject><issn>1746-0913</issn><issn>1746-0921</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU1v1DAQhiNERUvhyBVZ4gKHFH8kdnKsVkCRVmpV0bPlOGPqKo4X26nYf8DPZpaUPSBxsj16_Ghm3qp6w-gF50x9dGGoOWVdTTkTz6ozphpZ056z58c7E6fVy5wfKG071rMX1amgTdezpjmrft1AcjEFM1sg0ZFyD8QsJQZTYCRhmYrfTfCT3Gxuyd28f4QUiQ-7ycyFmHkkxee8APGzA1t8nDPJ-1wgYOWPC8XmOwRAHO2jNwMUb4mLEQsIxrCHyaPlVXXizJTh9dN5Xt19_vRtc1Vvr7983Vxua9vQttSNlIMRylo1DpZK23ZcOCodpaq1xshBSWitHaFr1Cg6idP3TAnVjVxa3nJxXn1Yvfdm0rvkg0l7HY3XV5dbfahRLtpeqe6RIft-ZXcp_lggFx18tjDh9BCXrHHjPTbQiB7Rd_-gD3FJM06iueCdUrynAql6pWyKOSdwxw4Y1Yc4NcapD3HqQ5zIv32yLkOA8Uj_zQ-BfgXcUpYE2XrAIPX6wh_e-hn-I_8NAMKvVQ</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Dunyach-Remy, Catherine</creator><creator>Carrere, Charlotte</creator><creator>Marchandin, Hélène</creator><creator>Schuldiner, Sophie</creator><creator>Guedj, Anne-Marie</creator><creator>Cellier, Nicolas</creator><creator>Cadière, Axelle</creator><creator>Lechiche, Catherine</creator><creator>Sotto, Albert</creator><creator>Lavigne, Jean-Philippe</creator><general>Future Medicine Ltd</general><general>Future Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0003-2130-6335</orcidid><orcidid>https://orcid.org/0000-0001-8070-2077</orcidid></search><sort><creationdate>20181101</creationdate><title>Performance of the automated multiplex PCR Unyvero implant and tissue infections system in the management of diabetic foot osteomyelitis</title><author>Dunyach-Remy, Catherine ; Carrere, Charlotte ; Marchandin, Hélène ; Schuldiner, Sophie ; Guedj, Anne-Marie ; Cellier, Nicolas ; Cadière, Axelle ; Lechiche, Catherine ; Sotto, Albert ; Lavigne, Jean-Philippe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-466ba37cc7dbc06c5823f06f0075caa6b76e5ccde847d386091917378d26c2523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amputation</topic><topic>Antibiotics</topic><topic>Antimicrobial agents</topic><topic>Automation</topic><topic>Bacteria</topic><topic>Bacteria - genetics</topic><topic>Bacteria - isolation & purification</topic><topic>Bacteria - pathogenicity</topic><topic>Biopsy</topic><topic>culture</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Type 1</topic><topic>Diabetes Mellitus, Type 2</topic><topic>Diabetic Foot - diagnosis</topic><topic>Diabetic Foot - microbiology</topic><topic>diabetic foot osteomyelitis</topic><topic>Disease Management</topic><topic>Drug Resistance, Microbial</topic><topic>Feet</topic><topic>Female</topic><topic>Foot diseases</topic><topic>France</topic><topic>Fungi - genetics</topic><topic>Fungi - isolation & purification</topic><topic>Fungi - pathogenicity</topic><topic>Genes</topic><topic>Humans</topic><topic>Infections</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>microbial diagnosis</topic><topic>Microorganisms</topic><topic>Middle Aged</topic><topic>multiplex PCR</topic><topic>Multiplex Polymerase Chain Reaction - instrumentation</topic><topic>Multiplex Polymerase Chain Reaction - methods</topic><topic>Osteomyelitis</topic><topic>Osteomyelitis - diagnosis</topic><topic>Osteomyelitis - microbiology</topic><topic>Pathogens</topic><topic>Prostheses and Implants</topic><topic>Prosthesis-Related Infections - diagnosis</topic><topic>Prosthesis-Related Infections - microbiology</topic><topic>resistance</topic><topic>Sepsis - diagnosis</topic><topic>Sepsis - microbiology</topic><topic>Software</topic><topic>Ulcers</topic><topic>Unyvero ITI</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dunyach-Remy, Catherine</creatorcontrib><creatorcontrib>Carrere, Charlotte</creatorcontrib><creatorcontrib>Marchandin, Hélène</creatorcontrib><creatorcontrib>Schuldiner, Sophie</creatorcontrib><creatorcontrib>Guedj, Anne-Marie</creatorcontrib><creatorcontrib>Cellier, Nicolas</creatorcontrib><creatorcontrib>Cadière, Axelle</creatorcontrib><creatorcontrib>Lechiche, Catherine</creatorcontrib><creatorcontrib>Sotto, Albert</creatorcontrib><creatorcontrib>Lavigne, Jean-Philippe</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>UK & Ireland Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Biological Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Future microbiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dunyach-Remy, Catherine</au><au>Carrere, Charlotte</au><au>Marchandin, Hélène</au><au>Schuldiner, Sophie</au><au>Guedj, Anne-Marie</au><au>Cellier, Nicolas</au><au>Cadière, Axelle</au><au>Lechiche, Catherine</au><au>Sotto, Albert</au><au>Lavigne, Jean-Philippe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Performance of the automated multiplex PCR Unyvero implant and tissue infections system in the management of diabetic foot osteomyelitis</atitle><jtitle>Future microbiology</jtitle><addtitle>Future Microbiol</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>13</volume><issue>15</issue><spage>1669</spage><epage>1681</epage><pages>1669-1681</pages><issn>1746-0913</issn><eissn>1746-0921</eissn><abstract>We evaluated the performance of Unyvero implant and tissue infections system (ITI) application (Curetis) to diagnose Diabetic Foot Osteomyelitis (DFOM).
The study was conducted in the Diabetic Foot reference center of Nîmes University Hospital (France) from 1 December 2016 to 31 May 2017. We compared the Unyvero ITI PCR to conventional culture and alternative molecular approaches.
A total of 79 patients with DFOM were included: 177 microorganisms were isolated by culture, 146 detected by PCR, resulting in a concordance level of 66.7% (65.0-68.4). Discrepant results were obtained for 45 samples, with 59 microorganisms being detected by PCR only (18 samples) or by culture only (27 samples).
Unyvero ITI PCR represents an interesting additional diagnosis solution to manage DFOM.</abstract><cop>England</cop><pub>Future Medicine Ltd</pub><pmid>30489144</pmid><doi>10.2217/fmb-2018-0213</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-2130-6335</orcidid><orcidid>https://orcid.org/0000-0001-8070-2077</orcidid></addata></record> |
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| source | MEDLINE; PubMed Central |
| subjects | Adult Aged Aged, 80 and over Amputation Antibiotics Antimicrobial agents Automation Bacteria Bacteria - genetics Bacteria - isolation & purification Bacteria - pathogenicity Biopsy culture Diabetes Diabetes mellitus Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Diabetic Foot - diagnosis Diabetic Foot - microbiology diabetic foot osteomyelitis Disease Management Drug Resistance, Microbial Feet Female Foot diseases France Fungi - genetics Fungi - isolation & purification Fungi - pathogenicity Genes Humans Infections Life Sciences Male Medical diagnosis microbial diagnosis Microorganisms Middle Aged multiplex PCR Multiplex Polymerase Chain Reaction - instrumentation Multiplex Polymerase Chain Reaction - methods Osteomyelitis Osteomyelitis - diagnosis Osteomyelitis - microbiology Pathogens Prostheses and Implants Prosthesis-Related Infections - diagnosis Prosthesis-Related Infections - microbiology resistance Sepsis - diagnosis Sepsis - microbiology Software Ulcers Unyvero ITI |
| title | Performance of the automated multiplex PCR Unyvero implant and tissue infections system in the management of diabetic foot osteomyelitis |
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