16S rRNA Gene Sequencing versus the API 20 NE System and the VITEK 2 ID-GNB Card for Identification of Nonfermenting Gram-Negative Bacteria in the Clinical Laboratory

Over a period of 26 months, we have evaluated in a prospective fashion the use of 16S rRNA gene sequencing as a means of identifying clinically relevant isolates of nonfermenting gram-negative bacilli (non-Pseudomonas aeruginosa) in the microbiology laboratory. The study was designed to compare phen...

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Veröffentlicht in:Journal of Clinical Microbiology 2006-04, Vol.44 (4), p.1359-1366
Hauptverfasser: Bosshard, P. P, Zbinden, R, Abels, S, Böddinghaus, B, Altwegg, M, Böttger, E. C
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container_end_page 1366
container_issue 4
container_start_page 1359
container_title Journal of Clinical Microbiology
container_volume 44
creator Bosshard, P. P
Zbinden, R
Abels, S
Böddinghaus, B
Altwegg, M
Böttger, E. C
description Over a period of 26 months, we have evaluated in a prospective fashion the use of 16S rRNA gene sequencing as a means of identifying clinically relevant isolates of nonfermenting gram-negative bacilli (non-Pseudomonas aeruginosa) in the microbiology laboratory. The study was designed to compare phenotypic with molecular identification. Results of molecular analyses were compared with two commercially available identification systems (API 20 NE, VITEK 2 fluorescent card; bioMérieux, Marcy l'Etoile, France). By 16S rRNA gene sequence analyses, 92% of the isolates were assigned to species level and 8% to genus level. Using API 20 NE, 54% of the isolates were assigned to species and 7% to genus level, and 39% of the isolates could not be discriminated at any taxonomic level. The respective numbers for VITEK 2 were 53%, 1%, and 46%, respectively. Fifteen percent and 43% of the isolates corresponded to species not included in the API 20 NE and VITEK 2 databases, respectively. We conclude that 16S rRNA gene sequencing is an effective means for the identification of clinically relevant nonfermenting gram-negative bacilli. Based on our experience, we propose an algorithm for proper identification of nonfermenting gram-negative bacilli in the diagnostic laboratory.
doi_str_mv 10.1128/jcm.44.4.1359-1366.2006
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subjects Bacterial Typing Techniques - instrumentation
Bacterial Typing Techniques - methods
Bacterial Typing Techniques - standards
Bacteriology
Biological and medical sciences
DNA, Bacterial - genetics
Fermentation
Fundamental and applied biological sciences. Psychology
Gram-Negative Bacteria - genetics
Gram-Negative Bacteria - isolation & purification
Gram-Negative Bacterial Infections - diagnosis
Gram-Negative Bacterial Infections - microbiology
Humans
Infectious diseases
Laboratories
Medical sciences
Microbiology
Prospective Studies
Reagent Kits, Diagnostic
RNA, Ribosomal, 16S - analysis
RNA, Ribosomal, 16S - genetics
title 16S rRNA Gene Sequencing versus the API 20 NE System and the VITEK 2 ID-GNB Card for Identification of Nonfermenting Gram-Negative Bacteria in the Clinical Laboratory
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