Evaluation of VITEK 2 for analysis of Enterobacteriaceae using the Advanced Expert System (AES) versus interpretive susceptibility guidelines used at Dynacare Kasper Medical Laboratories, Edmonton, Alberta
| Autor: | D. Andrews, C. Hetchler, L. Lapointe, E. Blondel-Hill |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Susceptibility testing business.industry Enterobacteriaceae Infections Broth microdilution Antimicrobial susceptibility Microbial Sensitivity Tests General Medicine Alberta Surgery fluids and secretions Infectious Diseases Enterobacteriaceae Data Interpretation Statistical Humans Medicine Medical physics business interpretive guidelines expert system Antibacterial agent |
| Zdroj: | Clinical Microbiology and Infection. 9(11):1091-1103 |
| ISSN: | 1198-743X |
| DOI: | 10.1046/j.1469-0691.2003.00697.x |
| Popis: | Objective To evaluate the applicability and adaptability of the bioMerieux VITEK 2 Advanced Expert System (AES) to the customized interpretive susceptibility guidelines used at Dynacare Kasper Medical Laboratories (DKML). Methods Three hundred isolates of Enterobacteriaceae (not more than 30% Escherichia coli ) were tested on the VITEK 2 system and the API 20E for identification. Susceptibility testing for these isolates was performed on the VITEK 2 system and the Pasco broth microdilution panels. Minimal inhibitory concentrations (MICs) and interpreted results according to the AES and DKML antimicrobial susceptibility guidelines were compared. Results Of 300 isolates tested for susceptibility, 13 did not give AES interpretations. Of the remaining 287 isolates, interpretations between AES and DKML guidelines were compared for 10 antibiotics. The overall correlation between the AES and DKML interpretations was 96.2%. Conclusion This study demonstrated the benefits and limitations of the bioMerieux AES. Automated knowledge-based systems provide a useful laboratory tool for the interpretation of susceptibility results. |
| Databáze: | OpenAIRE |
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