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A 5-year study of the performance of the Verigene Gram-positive blood culture panel in a pediatric hospital

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Abstract

High accuracy of direct from positive blood culture molecular panels is imperative, particularly for the detection of resistance determinants as it allows for antimicrobial optimization prior to conventional susceptibility testing. In this study, we provide extensive data since implementation of the Verigene Gram-positive blood culture panel (BC-GP) in 2013. Within 5 years, 1636 blood culture bottles positive for a Gram-positive organism were tested on the BC-GP panel. The BC-GP panel identified 1520 Gram-positive organisms in 1636 (92.9%) blood cultures tested. For positive blood cultures, we observed 96.4% (806/834) concordance to the species level. Compared with conventional antimicrobial susceptibility testing, the positive percent agreement (PPA) of methicillin-resistant SA (MRSA) (50) and methicillin-resistant SE (MRSE) (365) was 100%. The mecA gene was detected in two methicillin-susceptible Staphylococcus aureus (MSSA) and one methicillin-susceptible S. epidermidis (MSSE) with a negative percent agreement (NPA) of 99.1% (221/223) and 99.2% (120/121), respectively. The PPA and NPA for vancomycin-resistant Enterococcus faecium (VRE) was 100%. The BC-GP panel demonstrated excellent performance and clinicians can confidently de-escalate antimicrobial therapy in the absence of mecA and vanA/B gene.

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Authors and Affiliations

  1. Department of Pathology and Laboratory Medicine, Children’s Hospital Los Angeles, Los Angeles, CA, USA

    Chairut Vareechon, Javier Mestas, Claudia M. Polanco & Jennifer Dien Bard

  2. Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Jennifer Dien Bard

Authors
  1. Chairut Vareechon
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  2. Javier Mestas
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  3. Claudia M. Polanco
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  4. Jennifer Dien Bard
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Corresponding author

Correspondence to Jennifer Dien Bard.

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Conflict of interest

This study was not funded by an outside source. J.D.B is has received research funding from Luminex Corporation for other studies not related to this work. All other authors have no reported conflicts of interest. J.M. has collaborated with Luminex Corporation on clinical studies outside the submitted work.

Ethical approval

This study was approved by Children’s Hospital Los Angeles Institutional Review Board (ID: CHLA-18-00071).

Informed consent

Not applicable as per CHLA Institutional Review Board (CHLA-18-0071)

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Vareechon, C., Mestas, J., Polanco, C.M. et al. A 5-year study of the performance of the Verigene Gram-positive blood culture panel in a pediatric hospital. Eur J Clin Microbiol Infect Dis 37, 2091–2096 (2018). https://doi.org/10.1007/s10096-018-3343-2

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  • DOI: https://doi.org/10.1007/s10096-018-3343-2

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