title: [Evaluation of chromogenic medium CPS ID2 (bioMérieux) in urine cultures].
abstract: BACKGROUND
  The aim of the study was to evaluate the chromogenic agar plate CPS ID2 (bioMérieux) and determine its cost-benefit ratio.
  
  
  METHODS
  A total of 2,193 urinary sediments were processed. The urine culture was carried out in CPS ID2 agar and in cystine-lactose electrolyte deficient (CLED) agar, when needed. Identification of the microorganisms was performed following standard microbiologic procedures through biochemical tests prepared in our laboratory. The identification, from CPS ID2 agar, by direct detection in medium of four metabolic activities: beta-glucuronidase, beta-glucosidase, deaminase, and indol production, was performed following to manufacturer's instructions.
  
  
  RESULTS
  A total of 289 urine cultures were positive, 18 were negative and 34 were contaminated samples. The identification, directly performed from the colonies detected in CPS ID2 agar, was correct in 96% of 166 Escherichia coli, in 92% of 24 Proteus mirabilis and in 97% of 38 enterococci. CPS ID2 agar exhibited 94% and 100% sensitivity and specificity, respectively in E. coli identification, 92% and 100% in P. mirabilis and 97% and 99% in Enterococcus. The use of this new media, CPS ID2, in our laboratory, implies a budgetary increment. However, if commercial galleries are used for routine identification, the cost will be reduced using this new media.
  
  
  CONCLUSIONS
  The CPS ID2 agar allows the isolation and direct identification of the most frequent urinary tract pathogens: E. coli, P. mirabilis and Enterococcus in primary isolation medium. Using this medium, bacteriologists will be able to save time and reagents when identifying the most common uropathogens. Furthermore, the use of this medium would reduce costs in some laboratories.
authors.affiliation: Servicio de Microbiología, Hospital de la Santa Creu i Sant Pau, Barcelona.
authors.forename: F
authors.initials: F
authors.lastname: Navarro
authors.forename: I
authors.initials: I
authors.lastname: Fuentes
authors.forename: C
authors.initials: C
authors.lastname: Izquierdo
authors.forename: F
authors.initials: F
authors.lastname: Sánchez
authors.forename: G
authors.initials: G
authors.lastname: Prats
mesh_terms: D000362:Agar; D000594:Amino Acid Oxidoreductases / Q000032:analysis; D001426:Bacterial Proteins / Q000032:analysis; D001431:Bacteriological Techniques; D002176:Candida albicans / Q000201:enzymology / Q000302:isolation & purification; D002177:Candidiasis / Q000382:microbiology / Q000652:urine; D002863:Chromogenic Compounds; D003362:Cost-Benefit Analysis; D003470:Culture Media / Q000191:economics / Q000378:metabolism; D004755:Enterobacteriaceae / Q000201:enzymology / Q000302:isolation & purification; D004756:Enterobacteriaceae Infections / Q000382:microbiology* / Q000652:urine; D005069:Evaluation Studies as Topic; D005966:Glucuronidase / Q000032:analysis; D006090:Gram-Negative Bacteria / Q000201:enzymology / Q000302:isolation & purification* / Q000378:metabolism; D016905:Gram-Negative Bacterial Infections / Q000382:microbiology* / Q000652:urine; D006094:Gram-Positive Bacteria / Q000201:enzymology / Q000302:isolation & purification* / Q000378:metabolism; D016908:Gram-Positive Bacterial Infections / Q000382:microbiology* / Q000652:urine; D006801:Humans; D007211:Indoles / Q000032:analysis; D050830:L-Amino Acid Oxidase; D014552:Urinary Tract Infections / Q000382:microbiology* / Q000652:urine; D014556:Urine / Q000382:microbiology*; D001617:beta-Glucosidase / Q000032:analysis
chemical_list: D001426:Bacterial Proteins; C104190:CPS ID2 agar; D002863:Chromogenic Compounds; D003470:Culture Media; D007211:Indoles; D000362:Agar; D000594:Amino Acid Oxidoreductases; D050830:L-Amino Acid Oxidase; D001617:beta-Glucosidase; D005966:Glucuronidase
vernacular_title: Evaluación del medio cromogénico CPS ID2 (bioMérieux) en urinocultivos.