title: The resazurin microplate method for rapid detection of vancomycin resistance in enterococci.
abstract: Vancomycin-resistant enterococci (VRE) are a serious challenge for physicians because of the limited treatment options for infections caused by this organism. Prevention of VRE transmission in hospitals requires early detection of infected or colonized patients. Therefore rapid and correct detection of vancomycin resistance is essential. In this study, we use the resazurin microplate method (RMM), which is a modification of the NCCLS and BSAC broth microdilution methods to rapidly determine the susceptibilities of clinical enterococci isolates to vancomycin. The alteration in the RMM was relevant to the final bacterial count. In this method, inoculum that was 10-fold higher than standard methods was used. A total of 80 enterococci, including 11 VRE isolates and 6 vancomycin intermediate isolates, were screened with this modified colorimetric broth microdilution method. After 4 h of incubation 30 microl of 0.01% resazurin solution were added to each well and the plates were reincubated for color change for 5-10 min. The MICs were obtained at the 4th h. The results were in exact agreement with the NCCLS and the BSAC microdilution methods. Absolute and essential agreements were 100% and there were no minor, major or very major errors. In conclusion, this modified colorimetric broth microdilution method can be used as a reliable, easy, cheap and rapid method for early detection of VRE. Moreover, this method has the potential of being used to test the susceptibilities of different bacteria to other antibiotics.
authors.affiliation: Ondokuz Mayis University, Medical School, Department of Microbiology and Clinical Microbiology, Samsun, Turkey. noahmet@yahoo.com
authors.forename: A Y
authors.initials: AY
authors.lastname: Coban
authors.forename: O
authors.initials: O
authors.lastname: Darka
authors.forename: N
authors.initials: N
authors.lastname: Tasdelen Fisgin
authors.forename: C C
authors.initials: CC
authors.lastname: Cihan
authors.forename: K
authors.initials: K
authors.lastname: Bilgin
authors.forename: A
authors.initials: A
authors.lastname: Akgunes
authors.forename: T
authors.initials: T
authors.lastname: Guven
authors.forename: B
authors.initials: B
authors.lastname: Dokuzoguz
authors.forename: A
authors.initials: A
authors.lastname: Birinci
authors.forename: B
authors.initials: B
authors.lastname: Durupinar
mesh_terms: D015169:Colony Count, Microbial; D017077:Culture Media, Conditioned; D024881:Drug Resistance, Bacterial; D016983:Enterococcus / Q000187:drug effects* / Q000254:growth & development* / Q000302:isolation & purification; D006801:Humans; D008826:Microbial Sensitivity Tests / Q000379:methods; D010078:Oxazines / Q000494:pharmacology*; D011336:Probability; D012494:Sampling Studies; D012680:Sensitivity and Specificity; D020713:Vancomycin Resistance; D014966:Xanthenes / Q000494:pharmacology*
chemical_list: D017077:Culture Media, Conditioned; D010078:Oxazines; D014966:Xanthenes; C005843:resazurin