Multicenter clinical evaluation of VRESelect agar for identification of vancomycin-resistant Enterococcus faecalis and Enterococcus faecium

J Clin Microbiol. 2013 Aug;51(8):2758-60. doi: 10.1128/JCM.00979-13. Epub 2013 Jun 12.

Abstract

A chromogenic medium for identification of vancomycin-resistant Enterococcus faecalis and Enterococcus faecium, VRESelect, was compared to bile esculin azide agar with 6 μg/ml vancomycin (BEAV) for the isolation of vancomycin-resistant enterococci (VRE) from stool specimens. At 24 to 28 h, VRESelect demonstrated 98.7% (confidence interval [CI], 96.1 to 99.7%) sensitivity and 99.0% (CI, 98.0 to 99.6%) specificity versus 85.1% (CI, 79.8 to 89.5%) and 90.1% (CI, 79.8 to 89.5%) sensitivity and specificity, respectively, for BEAV.

Publication types

  • Multicenter Study

MeSH terms

  • Agar
  • Bacteriological Techniques / methods*
  • Chromogenic Compounds
  • Culture Media / chemistry*
  • Enterococcus faecalis / drug effects
  • Enterococcus faecalis / isolation & purification*
  • Enterococcus faecium / drug effects
  • Enterococcus faecium / isolation & purification*
  • Feces / microbiology
  • Gram-Positive Bacterial Infections / diagnosis*
  • Gram-Positive Bacterial Infections / microbiology
  • Humans
  • Prospective Studies
  • Sensitivity and Specificity
  • Time Factors
  • Vancomycin Resistance*

Substances

  • Chromogenic Compounds
  • Culture Media
  • Agar