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Article

The Rapid Phenotypic Susceptibility Testing in Real-Life Experience: How the MIC Values Impact on Sepsis Fast Diagnostic Workflow

1
U.O.C. Laboratory Analysis A.O.U. “Policlinico—San Marco”, Via Santa Sofia 78, 95123 Catania, Italy
2
U.O.C. Clinical Microbiology, “Civico-Di Cristina-Benfratelli” Hospital, Piazza Nicola Leotta 4, 90127 Palermo, Italy
3
Department of Biomedical and Biotechnological Sciences, University of Catania, Via Santa Sofia 97, 95123 Catania, Italy
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(1), 56; https://doi.org/10.3390/diagnostics14010056
Submission received: 18 November 2023 / Revised: 22 December 2023 / Accepted: 25 December 2023 / Published: 26 December 2023
(This article belongs to the Special Issue Laboratory Diagnosis in Microbial Diseases, 2nd Edition)

Abstract

The MIC value definition faithfully reflects antimicrobial sensitivity, profoundly impacting the infection's clinical outcome. Our study aimed to evaluate the Accelerate PhenoTM System in defining the importance of fast phenotypic susceptibility data. A number of 270 monomicrobial samples simultaneously underwent standard procedures and fast protocols after a contemporary Gram stain. Finally, we provided Turn-around Time (TAT) and statistical evaluations. The fast technology required a medium value of 7 h to complete ID and AST profiles. Although there were some spectrum limitations, it revealed an optimal success rate in microbial identification directly from positive blood cultures. The Gram-negative AST reached a 98.9% agreement between the Accelerate Pheno™ System and the standard method. In addition, the Gram-positive AST gathered a 98.7% agreement comparing the same systems. The chance to rapidly provide precise MIC values is one of the last frontiers in clinical microbiology, especially in high-prevalence antimicrobial resistance areas.
Keywords: sepsis; MIC value; rapid phenotypic AST sepsis; MIC value; rapid phenotypic AST

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MDPI and ACS Style

Migliorisi, G.; Calvo, M.; Collura, A.; Di Bernardo, F.; Perez, M.; Scalia, G.; Stefani, S. The Rapid Phenotypic Susceptibility Testing in Real-Life Experience: How the MIC Values Impact on Sepsis Fast Diagnostic Workflow. Diagnostics 2024, 14, 56. https://doi.org/10.3390/diagnostics14010056

AMA Style

Migliorisi G, Calvo M, Collura A, Di Bernardo F, Perez M, Scalia G, Stefani S. The Rapid Phenotypic Susceptibility Testing in Real-Life Experience: How the MIC Values Impact on Sepsis Fast Diagnostic Workflow. Diagnostics. 2024; 14(1):56. https://doi.org/10.3390/diagnostics14010056

Chicago/Turabian Style

Migliorisi, Giuseppe, Maddalena Calvo, Antonina Collura, Francesca Di Bernardo, Marianna Perez, Guido Scalia, and Stefania Stefani. 2024. "The Rapid Phenotypic Susceptibility Testing in Real-Life Experience: How the MIC Values Impact on Sepsis Fast Diagnostic Workflow" Diagnostics 14, no. 1: 56. https://doi.org/10.3390/diagnostics14010056

APA Style

Migliorisi, G., Calvo, M., Collura, A., Di Bernardo, F., Perez, M., Scalia, G., & Stefani, S. (2024). The Rapid Phenotypic Susceptibility Testing in Real-Life Experience: How the MIC Values Impact on Sepsis Fast Diagnostic Workflow. Diagnostics, 14(1), 56. https://doi.org/10.3390/diagnostics14010056

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