Performance of the VITEK2 system for identification and susceptibility testing of routine Enterobacteriaceae clinical isolates

Int J Antimicrob Agents. 2001 May;17(5):371-6. doi: 10.1016/s0924-8579(01)00318-1.

Abstract

The VITEK2 system was evaluated with 138 fresh consecutive routine clinical Enterobacteriaceae isolates. Susceptibility results to 10 beta-lactams, three aminoglycosides and a quinolone were compared with those obtained following the NCCLS standard microdilution. API20E was used as reference method for identification. All but three isolates were correctly identified in 3 h at species level (97.8%), two isolates (1.4%) at genus level and only one isolate was misidentified. Overall essential agreement for susceptibility testing was 97.1%. Discrepancies were mainly observed with piperacillin (1.1%), cefuroxime (0.6%) and amoxycillin/clavulanate (0.3%). Discrepancies for aminoglycosides and ciprofloxacin were low (<0.1%). Minor, major and very major errors (NCCLS categories) were 4.1%, 0.2% and 6.1%, respectively. Very major errors were due to piperacillin (4.5%), ampicillin (0.8%) and amoxycillin/clavulanate (0.8%). The VITEK2 system gave accurate identification and susceptibility testing results of routine Enterobacteriaceae clinical isolates.

Publication types

  • Evaluation Study

MeSH terms

  • 4-Quinolones
  • Aminoglycosides
  • Anti-Bacterial Agents / pharmacology*
  • Anti-Infective Agents / pharmacology*
  • Enterobacteriaceae / classification
  • Enterobacteriaceae / drug effects*
  • Enterobacteriaceae / isolation & purification
  • Humans
  • Lactams
  • Microbial Sensitivity Tests / methods*
  • Reproducibility of Results
  • Sensitivity and Specificity

Substances

  • 4-Quinolones
  • Aminoglycosides
  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Lactams