1. A novel procedure for measuring bacterial ATP in septic blood enables rapid antimicrobial susceptibility testing
- Author
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Kazushige Sugie, Hideki Niimi, Tomohiro Ueno, Hideyuki Noda, Yuichi Uchiho, Shunsuke Kawabe, Masako Ishimaru, Hiroko Tada, Chihiro Uematsu, Fumiaki Hamazato, and Isao Kitajima
- Abstract
We developed a novel pretreatment procedure that destroys the plasma membrane of platelets but not the bacterial cell wall, allowing viable bacterial ATP in septic blood samples to be measured with minimal human-derived ATP background. After the pretreatment procedure with this approach, the plasma membranes of platelets are completely destroyed, and human-derived ATP background is dramatically decreased. To test the recovery rates of viable bacteria after pretreatment, we evaluated 19 bacterial genera. As a result, the mean recovery rates of viable bacteria were 93.6% using ATP bioluminescence and 71.9% using the colony-counting method. Finally, using the pretreatment procedure and ATP bioluminescence, rapid antimicrobial susceptibility testing of pathogenic bacteria in septic blood samples was performed, and LVFX resistance was determined within 6.5 h of whole blood collection. This novel pretreatment procedure will open up new possibilities concerning the utility of ATP bioluminescence in medicine.
- Published
- 2022
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