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Validation and implementation of a commercial real‐time PCR assay for direct detection of Candida auris from surveillance samples
Author(s) -
Mulet Bayona Juan V.,
Salvador García Carme,
Tormo Palop Nuria,
Gimeno Cardona Concepción
Publication year - 2021
Publication title -
mycoses
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.13
H-Index - 69
eISSN - 1439-0507
pISSN - 0933-7407
DOI - 10.1111/myc.13250
Subject(s) - candida auris , dna extraction , serial dilution , predictive value , isolation (microbiology) , microbiology and biotechnology , polymerase chain reaction , biology , medicine , chromatography , chemistry , pathology , biochemistry , alternative medicine , antifungal , gene
Background Rapid and reliable laboratory methods are required for detecting the nosocomial yeast Candida auris . AurisID ® (Olm Diagnostics) is a real‐time PCR assay approved for detecting C. auris in fungal cultures and directly from blood samples, involving a nucleic acid extraction as a prior step. Objectives The purpose of this study is to validate the AurisID ® kit for direct detection of C. auris from surveillance samples without prior DNA extraction and to analyse the results of implementing this methodology to our daily laboratory routine protocol for C. auris surveillance studies. Methods Our PCR method using the AurisID ® kit was compared with our routine protocol, consisting of culture in CHROMagar ® Candida and identification by mass spectrometry. A total of 113 swabs were used for validation and 136 pair of surveillance samples were tested. Limit of detection (LOD) was determined by using swabs in Amies transport medium, which were spiked in a series of dilutions of a C. auris standardised suspension (0.5 McFarland). Results The PCR method showed high sensitivity, specificity, predictive positive value and predictive negative value (96.6%, 100%, 100% and 98.2%, respectively) when compared with the routine protocol. LOD was 500 CFU/ml, which corresponds to approximately 1 CFU/PCR. Conclusions Our PCR method using the AurisID ® kit allows a reduction in the turnaround time for surveillance of C. auris compared with other methods. These results are expected to contribute to control C. auris outbreaks, allowing isolation of patients and cleaning of environmental surfaces in advance.