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MYCOPLASMA IST 3 combines enumeration, identification and antibiotic susceptibility testing for detection of Mycoplasma hominis and Ureaplasma spp.
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The increasing resistance of Ureaplasma spp. and M. hominis to current antibiotics requires the testing of new, better adapted antibiotics.
The MYCOPLASMA IST 3 strip enables the identification and enumeration of the Mycoplasma hominis and Ureaplasma spp. In addition, 6 antibiotics can be tested:
|
MYCOPLASMA IST 3 |
|
Ureaplasma spp. |
Mycoplasma hominis |
|
Erythromycin |
+ |
- |
Tetracycline |
+ |
+ |
Telithromycin |
+ |
- |
Levofloxacin |
+ |
+ |
Moxifloxacin |
+ |
+ |
Clindamycin |
- |
+ |
Doxycycline |
+ deduced |
+ deduced |
Azithromycin |
+ deduced |
- |
NEW FEATURES | DIRECT BENEFITS |
Validated on male urine and semen | Less invasive collection for improved patient comfort |
Compatible with ESwab® for urethral, vaginal and cervical swabs | More applications |
Includes all antibiotics recommended by the CLSI | Optimized preanalytical step |
Improved sensitivity: threshold of 103 CFU/mL for Ureaplasma spp. for urine | Compliance with international guidelines |
AST differenciated for mixed culture of Ureaplasma spp. and M. hominis | Improved pathogen detection |
Large and robust clinical trials | Reliable guidance of antibiotherapy |
Report in CFU/mL | Result standardization |
EVALUATION BY THREE
CLINICAL LABORATORIES
|
SAMPLES (n = 516) |
• Cardiff (UK) | • 45% vaginal/cervical swabs |
• Lyon (France) | • 11% urethral swabs |
• Pancevo (Serbia) | • 17% semen |
• 28% male urine |
TEST 1: DETECTION AND IDENTIFICATION | ||
Positive Agreement | Negative Agreement | |
At the sample level |
97.5 [94.4-99.2]%
(199/204)
|
99.7 [98.2-100.0]%
(311/312)
|
At the species level
Ureaplasma spp.
|
98.5 [94.6-99.8]%
(129/131)
|
99.7 [98.6-100.0]%
(384/385)
|
At the species level
Mycoplasma hominis
|
92.6 [85.6-96.4]%
(88/95)
|
99.0 [97.5-99.7]%
(410/414)
|
TEST 2: INDICATIVE ENUMERATION | ||
Exact Agreement |
Within ± 101 CFU/ml
Agreement
|
|
Combined species |
86.0 [80.3;90.3]%
(160/186)
|
97.8 [94.6;99.4]%
(182/186)
|
At the species level
Ureaplasma spp.
|
86.3 [78.9-91.4]%
(101/117)
|
100.0 [96.9-100.0]%
(117/117)
|
At the species level
Mycoplasma hominis
|
83.7 [74.5-90.0]%
(72/86)
|
94.2 [87.1;97.5]%
(81/86)
|
TEST 3: ANTIMICROBIAL SUSCEPTIBILITY TESTING | ||||||
Ureaplasma
spp.
|
Isolates status (BMD) | Performance Index | ||||
Total | #S | #R | CA | ME | VME | |
Levofloxacin | 124 | 120 | 4 |
96.0%
(119/124)
|
4.2%
(5/120)
|
0 |
Moxifloxacin | 124 | 123 | 1 |
98.4%
(122/124)
|
1.6%
(2/123)
|
0 |
Tetracycline | 124 | 120 | 1 |
97.6%
(121/124)
|
1.7%
(2/120)
|
1 |
Erythromycin | 124 | 120 | 4 |
99.2%
(123/124)
|
0.8%
(1/120)
|
0 |
Telithromycin | 125 | 120 | 3 |
99.2%
(124/125)
|
0.8%
(1/122)
|
0 |
All drugs combined | 621 | 605 | 16 |
98.1%
(609/621)
|
1.8%
(11/605)
|
1 |
Mycoplasma hominis | Isolates status (BMD) | Performance Index | ||||
Total | #S | #R | CA | ME | VME | |
Levofloxacin | 84 | 82 | 2 |
98.8%
(83/84)
|
1.2%
(1/82)
|
0 |
Moxifloxacin | 84 | 81 | 3 |
97.6%
(82/84)
|
1.2%
(1/81)
|
1 |
Tetracycline | 84 | 65 | 19 |
97.6%
(82/84)
|
1.5%
(1/65)
|
1 |
Clindamycin | 84 | 84 | 0 |
100.0%
(84/84)
|
0.0%
(0/84)
|
N/A |
All drugs combined | 336 | 312 | 24 |
98.5%
(331/336)
|
1.0%
(3/312)
|
2 |
All drugs and
species combined
|
957 | 917 | 40 |
98.2%
(940/957)
|
1.5%
(14/917)
|
3 |
BMD : Broth MicroDilution / CA : Category Agreement / ME : Major Error / VME : Very Major Error