Comparison of the autoSCAN-W/A and Vitek automicrobic systems for identification and susceptibility testing of bacteria

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Abstract
The identification and susceptibility testing of bacteria by the autoSCAN-W/A rapid panels and Vitek Automicrobic systems were compared. A total of 291 clinical isolates, including 207 members of theEnterobacteriaceae, 41 nonfermentative gramnegative bacilli, 31Staphylococcus aureus strains and 12Enterococcus faecalis strains, were tested. autoSCAN-W/A and Vitek correctly identified 93 % and 94 % respectively of theEnterobacteriaceae, the identification in an additional 2 % and 5 % of strains respectively being reported as correct with a low probability. autoSCAN-W/A reported all identification results within 2 h after inoculation, whereas Vitek reported the identification results for the majority of gram-negative bacilli between 4 h and 6 h after inoculation. autoSCAN-W/A and Vitek reported 81 % and 74 % of MIC results respectively after 3–6 h incubation. The rates of very major susceptibility errors were 0.4 % and 0.4 % for autoSCAN-W/A and Vitek respectively, the rates of major errors 0.4 % and 1 % respectively, and the rates of minor errors 4 % and 3 % respectively. Six of 30Pseudomonas aeruginosa strains failed to grow sufficiently for susceptibility testing in the autoSCAN-W/A system, and fourXanthomonas maltophilia strains had insufficient growth for susceptibility testing in both systems. The majority of results of susceptibility testing of nonfermentative gram-negative bacilli were reported more than 6 h after inoculation. Both systems were reliable and easy to operate, and gave accurate results for common clinical isolates.