Multicenter evaluation of the Selux Next-Generation Phenotyping antimicrobial susceptibility testing system

J Clin Microbiol. 2024 Jan 17;62(1):e0054623. doi: 10.1128/jcm.00546-23. Epub 2023 Dec 5.

Abstract

The Selux Next-Generation Phenotyping (NGP) system (Charlestown, MA) is a new antimicrobial susceptibility testing system that utilizes two sequential assays performed on all wells of doubling dilution series to determine MICs. A multicenter evaluation of the performance of the Selux NGP system compared with reference broth microdilution was conducted following FDA recommendations and using FDA-defined breakpoints. A total of 2,488 clinical and challenge isolates were included; gram-negative isolates were tested against 24 antimicrobials, and gram-positive isolates were tested against 15 antimicrobials. Data is provided for all organism-antimicrobial combinations evaluated, including those that did and did not meet FDA performance requirements. Overall very major error and major error rates were less than 1% (31/3,805 and 107/15,606, respectively), essential agreement and categorical agreement were >95%, reproducibility was ≥95%, and the average time-to-result (from time of assay start to time of MIC result) was 5.65 hours.

Keywords: antimicrobial susceptibility testing; clinical diagnostics; clinical microbiology.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents* / pharmacology
  • Anti-Infective Agents*
  • Humans
  • Microbial Sensitivity Tests
  • Reproducibility of Results

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents