Tg. Winstanley et al., MULTIPOINT IDENTIFICATION OF ENTEROBACTERIACEAE - REPORT OF THE BRITISH-SOCIETY-FOR-MICROBIAL-TECHNOLOGY COLLABORATIVE STUDY, Journal of Clinical Pathology, 46(7), 1993, pp. 637-641
Aims-To evaluate the accuracy and reproducibility of multipoint identi
fication schemes in a multicentre trial. Methods-Forty two strains of
Enterobacteriaceae were distributed to 22 laboratories for identificat
ion by routine multipoint methods. Analysis of results enabled inter-
and intralaboratory reproducibility of a variety of tests, and the abi
lity of laboratories to identify individual organisms to be determined
. Results-Interlaboratory reproducibility of most of the biochemical t
ests was acceptable. The least reproducible tests, both within and bet
ween laboratories, were citrate utilisation, production of urease and
beta galactosidase, detection of motility, and decarboxylation of lysi
ne and ornithine. Inconsistent results for these tests were often asso
ciated with misidentified strains. Most laboratories performed identif
ications satisfactorily. Most isolates (72.1%) were identified correct
ly to species level; 9.6% were incorrectly identified, and 6.4% could
not be identified at all. The most difficult organisms to identify wer
e Citrobacter freundii, Enterobacter cloacae, Hafnia alvei and Aeromon
as hydrophila. Strains of Enterobacter, Serratia sp, and Providencia s
p were difficult to speciate. Several laboratories could not identify
organisms exhibiting at least one atypical biochemical reaction. Concl
usion-This study emphasises the need for quality control of media and
reagents for multipoint identification of Gram negative enteric bacill
i.