Ann Clin Microbiol 2020;23:1-10. Application of 16S rRNA Gene-Targeted Next-Generation Sequencing for Bacterial Pathogen Detection in Continuous Ambulatory Peritoneal Dialysis Peritonitis

Table 1. The comparison of the two methods (culture versus NGS) for the diagnosis of CAPD peritonitis pathogens
NoCultureNGS (> 10 % relative abundance)Read countInfectionAntibiotics*Catheter removalClear up on day 10Relapse within 2 months
CAPD01Staphylococcus epidermidisStaphylococcus spp. (20.4 %)14,841yescefazolin,
tobramycin,
vancomycin
yesyesno
CAPD02Escherichia coliEscherichia spp. (99.8 %)96,528yesrifaximin,
meropenem
noyesyes
CAPD03No growthLactobacillus spp. (82.1 %)86,053nopiperacillin-tazobactam
CAPD04Serratia marcescensSerratia spp. (74.6 %)59,609yesvancomycin,
ceftazidime
nonoyes
CAPD05Micrococcus spp.Kytococcus spp. (25.2 %)
Lactobacillus spp. (19.2 %)
13,260yescefazolin,
ceftazidime
noyesno
CAPD06No growthEnterobacteriaceae (11.9 %)
Lactobacillus spp. (11.0 %)
83,717yesmeropenem,
rifaximin
nonono
CAPD07Staphylococcus epidermidisStaphylococcus spp. (90.0 %)44,704yescefazolin,
ceftazidime
noyesno
CAPD08Esherichia. coliEscherichia spp. (21.4 %)
Bacteroides spp. (19.9 %)
76,720yescefazolin,
ceftazidime
noyesno
CAPD09No growthNo dominant organism3,350nono
CAPD10Enterococcus faecalisLow read countyescefazolin,
ceftazidime
nonoyes
CAPD11Staphylococcus epidermidisNo dominant organism71,751yescefazolin,
ceftazidime
nonoyes
CAPD12Staphylococcus haemolyticusBacteroides spp. (26.4 %)
Blautia spp. (12.3 %)
Collinsella spp. (10.5 %)
74,491yescefazolin,
ceftazidime
nonono
CAPD13No growthNo dominant organism58,772nono
CAPD14No growthPrevotella spp. (15.2 %)
Streptococcus spp. (14.6 %)
92,363nono
CAPD15Streptococcus anginosusLow read countyescefazolin,
ceftazidime
nonono
CAPD16Micrococcus spp.Streptococcus spp. (10.0 %)47,182yesvancomycinyesnono
CAPD17Bacillus spp.Prevotella spp. (13.3 %)
Streptococcus spp. (13.2 %)
Veillonella spp. (11.6 %)
25,296nono
CAPD18Burkholderia cepaciaBacteroides spp. (13.6 %)4,174yescefazolin,
ceftazidime
yesnoyes
CAPD19Candida albicans, Enterococus aviumEnterococcus spp. (74.6 %)85,431yespiperacillin- tazobactamyesnono
CAPD20Citrobacter freundiiLow read countyesceftazidimeyesnono
CAPD21Staphylococcus epidermidisPrevotella spp. (11.5 %)2,800yescefazolin,
ceftazidime
noyesyes

*Antibiotics for CAPD peritonitis treatment (a bold form is an effective agent); -, not determined
Abbreviation: NGS, next-generation sequencing; CAPD, continuous ambulatory peritoneal dialy