Evaluation of the Titertek-NF system for identification of gram-negative nonfermentative and oxidase-positive fermentative bacteria.

The Titertek-NF (TT-NF) system (Flow Laboratories GmbH, Meckenheim, Federal Republic of Germany) was evaluated for the identification of 1,289 strains of gram-negative, nonfermentative bacteria and some gram-negative, oxidase-positive bacteria. The oxidase test was also performed. Identifications were classified as correct, not identified (two or more taxa possible and identification score of less than 80%; supplementary tests for furthering the identification were not performed), and incorrect. Correct identification results were further subdivided by the correct level of species or biotype identification as greater than or equal to 98% (category a), 90 to 97% (category b), and 80 to 89% (category c). When compared with conventional identification results, the TT-NF system correctly identified 90.3% of strains (1,164 of 1,289 strains), with 72.5% (935 strains) belonging to category a, 14.7% of strains (189 strains) belonging to category b, and 3.1% of strains (40 strains) belonging to category c. Among the remaining strains, 104 (8.1%) were not identified and 14 (1.1%) were misidentified, and the system failed to generate identification results for 7 strains (0.5%). Reactions within the TT-NF system were reproducible, with an estimated probability of erroneous test results of 0.2%.