Carbapenemase-producing organisms (CPOs) present a major threat to public health, demanding precise diagnostic techniques their detection. Discrepancies among CPO tests have raised concerns, partly due to limitations in detecting bacterial diversity within host/specimen. We explored the impact of unbiased colony selection on carbapenemase testing and assessed its relevance on various tests. Based on "FirstAll" for unbiased colony selection to reduce bias, we compared modified carbapenem inactivation method/EDTA-modified carbapenem inactivation method (mCIM/eCIM), Carba5, the CPO panel, and multiplex PCR (M-PCR). Initially, we compared FirstAll to conventional colony selection for mCIM. Second, we used M-PCR as a reference, to evaluate test performance across seven CPO species. The results revealed that FirstAll selection improved carbapenemase detection, revising false-negative in 10.5% of K. pneumoniae isolates. In addition, 12.4% of CPOs tested positive for multiple carbapenemase genes. Both the Carba5 test and CPO panel showed suboptimal performance (sensitivity/specificity: Carba5 75.5%/89.0%, CPO panel 78.1%/74.0%). Carba5 test provided specific carbapenemase class assignments but CPO panel failed in 20.3% of cases. Carba5 test and the CPO panel results correlated well with ceftazidime-avibactam minimal inhibitory concentrations (MICs). Concordance for class A/D with MICs was 88.3% for Carba5 and 92.0% for the CPO panel; whereas for class B, it was 86.5% for Carba5 and 76.2% for the CPO panel. In conclusion, FirstAll as the unbiased colony selection impacted carbapenemase testing. With FirstAll, the diagnostic performance of either Carba5 or the CPO panel was compromised. The utilization of ceftazidime-avibactam guided by either the CPO panel or Carba5 was appropriate.

Eight samples of limestones and marbles were studied by neutron diffraction to collect 2 Quantitative Texture (i.e., Crystallographic Preferred Orientations or CPO) of calcite deforming at 3 different depths in the crust. We studied the different Texture patterns developed in shear zones at 4 different depth and their influence on seismic anisotropies. Samples were collected in the French and 5 Italian Alps, Apennines, and Paleozoic Sardinian basement. They are characterized by isotropic to 6 highly anisotropic (e.g., mylonite shear zone) fabrics. Mylonite limestones occur as shear zone horizons 7 within the Cenozoic Southern Domain in Alpine thrust-and-fold belts (Italy), the Briançonnais domain 8 of the Western Alps (Italy-France border), the Sardinian Paleozoic back-thrusts or in the Austroalpine 9 intermediate units. The analyzed marbles were collected in the Carrara Marble, in the Austroalpine Units 10 in the Central (Mortirolo) and Western Alps (Valpelline). The temperature and depth of development of fabrics vary from < 100◦C, to 800◦C and depth from <10 km to about 30 km, corresponding from upper 12 to lower crust conditions. Quantitative Texture Analysis shows different types of patterns for calcite: 13 random to strongly textured. Textured types may be further separated in orthorhombic and monoclinic 14 (Types A and B), based on the angle defined with the mesoscopic fabrics. Seismic anisotropies were 15 calculated by homogenizing the single crystal elastic tensor, using the Orientation Distribution Function 16 calculated by the Quantitative Texture Analysis. The resulting P- and S-waves anisotropies show a wide 17 variability due to the textural types, temperature and pressure conditions, and dip of the shear planes.