Evaluation of methods to identify the Klebsiella pneumoniae carbapenemase in Enterobactetiaceae

被引:286
作者
Anderson, K. F. [1 ]
Lonsway, D. R. [1 ]
Rasheed, J. K. [1 ]
Biddle, J. [1 ]
Jensen, B. [1 ]
McDougal, L. K. [1 ]
Carey, R. B. [1 ]
Thompson, A. [1 ]
Stocker, S. [1 ]
Limbago, B. [1 ]
Patel, J. B. [1 ]
机构
[1] Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
关键词
D O I
10.1128/JCM.00015-07
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The Klebsiella pneumoniae carbapenem (KPC) beta-lactamase occurs in Enterobacteriaceae and can confer resistance to all beta-lactam agents including carbapenems. The enzyme may confer low-level carbapenem resistance, and the failure of susceptibility methods to identify this resistance has been reported. Automated and nonautomated methods for carbapenem susceptibility were evaluated for identification of KPC-mediated resistance. Ertapenem was a more sensitive indicator of KPC resistance than meropenem and imipenem independently of the method used. Carbapenemase production could be confirmed with the modified Hodge test.
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收藏
页码:2723 / 2725
页数:3
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