Method for Phenotypic Detection of Extended-Spectrum Beta-Lactamases in Enterobacter Species in the Routine Clinical Setting

被引：10

作者：

Stuart, James Cohen ^{[1
]}

Diederen, Bram ^{[2
]}

al Naiemi, Nashwan ^{[3
]}

Fluit, Ad ^{[1
]}

Arents, Niek ^{[4
]}

Thijsen, Steven ^{[5
]}

Vlaminckx, Bart ^{[6
]}

Mouton, Johan W. ^{[7
]}

Leverstein-van Hall, Maurine ^{[1
,8
]}

机构：

[1] Univ Med Ctr Utrecht, Dept Med Microbiol, NL-3584 CX Utrecht, Netherlands

[2] Reg Lab Publ Hlth Haarlem, Haarlem, Netherlands

[3] Vrije Univ Amsterdam Med Ctr, Dept Med Microbiol & Infect Control, Amsterdam, Netherlands

[4] Labs Pathol Anat & Med Microbiol Veldhoven, Veldhoven, Netherlands

[5] Diakonessenhuis Utrecht, Dept Med Microbiol & Immunol, Utrecht, Netherlands

[6] St Antonius Hosp, Dept Med Microbiol & Immunol, Nieuwegein, Netherlands

[7] Radboud Univ Nijmegen, Med Ctr, Dept Med Microbiol, NL-6525 ED Nijmegen, Netherlands

[8] Natl Inst Publ Hlth & Environm RIVM, Ctr Infect Dis Control, Bilthoven, Netherlands

来源：

JOURNAL OF CLINICAL MICROBIOLOGY | 2011年 / 49卷 / 07期

关键词：

CLOACAE; RESISTANCE; CEFEPIME; SHV; EMERGENCE; OUTBREAK;

D O I：

10.1128/JCM.00864-11

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

In 271 Enterobacter blood culture isolates from 12 hospitals, extended-spectrum beta-lactamase (ESBL) prevalence varied between 0% and 30% per hospital. High prevalence was associated with dissemination, indicating the potential relevance of infection control measures. Screening with cefepime or Vitek 2, followed by a cefepime/cefepime-clavulanate Etest, was an accurate strategy for ESBL detection in Enterobacter isolates (positive predictive value, 100%; negative predictive value, 99%).

引用

页码：2711 / 2713

页数：3

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