Comparison of Polymyxin B, Tigecycline, Cefepime, and Meropenem MICs for KPC-Producing Klebsiella pneumoniae by Broth Microdilution, Vitek 2, and Etest

被引:52
作者
Lat, Asma [1 ]
Clock, Sarah A. [2 ]
Wu, Fann [2 ]
Whittier, Susan
Della-Latta, Phyllis [2 ]
Fauntleroy, Kathy [3 ]
Jenkins, Stephen G. [3 ]
Saiman, Lisa [2 ]
Kubin, Christine J. [2 ]
机构
[1] Columbia Univ, Med Ctr, New York Presbyterian Hosp, Dept Pharm, New York, NY 10032 USA
[2] Columbia Univ, Med Ctr, New York, NY 10032 USA
[3] Weill Cornell Med Coll, New York, NY USA
关键词
ANTIMICROBIAL SURVEILLANCE PROGRAM; IN-VITRO ACTIVITY; NEW-YORK; BETA-LACTAMASE; EPIDEMIOLOGY; INFECTION; BROOKLYN;
D O I
10.1128/JCM.02534-10
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
We report MIC agreement and error rates between broth microdilution (BMD), Vitek 2, and Etest against 48 clinical KPC-producing Klebsiella pneumoniae isolates for polymyxin B, tigecycline, cefepime, and meropenem. Both commercial testing methods were useful for tigecycline testing; Etest provided a conservative estimate of polymyxin B susceptibility. We suggest that laboratories consider the supplemental use of reference BMD or Etest for cefepime and meropenem for susceptibility testing of KPC-producing K. pneumoniae, as Vitek 2 did not provide reliable results.
引用
收藏
页码:1795 / 1798
页数:4
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