Service de Bactériologie, Centre Hospitalo-Universitaire d'Amiens, Hôpital Nord, 80054 Amiens, France.
J Clin Microbiol. 2011 Jul;49(7):2667-70. doi: 10.1128/JCM.00328-11. Epub 2011 May 4.
Moxalactam is highly hydrolyzed by plasmid-mediated metallo-β-lactamases (MBLs), whereas it is poorly inactivated by serine-active carbapenemases. This study demonstrated that moxalactam resistance constituted an effective screen for MBL expression in enterobacteria, which could be confirmed, even in low-MBL-producing isolates, by a disk potentiation test using moxalactam and EDTA.
美罗培南高度水解由质粒介导的金属β-内酰胺酶(MBLs),而它是由丝氨酸活性碳青霉烯酶不易失活。本研究表明,美罗培南耐药构成了肠杆菌中 MBL 表达的有效筛选,即使在低产 MBL 的分离株中,也可以通过使用美罗培南和 EDTA 的纸片增效试验来确认。