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比较 SUPERCARBA、CHROMagar KPC 和 Brilliance CRE 筛选培养基对碳青霉烯类药物敏感性降低的肠杆菌科的检测。

Comparison of the SUPERCARBA, CHROMagar KPC, and Brilliance CRE screening media for detection of Enterobacteriaceae with reduced susceptibility to carbapenems.

机构信息

Service de Bactériologie-Virologie, INSERM U914 Emerging Resistance to Antibiotics, Hôpital de Bicêtre, Assistance Publique/Hôpitaux de Paris, Faculté de Médecine et Université Paris Sud, K-Bicêtre, France.

出版信息

Diagn Microbiol Infect Dis. 2013 Feb;75(2):214-7. doi: 10.1016/j.diagmicrobio.2012.10.006. Epub 2012 Nov 9.

Abstract

The recently developed SUPERCARBA medium was evaluated together with 2 commercially available selective culture media containing carbapenems: CHROMagar KPC (CHROMagar) and Brilliance CRE (Oxoid, Thermofisher Scientific). A total of 142 enterobacterial isolates were tested, including 131 isolates with reduced susceptibility to carbapenems. The SUPERCARBA medium has the highest sensitivity (96.5%) (detecting virtually all carbapenemase producers including OXA-48-like producers) as compared to Brilliance CRE (76.3%) and CHROMagar KPC (43%). The specificity of the screening media was similar, ranging from 57% to 68%.

摘要

最近开发的 SUPERCARBA 培养基与两种市售含碳青霉烯类抗生素的选择性培养基一起进行了评估:CHROMagar KPC(CHROMagar)和 Brilliance CRE(Oxoid,Thermofisher Scientific)。共测试了 142 株肠杆菌分离株,包括 131 株对碳青霉烯类抗生素敏感性降低的分离株。与 Brilliance CRE(76.3%)和 CHROMagar KPC(43%)相比,SUPERCARBA 培养基的敏感性最高(96.5%)(几乎可以检测到所有的碳青霉烯酶产生菌,包括 OXA-48 样产生菌)。筛选培养基的特异性相似,范围在 57%至 68%之间。

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