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一种系统的方法,用于选择合适的阿维巴坦浓度与头孢他啶联合用于肉汤微量稀释法药敏试验。

A Systematic Approach to the Selection of the Appropriate Avibactam Concentration for Use with Ceftazidime in Broth Microdilution Susceptibility Testing.

机构信息

AstraZeneca Pharmaceuticals, Waltham, Massachussetts, USA.

AstraZeneca Pharmaceuticals, Waltham, Massachussetts, USA

出版信息

Antimicrob Agents Chemother. 2018 Jun 26;62(7). doi: 10.1128/AAC.00223-18. Print 2018 Jul.

Abstract

Selection of the avibactam concentration to combine with ceftazidime in susceptibility testing was determined using Gram-negative isolates with characterized β-lactamases predefined as susceptible or resistant, based on the known inhibition spectrum of avibactam. MIC values were determined by broth microdilution of ceftazidime with fixed concentrations and ratios of avibactam. A constant concentration of 4 μg/ml of avibactam was selected for susceptibility testing with ceftazidime because of its ability to correctly categorize susceptible and resistant isolates while minimizing categorical errors.

摘要

在药敏试验中选择与头孢他啶联合使用的阿维巴坦浓度,是基于阿维巴坦已知的抑制谱,使用具有特征性β-内酰胺酶的革兰氏阴性分离株来确定的,这些β-内酰胺酶预先被定义为敏感或耐药。通过肉汤微量稀释法,用固定浓度和比例的阿维巴坦来测定头孢他啶的 MIC 值。由于 4 μg/ml 的阿维巴坦能够正确分类敏感和耐药分离株,同时最大限度地减少分类错误,因此选择该浓度用于头孢他啶的药敏试验。

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