Sader Helio S, Rhomberg Paul R, Chandrasekaran Sukantha, Trejo Marisol, Fedler Kelley A, Boyken Linda D, Diekema Daniel J
JMI Laboratories, North Liberty, Iowa, USA
JMI Laboratories, North Liberty, Iowa, USA.
J Clin Microbiol. 2020 Mar 25;58(4). doi: 10.1128/JCM.01757-19.
We assessed the ceftazidime-avibactam disk diffusion breakpoints that provide the lowest discrepancy error rates by testing an isolate collection with ceftazidime-avibactam MIC values near the breakpoints. Isolates ( = 112) were susceptibility tested by broth microdilution and disk diffusion methods in 3 laboratories. Current disk diffusion breakpoints (≥21/≤20 mm for susceptible/resistant) provided the lowest error rates, but confirmatory MIC testing is indicated for isolates with inhibition zones of 20 to 22 mm.
我们通过测试一组最低抑菌浓度(MIC)值接近断点的头孢他啶-阿维巴坦分离株,评估了能提供最低差异错误率的头孢他啶-阿维巴坦纸片扩散法断点。在3个实验室中,采用肉汤微量稀释法和纸片扩散法对112株分离株进行了药敏试验。当前的纸片扩散法断点(敏感/耐药分别为≥21/≤20 mm)提供了最低的错误率,但对于抑菌圈直径为20至22 mm的分离株,仍需进行确证性MIC检测。