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质量控制措施未能防止对亚胺培南的假耐药报告,导致耐亚胺培南铜绿假单胞菌的假性暴发。

Failure of quality control measures to prevent reporting of false resistance to imipenem, resulting in a pseudo-outbreak of imipenem-resistant Pseudomonas aeruginosa.

作者信息

Carmeli Y, Eichelberger K, Soja D, Dakos J, Venkataraman L, DeGirolami P, Samore M

机构信息

Division of Infectious Diseases, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, USA.

出版信息

J Clin Microbiol. 1998 Feb;36(2):595-7. doi: 10.1128/JCM.36.2.595-597.1998.

Abstract

False results showing an outbreak of Pseudomonas aeruginosa with resistance to imipenem were traced to a defective lot of microdilution MIC testing panels. These panels contained two- to threefold lower concentrations of imipenem than expected and resulted in artifactual two- to fourfold increases in MICs of imipenem. The quality-control MIC results for Pseudomonas aeruginosa ATCC 27853 were 4 microg/ml, the highest value within the range recommended by the National Committee for Clinical Laboratory Standards. We recommend that this value be considered out of the quality-control range.

摘要

显示对亚胺培南耐药的铜绿假单胞菌暴发的错误结果,被追溯到一批有缺陷的微量稀释法最低抑菌浓度(MIC)检测板。这些检测板中亚胺培南的浓度比预期低两到三倍,导致亚胺培南的MIC出现人为的两到四倍升高。铜绿假单胞菌ATCC 27853的质量控制MIC结果为4微克/毫升,这是美国国家临床实验室标准委员会推荐范围内的最高值。我们建议将该值视为超出质量控制范围。

相似文献

4
Resistance to imipenem in Pseudomonas aeruginosa.铜绿假单胞菌对亚胺培南的耐药性。
J Antimicrob Chemother. 1995 Dec;36(6):1037-41. doi: 10.1093/jac/36.6.1037.

本文引用的文献

5
Imipenem stability in a predried susceptibility panel.亚胺培南在预干燥药敏板中的稳定性。
J Clin Microbiol. 1994 Oct;32(10):2584-7. doi: 10.1128/jcm.32.10.2584-2587.1994.

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