A Selective Culture Medium for Screening Aztreonam-Avibactam Resistance in Enterobacterales and Pseudomonas aeruginosa.

IF 2.3 4区 医学 Q3 INFECTIOUS DISEASES
Soraya Herrera-Espejo, Maxime Bouvier, Elisa Cordero, Laurent Poirel, María Eugenia Pachón-Ibáñez, Patrice Nordmann
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引用次数: 0

Abstract

Aztreonam/avibactam (ATM/AVI) has been recently approved drug for clinical use in the European Union. The aim of this study was to develop and evaluate a novel selective medium for the isolation of ATM/AVI-resistant strains (Super ATM/AVI selective medium) to help to control their spread. Minimum inhibitory concentrations of ATM/AVI were determined using the broth microdilution method for 77 Gram-negative isolates, including 62 Enterobacterales and 15 Pseudomonas aeruginosa. The Super ATM/AVI selective medium was elaborated using optimal final concentrations of ATM at 5 mg/L and AVI at 4 mg/L, being supplemented with amphotericin B and vancomycin to prevent growth of yeasts and Gram-positive bacteria and with ZnSO4 to optimize the expression of metallo-β-lactamase producers. Super ATM/AVI showed high sensitivity (94.6%) and specificity (100%) at a detection limit of 103 CFU/mL.

用于筛查肠杆菌和铜绿假单胞菌对阿奇霉素-阿维菌素耐药性的选择性培养基
氨曲南/阿维菌素(ATM/AVI)是欧盟最近批准用于临床的药物。本研究旨在开发和评估一种新型选择性培养基(超级 ATM/AVI 选择性培养基),用于分离 ATM/AVI 耐药菌株,以帮助控制其扩散。使用肉汤微稀释法测定了 77 个革兰氏阴性分离菌株(包括 62 个肠杆菌和 15 个铜绿假单胞菌)的 ATM/AVI 最低抑菌浓度。超级 ATM/AVI 选择性培养基的最佳终浓度为 5 mg/L 的 ATM 和 4 mg/L 的 AVI,同时添加两性霉素 B 和万古霉素以防止酵母菌和革兰氏阳性菌的生长,并添加 ZnSO4 以优化金属-β-内酰胺酶生产者的表达。超级 ATM/AVI 的灵敏度(94.6%)和特异性(100%)都很高,检测限为 103 CFU/mL。
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来源期刊
Microbial drug resistance
Microbial drug resistance 医学-传染病学
CiteScore
6.00
自引率
3.80%
发文量
118
审稿时长
6-12 weeks
期刊介绍: Microbial Drug Resistance (MDR) is an international, peer-reviewed journal that covers the global spread and threat of multi-drug resistant clones of major pathogens that are widely documented in hospitals and the scientific community. The Journal addresses the serious challenges of trying to decipher the molecular mechanisms of drug resistance. MDR provides a multidisciplinary forum for peer-reviewed original publications as well as topical reviews and special reports. MDR coverage includes: Molecular biology of resistance mechanisms Virulence genes and disease Molecular epidemiology Drug design Infection control.
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