The modified carbapenem inactivation method (mCIM) is a simple phenotypic screening method for detecting carbapenemase production by Enterobacteriaceae and Pseudomonas aeruginosa. We recently developed another modified carbapenem inactivation method (CIMTris), in which carbapenemase is extracted from bacteria with Tris-HCl buffer, to detect carbapenemase production by Acinetobacter and Pseudomonas species. This study describes an improved carbapenem inactivation method, CIMTrisII, for detecting carbapenemase production by Gram-negative pathogens, including Enterobacteriaceae, Acinetobacter and Pseudomonas species. CIMTrisII was different from CIMTris in the concentration of Meropenem disks (5-µg MEM disks vs. 10-µg MEM disks), the inoculum volume of the bacteria (a 5-µl loopful vs. a 10 µl loopful) and the incubation time (1 vs. 2 h). CIMTrisII showed an overall sensitivity of 99.3 % and an overall specificity of 95.0 % for tested isolates. In comparison, CIMTris showed a sensitivity of 96.1 % and a specificity of 96.3 %, and mCIM showed a sensitivity of 67.1 % and a specificity of 100 %. CIMTrisII is thus deemed useful for detecting carbapenemase production by Gram-negative pathogens.

译文

:改良的碳青霉烯灭活方法(mCIM)是一种简单的表型筛选方法,用于检测肠杆菌科和铜绿假单胞菌产生的碳青霉烯酶。我们最近开发了另一种改良的碳青霉烯灭活方法(CIMTris),其中用Tris-HCl缓冲液从细菌中提取出碳青霉烯酶,以检测不动杆菌和假单胞菌物种产生的碳青霉烯酶。这项研究描述了一种改进的碳青霉烯灭活方法CIMTrisII,用于检测革兰氏阴性病原体(包括肠杆菌科,不动杆菌属和假单胞菌属)产生的碳青霉烯酶。 CIMTrisII与CIMTris在Meropenem盘的浓度(5-µg MEM盘与10-µg MEM盘),细菌的接种量(5-µl环状与10µµl环状)和孵育时间(不同于CIMTris)上有所不同。 1比2 h)。 CIMTrisII对测试分离株的总体敏感性为99.3%,特异性为95.0%。相比之下,CIMTris的敏感性为96.1%,特异性为96.3%,mCIM的敏感性为67.1%,特异性为100%。因此,CIMTrisII被认为可用于检测革兰氏阴性病原体产生的碳青霉烯酶。

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