11520009 Resistens Final Report - Spildevandsinfo.dk

INDHOLDSFORTEGNELSE
1 BAGGRUND ................................................................................................................. 1
2 FORMÅL ....................................................................................................................... 2
3 MÅLEPROGRAM .......................................................................................................... 3
3.1 Prøvetagningsprogram .................................................................................................. 3
3.1.1 Rigshospitalet ............................................................................................................... 3
3.1.2 Renseanlæg Lynetten ................................................................................................... 4
3.2 Analyseprogram ............................................................................................................ 5
3.2.1 Tabletmetoden .............................................................................................................. 7
3.2.2 E-Test (Epsilometer Test) ............................................................................................. 7
3.2.3 MALDI-TOF-MS ............................................................................................................ 7
3.2.4 Ribotypning ................................................................................................................... 7
4 RESULTATER OG DISKUSSION ................................................................................. 9
4.1 Forekomst af bakterier og resistens .............................................................................. 9
4.2 E. coli – ribotyper og resistensmønstre ....................................................................... 11
4.3 Klebsiella – ribotyper og resistensmønstre .................................................................. 14
5 KONKLUSION ............................................................................................................ 16
6 ANBEFALINGER ........................................................................................................ 17
7 REFERENCER ........................................................................................................... 18
BILAG A.................................................................................................................................... 23
BILAG B.................................................................................................................................... 25
BILAG C ................................................................................................................................... 27
BILAG D ................................................................................................................................... 29
BILAG E.................................................................................................................................... 31
BILAG F .................................................................................................................................... 33
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