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Opsporen in surveillance stalen - UZ Leuven

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ESBL confirmatie<br />

5. ESBL Etest ® strips<br />

– AmpC coproduc<strong>in</strong>g Enterobacteriaceae<br />

• CT/CTL & TZ/TZL Etests ®10-14<br />

– Reden: Vals negatieve & niet <strong>in</strong>terpreteerbare resultaten<br />

• PM/PML Etest ® op MH agar 11<br />

– SN = 66%, Enterobacter spp.<br />

• PM/PML Etest ® op een cloxacill<strong>in</strong> bevattende agar<br />

– Nadelen<br />

– SN= 100% 11<br />

• Interpretatie = moeilijk<br />

– ± 30% <strong>in</strong>hibitie elipsen worden verkeerd afgelezen 110<br />

• Kostprijs<br />

– Duurder dan CDDST<br />

• MIC waarden buiten de concentratiegradiënt niet-<strong>in</strong>terpreteerbaar<br />

10. Harada S, Korean J Lab Med. 2008.<br />

11. Garrec H, J Cl<strong>in</strong> Microbiol. 2011.<br />

12. Laff<strong>in</strong>eur K, Abstr Intersci Conf Antimicrob Agents, 2003<br />

13. Stürenvurg E, J Antimicrob Chemother. 2004.<br />

14. Mohanty S, J Infect Dev Ctries 2009.

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