Opsporen in surveillance stalen - UZ Leuven
Opsporen in surveillance stalen - UZ Leuven
Opsporen in surveillance stalen - UZ Leuven
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ESBL confirmatie<br />
6. CDDST<br />
– AmpC coproduc<strong>in</strong>g Enterobacteriaceae<br />
i. Indicator = 3 e generatie cefalospor<strong>in</strong>e & geen AmpC <strong>in</strong>hibitor<br />
zeer lage SN (e.g. 46%, Enterobacter spp., CTX & CAZ) 15<br />
ii.<br />
Aanbevel<strong>in</strong>gen NVMM & BSAC (<strong>in</strong>ducible Enterobacteriaceae)<br />
– Indicator = FEP<br />
lage SN (e.g. 85%, Enterobacter spp.) 15<br />
iii.<br />
FEP (<strong>in</strong>dicator) &/of cloxacill<strong>in</strong>-conta<strong>in</strong><strong>in</strong>g MH-agar (200-250 µg/ml)<br />
– SN= 97-100% (Enterobacter spp., P. aerug<strong>in</strong>osa) 15<br />
Nood aan bijkomende evaluatie (non-Enterobacter spp. & plasmid-mediated AmpC)<br />
15. Garrec H, J Cl<strong>in</strong> Microbiol. 2011.<br />
16. Jiang X, Antimicrob Agents Chemother. 2006.