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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.

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