Opsporen in surveillance stalen - UZ Leuven
Opsporen in surveillance stalen - UZ Leuven
Opsporen in surveillance stalen - UZ Leuven
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ESBL<br />
<strong>Opsporen</strong> <strong>in</strong> <strong>surveillance</strong> <strong>stalen</strong><br />
– Chromogene agars<br />
• CHROMagar ESBL 1<br />
– Sensitiviteit (SN) = chromID ESBL<br />
– Beperk<strong>in</strong>g: <strong>in</strong>clusie van slechts kle<strong>in</strong> # ESBL producers<br />
• chromID ESBL 2,3<br />
Chromogene ESBL agars ≥ selectieve GN-agars met AB (disk) toegevoegd.<br />
– SN ≥ selectieve = werkbesparend GN-agars (ESBL-screen<strong>in</strong>g met CTX & CAZ* <strong>in</strong> non-Enterobacteriaceae)<br />
• Brilliance ESBL 4<br />
– SN > Mck-agar met CAZ disk<br />
– SN = chromID ESBL<br />
1. Saito R, Lett Appl Microbiol. 2010<br />
2. Reglier-Poupet H, J Med Microbiol. 2008.<br />
3. Paniagua R, Diagn Microbiol Infect Dis. 2010.<br />
4. Huang TD, J Cl<strong>in</strong> Microbiol. 2010.<br />
*CTX= cefotaxime<br />
CAZ= ceftazidime
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