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Determining the Optimal Carbapenem MIC That Distinguishes Carbapenemase-Producing and Non-Carbapenemase-Producing Carbapenem-Resistant Enterobacteriaceae
Author(s) -
Pranita D. Tamma,
Yanjie Huang,
Belita N. A. Opene,
Patricia J. Simner
Publication year - 2016
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.00838-16
Subject(s) - ertapenem , doripenem , carbapenem , meropenem , carbapenem resistant enterobacteriaceae , enterobacteriaceae , imipenem , microbiology and biotechnology , biology , antibiotics , klebsiella pneumoniae , antibiotic resistance , escherichia coli , gene , genetics
Carbapenemase-producing (CP)Enterobacteriaceae are largely responsible for the rapid spread of carbapenem-resistantEnterobacteriaceae (CRE). Distinguishing CP-CRE from non-CP-CRE has important infection control implications. In a cohort of 198 CRE isolates, for isolates that remained susceptible or intermediate to some carbapenem antibiotics, an ertapenem MIC of 0.5 μg/ml and meropenem, imipenem, and doripenem MICs of 2 μg/ml were best able to distinguish CP-CRE from non-CP-CRE isolates.

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