광범위베타락탐아제 생성 Escherichia coli와 Klebsiellapneumoniae의 piperacillin/tazobactam에 대한 시험관내 감수성
In Vitro Susceptibility of piperacillin/tazobactam Against extended-spectrum β-lactamase-producing Escherichia coli and Klebsiella pneumoniae
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Minimal inhibitory concentrations (MIC) of piperacillin/tazobactam were determined on 20 clinical isolates of extended-spectrum β-lactamase (ESBL)-producing E. coli and 30 isolates of ESBL- producing Klebsiella pneumoniae. MIC50 and MIC90 for ESBL-producing E. coli were 8/4 µg/ml and 256/4 µg/mL, respectively. MIC50 and MIC90 for ESBL-producing K. pneumoniae were 8/4 µg/mL and >512/4 µg/mL, respectively. The susceptibilities of ESBL-producing E. coli and K. pneumoniae to piperacillin/tazobactam were 80% and 60%, respectively. Of 20 ESBL-producing E. coli strains, 11 (55%) were TEM-and CTX-M-positive, and SHV-negative. Of 30 ESBL-producing K. pneumoniae strains, ten (33%) were PCR positive for SHV and negative for TEM and CTX-M.
Abstract
Minimal inhibitory concentrations (MIC) of piperacillin/tazobactam were determined on 20 clinical isolates of extended-spectrum β-lactamase (ESBL)-producing E. coli and 30 isolates of ESBL- producing Klebsiella pneumoniae. MIC50 and MIC90 for ESBL-producing E. coli were 8/4 µg/ml and 256/4 µg/mL, respectively. MIC50 and MIC90 for ESBL-producing K. pneumoniae were 8/4 µg/mL and >512/4 µg/mL, respectively. The susceptibilities of ESBL-producing E. coli and K. pneumoniae to piperacillin/tazobactam were 80% and 60%, respectively. Of 20 ESBL-producing E. coli strains, 11 (55%) were TEM-and CTX-M-positive, and SHV-negative. Of 30 ESBL-producing K. pneumoniae strains, ten (33%) were PCR positive for SHV and negative for TEM and CTX-M.
참고문헌 (8)
- Gavin PJ, "Clinical correlation of the CLSI susceptibility breakpoint for piperacillin-tazobactam against extended-spectrum-β-lactamase-producing Escherichia coli and Klebsiella species", Antimicrob Agents Chemother, 50, pp.2244~2247 (2006)
- Lee J, "Control of extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella pneumoniae in a children's hospital by changing antimicrobial agent usage policy", J Antimicrob Chemother, 60, pp.629~637 (2007)
- Shin HJ, "Impact of Piperacillin", Tazobactam Use to Intestinal Colonization of Extended-spectrum-lactamase Producing Escherichia coli and Klebsiella pneumoniae, 2007, pp.39, 65~70
- Brahmi N, "Impact of ceftazidime restriction on gram-negative bacterial resistance in an intensive care unit", J Infect Chemother, 12, pp.190~194 (2006)
- Performance standards for antimicrobial susceptibility testing; seventeenth informational supplement, "Clinical and Laboratory Standards Institute", ~, pp.CLSI document M100-S17 (2007)
- Methods for dilution Antimicrobial susceptibility tests for bacteria that grow aerobically; Approved standard-7th ed, "Clinical and Laboratory Standards Institute", ~, pp.CLSI document M7-A7 (2006)
- Schmitt J, "Molecular characterization of extended-spectrum beta-lactamases in Enterobacteriaceae from patients of two hospitals in Saxony, Germany", J Med Microbiol, 56, pp.241~249 (2007)
- Dutour C, "CTX-M-1, CTX-M-3, and CTX-M-14 beta-lactamases from Enterobacteriaceae isolated in France", Antimicrob Agents Chemother, 46, pp.534~537 (2002)
