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Correlation between Broth Microdilution and Disk Diffusion Results when Testing Ceftazidime-Avibactam against a Challenge Collection of Enterobacterales Isolates: Results from a Multilaboratory Study
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Correlation between Broth Microdilution and Disk Diffusion Results when Testing Ceftazidime-Avibactam against a Challenge Collection of Enterobacterales Isolates: Results from a Multilaboratory Study

Helio S Sader, Paul R Rhomberg, Sukantha Chandrasekaran, Marisol Trejo, Kelley A Fedler, Linda D Boyken and Daniel J Diekema
Journal of clinical microbiology, Vol.58(4), e01757-19
03/25/2020
DOI: 10.1128/JCM.01757-19
PMID: 31996445
url
https://www.ncbi.nlm.nih.gov/pmc/articles/7098758View
Open Access

Abstract

We assessed the ceftazidime-avibactam disk diffusion breakpoints that provide the lowest discrepancy error rates by testing an isolate collection with ceftazidime-avibactam MIC values near the breakpoints. Isolates (  = 112) were susceptibility tested by broth microdilution and disk diffusion methods in 3 laboratories. Current disk diffusion breakpoints (≥21/≤20 mm for susceptible/resistant) provided the lowest error rates, but confirmatory MIC testing is indicated for isolates with inhibition zones of 20 to 22 mm.
disk diffusion ceftazidime-avibactam CRE Enterobacteriaceae KPC

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