塞夫特里亚克松与塞法林敏感性作为Cefpodoxime敏感性的替代标记在肠道细菌中
Kaitlyn V Lambert1, Ryan Demkowicz2, Amanda Murray2
1Department of Pharmacy Services, WVU Medicine, Morgantown, West Virginia, USA.
Open forum infectious diseases
|July 15, 2024
概括
塞法林可能会高估Enterobacterales中的塞福多西姆耐药性. 塞夫特里亚与塞夫多克西姆的一致性更高,这表明它是敏感性测试中更可靠的替代品.
科学领域:
- 临床微生物学 临床微生物学
- 抗微生物耐药性 抗微生物耐药性
背景情况:
- 临床和实验室标准研究所 (CLSI) 提供了针对抗菌素敏感性测试的指导方针.
- 准确的敏感性测试对于指导抗生素选择和管理由肠杆菌引起的感染至关重要.
研究的目的:
- 评估塞法佐林和塞夫特里亚作为替代标记物的实用性,用于对肠杆菌 (Enterobacterales) 进行塞夫多克西姆敏感性测试.
- 为了确定塞法佐林,塞夫特里亚和塞夫多克西姆之间的分类一致性.
主要方法:
- 对肠杆菌分离物的回顾性分析.
- 将 cefpodoxime 的敏感性结果与从塞法林和 ceftriaxone 中推断出的结果进行比较.
主要成果:
- 塞法林显示了64%的绝对一致率与cefpodoxime.
- 塞夫特里亚与塞夫多克西姆 (P = .0001) 的分类一致率显著高达97% (P = .0001).
- 塞法林可能会导致塞福多克西姆耐药性的过度调用.
结论:
- 塞夫特里亚克松是比塞法林更可靠的替代标志物,可以推断肠道细菌中塞夫多克西姆的敏感性.
- 临床实验室应考虑使用 ceftriaxone 进行 cefpodoxime 敏感性推断以提高准确性.
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