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JAC Advance Access originally published online on February 12, 2004
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Journal of Antimicrobial Chemotherapy (2004) 53, 545-547
© 2004 The British Society for Antimicrobial Chemotherapy


Correspondence

False-positive extended-spectrum ß-lactamase tests for Klebsiella oxytoca strains hyperproducing K1 ß-lactamase

Nicola A. C. Potz1,*, Melissa Colman1, Marina Warner1, Rosy Reynolds2 and David M. Livermore1

1 Antibiotic Resistance Monitoring & Reference Laboratory, Specialist & Reference Microbiology Division, Health Protection Agency, 61 Colindale Avenue, London NW9 5HT; 2 British Society for Antimicrobial Chemotherapy, 11 The Wharf, 16 Bridge Street, Birmingham B1 2JS, UK

Keywords: interpretation of ESBL test results, ceftazidime, cefotaxime, cefepime, cefpodoxime

The first 10% of the full text of this article appears below.

Sir,

The growing complexity of extended-spectrum ß-lactamases (ESBLs) presents new detection challenges. Until recently, the predominant ESBLs in the UK were TEM- and SHV-derived ceftazidimases, occurring mostly in Klebsiella spp. On this basis it seemed adequate to screen with ceftazidime and to perform ceftazidime–clavulanate synergy tests on Enterobacteriaceae found to be resistant. Now, however, CTX-M ESBLs are spreading and ESBLs are reaching genera, principally Enterobacter, where inducible chromosomal AmpC ß-lactamases can interfere with clavulanate synergy tests. To detect CTX-M . . . [Full Text of this Article]


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