TABLE 1.
Isolate | Carbapenemase | Specimen source |
MHA MIC value (μg/ml) |
MHA MIC value interpretatione |
BHI+ agar MIC value (μg/ml) |
BHI+ agar MIC value interpretationf |
---|---|---|---|---|---|---|
E. cloacae complex ARB0008b | NA | NA | 1 | SUS | 1.5 | NA |
E. cloacae complex ATCC 13047 | NA | NA | 0.064 | SUS | 0.094 | NA |
E. cloacae complex WCM0001 | NA | Blood | 0.023 | SUS | 0.023 | NA |
E. coli WCM0001 | NA | Urine | 0.016 | SUS | 0.016 | NA |
E. coli TUV93-0 | NA | NA | 0.023 | SUS | 0.023 | NA |
K. aerogenes ARB0007 | NA | NA | 0.064 | SUS | 0.047 | NA |
K. aerogenes WCM0001 | NA | Respiratory/sinus | 0.032 | SUS | 0.032 | NA |
K. pneumoniae WCM0001 | NA | Blood | 0.047 | SUS | 0.032 | NA |
K. pneumoniae WCM0002 | NA | Respiratory/sinus | 0.032 | SUS | 0.064 | NA |
P. aeruginosa PA14 | NA | NA | 0.25 | SUS | 0.25 | NA |
V. cholerae N16961 | NA | NA | 0.125 | SUS | 0.125 | NA |
E. cloacae complex 41952 | KPC | NA | >32 | RES | >32 | NA |
E. coli 52862 | KPC | NA | >32 | RES | 32 | NA |
K. aerogenes 28944 | KPC | NA | >32 | RES | >32 | NA |
K. pneumoniae ARB0120c | KPC | NA | 16 | RES | 16 | NA |
P. aeruginosa ARB0090d | KPC | NA | >32 | RES | >32 | NA |
ARB, Centers for Disease Control and Prevention and U.S. Food and Drug Administration Antibiotic Resistance Isolate Bank; ATCC, American Type Culture Collection; BHI+, brain heart infusion agar with supplements; MHA, Mueller-Hinton agar; NA, not applicable; RES, resistant; SUS, susceptible; WCM, Weill Cornell Medicine.
For ARB0008, the meropenem MIC value determined by the ARB is 2 μg/ml (intermediate). The MIC value obtained using gradient diffusion on BHI+ agar is consistent with an interpretation of intermediate resistance.
For ARB0120, the meropenem MIC value determined by the ARB is >8 μg/ml (resistant).
For ARB0090, the meropenem MIC value determined by the ARB is >8 μg/ml (resistant).
Data were interpreted using the Clinical and Laboratories Standards Institute M100 and M45 documents.
There are no interpretative criteria for antibiotic susceptibility testing performed on BHI+ agar. Nonetheless, the essential agreement (where MIC values are ±1 doubling dilution) between the results of testing performed on MHA and BHI+ agar was 100% for all non-carbapenemase-producing isolates.