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Journal of Clinical Microbiology
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Letter to the Editor

A Triple-Disk Enrichment Method for Carbapenem-Resistant Enterobacteriaceae (CRE) Screening

Lauren A. Darling, Ann M. Evans, Kathleen A. Stellrecht, Seela M. Nattanmai, Clemente I. Montero
Erik Munson, Editor
Lauren A. Darling
aMicrobiology Laboratory, Department of Pathology and Laboratory Medicine, Albany Medical Center, Albany, New York, USA
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Ann M. Evans
aMicrobiology Laboratory, Department of Pathology and Laboratory Medicine, Albany Medical Center, Albany, New York, USA
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Kathleen A. Stellrecht
aMicrobiology Laboratory, Department of Pathology and Laboratory Medicine, Albany Medical Center, Albany, New York, USA
bDepartment of Pathology and Laboratory Medicine, Albany Medical College, Albany, New York, USA
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Seela M. Nattanmai
aMicrobiology Laboratory, Department of Pathology and Laboratory Medicine, Albany Medical Center, Albany, New York, USA
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Clemente I. Montero
aMicrobiology Laboratory, Department of Pathology and Laboratory Medicine, Albany Medical Center, Albany, New York, USA
bDepartment of Pathology and Laboratory Medicine, Albany Medical College, Albany, New York, USA
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Erik Munson
Marquette University
Roles: Editor
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DOI: 10.1128/JCM.01185-17
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Tables

  • TABLE 1

    MICs for reference and previous positive strains used for performance evaluation of broth enrichment methods

    OrganismNo. of isolatesNo. of isolatesa with:
    Ertapenem MIC (μg/ml) of:Meropenem MIC (μg/ml) of:
    ≤0.5 (S)1.0 (I)2.0–4.0 (R)>4.0 (R)≤1.0 (S)2.0 (I)4.0 (R)>4.0 (R)
    Aeromonas hydrophila 100010100
    Citrobacter freundii 811514022
    Citrobacter amalonaticus 100100010
    Enterobacter aerogenes 100011000
    Escherichia coli 720234111
    Enterobacter cloacae 19007121657
    Klebsiella oxytoca 301110111
    Klebsiella pneumoniae 4821202597923
    Providencia rettgeri 100100001
    Pantoea species101001000
    Total9054374420161935
    • ↵a Clinical interpretation of MICs was done in accordance with CLSI document M100-S25. S, susceptible; I, intermediate; R, resistant.

  • TABLE 2

    Comparison of performance of enrichment methods with surveillance specimens

    Method and result(s)No. of samples
    KPC positiveKPC negativeTotal
    TSB-ETP
        Turbidity positive4290294
        Turbidity negative0193193
        Both4483487
    TSB-EFL
        Turbidity positive44751
        Turbidity negative0436436
        Both4483487
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A Triple-Disk Enrichment Method for Carbapenem-Resistant Enterobacteriaceae (CRE) Screening
Lauren A. Darling, Ann M. Evans, Kathleen A. Stellrecht, Seela M. Nattanmai, Clemente I. Montero
Journal of Clinical Microbiology Nov 2017, 55 (12) 3557-3559; DOI: 10.1128/JCM.01185-17

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A Triple-Disk Enrichment Method for Carbapenem-Resistant Enterobacteriaceae (CRE) Screening
Lauren A. Darling, Ann M. Evans, Kathleen A. Stellrecht, Seela M. Nattanmai, Clemente I. Montero
Journal of Clinical Microbiology Nov 2017, 55 (12) 3557-3559; DOI: 10.1128/JCM.01185-17
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KEYWORDS

carbapenem-resistant Enterobacteriaceae
CRE surveillance
KPC surveillance
enrichment broth
CRE
CPE
KPC
NDM
infection control
Anti-Bacterial Agents
carbapenem-resistant Enterobacteriaceae
Enterobacteriaceae Infections
Microbial Sensitivity Tests

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