Changing MIC Breakpoints: Do Mechanisms Count

Changing MIC Breakpoints: Do Mechanisms Count Changing MIC Breakpoints: Do Mechanisms Count

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MICs in g/ml: SHV-3 producing Citrobacter freundii Inocul. CFU/ml Pitfalls of ESBL Testing Effects of Inoculum Cefotaxime Ceftazidime Aztreonam Cefepime 5 x 10 5 2 1 0.5 0.5 (CLSI breakpoint 8 g/ml) Thomson KS, Moland ES: Antimicrob Agents Chemother. 2001 Dec;45(12):3548-54 12

MICs in g/ml: SHV-3 producing Citrobacter freundii Inocul. CFU/ml Pitfalls of ESBL Testing Effects of Inoculum Cefotaxime Ceftazidime Aztreonam Cefepime 5 x 10 5 2 1 0.5 0.5 5 x 10 7 256 32 32 >1024 (CLSI breakpoint 8 g/ml) Thomson KS, Moland ES: Antimicrob Agents Chemother. 2001 Dec;45(12):3548-54 13

<strong>MIC</strong>s in g/ml: SHV-3 producing Citrobacter freundii<br />

Inocul.<br />

CFU/ml<br />

Pitfalls of ESBL Testing<br />

Effects of Inoculum<br />

Cefotaxime Ceftazidime Aztreonam Cefepime<br />

5 x 10 5 2 1 0.5 0.5<br />

(CLSI breakpoint 8 g/ml)<br />

Thomson KS, Moland ES: Antimicrob Agents<br />

Chemother. 2001 Dec;45(12):3548-54<br />

12

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