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  • D.Evaluation_fr
    l antibiogramme avec différents antibiotiques b lactamines comme indiqués dans le tableau D1 B lactam 497 html Les plus utile sont actuellement au Danemark l ampicilline plus un carboxypénicilline c à d carbénicilline plus une céphalosporine faible céphalothine ou cefpodoxime L 23 Par ces moyens dans tous les cas les isolats appartenant aux groupes nommés dans le tableau D1 divisés selon b lactamase chromosomique ou plasmidique peuvent être enregistrés comme S ou R Voir F species html Une exception est E coli quelques isolats sans b lactamase peuvent avoir CMI de l ampicilline 4 mg L et devraient être enregistrés en tant qu I Voir également le D Surveillance fr html Tableau 0 Antibiotiques utiles comme repères m ou comme thérapeutiques t Antibiotique Grampositif Bacille coque Gramnégatif Bacille coque Anaérobie A pénicilline G ampicilline carbénicilline piperacillin mecillinam cefalothin cefuroxim cefotaxim ceftazidime aztreonam streptomycine gentamicine tobramycine netilmicin kanamycine vancomycin teicoplanin polymyxin tétracycline chloramphenicol érythromycine nitrofurantoin sulfonamide trimetoprim fluoroquinolones m t t t t m m m m t m t t t m m m m t t m t t m t t m t t m t t m t m m m m m t t t m

    Original URL path: http://www.inetuni2dkhomedskm.dk/public_html/D.Evaluation_fr.html (2016-04-28)
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  • Report
    resistance traits mechanisms or cannot be used R with resistance traits See F species html Another binary terminology may be employed The term I is employed only when a strain or a group of strains without R traits is not

    Original URL path: http://www.inetuni2dkhomedskm.dk/public_html/Report.html (2016-04-28)
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  • L
    K Howard AJ Hryniewicz W Jones RN Koupari G Legakis NJ McLaughlin J Ozkyumcu C Percival A Phillips I Reeves D Spencer R Warren RE Williams JD Susceptibility testing of Haemophilus influenzae an international collaborative study in quality assessment J Antimicr Chemother 1996 38 363 86 MacGowan AP Bowker KE Holt HA Wootton M Reeves DS Bay 12 8039 a new 8 methoxy quinolone comparative in vitro activity with nine other antimicrobials against anaerobic bacteria J Antimicrob Chemother 1997 40 503 09 Jansen JE Bremmelgaard A Determination of susceptibility of anaerobic bacteria to beta lactam antibiotics by tablet diffusion test APMIS 1988 96 464 70 Edwards R Resistance to beta lactam antibiotics in Bacteroides spp J Med Microbiol 1997 46 979 86 Søgaard P The epidemiology of antibiotic resistance in three species of Enterobacteriaceae and the relation to consumption of antimicrobial agents in Odense University Hospital Dan Med Bull 1989 36 65 84 D1 B lactam 497 html Vedel G Peyret M Gayral JP Millot P Evaluation of an expert system linked to a rapid antibiotic susceptibility system for the detection of B lactam resistance phenotypes Res Microbiol 1996 147 297 309 Busch Sørensen C Sönmezoglu Frimodt Møller N Højbjerg T Miller GH Espersen F Aminoglycoside resistance mechanisms in Enterobacteriaceae and Pseudomonas spp from two Danish hospitals correlation with type of aminoglycoside used APMIS 1996 104 763 68 Courvalin P Interpretive reading of in vitro antibiotic susceptibility tests the antibiogramme CMI 1996 2 suppl 1 S26 34 F species html Sirot J Courvalin P Soussy C J Definition and determination of in vitro antibiotic susceptibility breakpoints for bacteria CMI 1996 2 suppl 1 S5 10 Beek Dv Hensen EF Spaanjard L Gans Jd Enting RH Dankert Meropenem susceptibility of Neisseria meningitidis and Streptococcus pneumoniae from meningitis patients in The Netherlands

    Original URL path: http://www.inetuni2dkhomedskm.dk/public_html/L..html (2016-04-28)
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  • D1.A
    65 of the species Shigella Salmonella P mirabilis Reading Reply 2 3 I S 3 S d 3 S 2 3 I S 3 S Group 2 Chromosomal Cephalosporinase producers C freundii H alvei E cloacae aerogenes P vulgaris Morganella Serratia Providencia E coli 5 of the species AmpC 0 1 R 3 S 3 S 3 R 0 R 3 R Group 3 Chromosomal ampicillinase producers Klebsiella C koseri 0 R 0 R 3 S 3 S 3 S 3 S Group 5 Episomal ampicillinase producers E coli 30 of the species 0 R 0 R d 3 S 2 3 I S 3 S When the species belongs to group 1 or 3 sensitivity testing with ampicillin and cefuroxim is sufficient for characterization of the b lactam genotype For the characterization of of the b lactam genotypes of the species of groups 2 and 5 the sensitivity of the isolate to a weak cephalosporin and to a carboxi penicillin has to be known especially on account of the ampicillin resistant strains of E coli Of these 1 7 or 5 of a total of 35 ampicillin resistant strains are resistant to cephalosporins This is quantitatively important but the

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  • F.species
    yes no yes yes no yes yes E test yes yes no yes no yes yes yes no yes yes yes yes no no yes no no yes no no yes no no yes no no yes no no no no yes yes no yes yes no yes yes no yes yes no no yes no no yes no no yes no no yes no yes yes no no yes no yes broth agar with 5 NaCl L 2 methicillinase producer borderline resistant L 3 4 as S aureus but read after 42 h at 35 o C L 3 6 discussion of treatment report of MIC L 7 8 L 21 screening with carbenicillin and E test VanA MIC 64 mg l also teicopl R L 9 VanB MIC 4 mg l teicoplanin S L 10 Clinically important L 20 21 29 Screen with oxacillin 1 microg and Minibact N E test ß lactamase negative Minibact N B lactamase ß lactamase cephalothin S ß lactamase cephalothin R as above as above unsettled L 11 L 21 L 12 ß lactamase test L 13 as above Metallo ß lactamase L 14 nota bene Enterobacteriaceae L 15 16 Grouped as in D1 B lactam 497 html Group 1 S sensitive no R traits E coli P mirabilis Salmonella Shigella Group 2 Inducible cephalosporinase producers E cloacae Serratia etc Group 2 b Mutated cephalospor inase producers E cloacae Group 3 Chromosomal Penase producers Klebsiella Group 4 Y enterocolitica Group 5 Episomal ß lactamase producers TEM 1 TEM 2 SHV 1 Group 6 Extended spectrum ß lactamases CTX 1 TEM 3 TEM 4 SHV 2 Ampicillin carboxipenicillin cephalosporin ampicillin carboxipenicillin cephalosporin ampicillin carboxipenicillin cephalosporin mecillinam ampicillin carboxipenicillin cephalosporin ampicillin carboxipenicillin cephalothin cefotaxime aztreonam ampicillin carboxipenicillin cephalosporin ampicillin carboxipenicillin cephalosporin cephalosporin clavul acid ceftazidime

    Original URL path: http://www.inetuni2dkhomedskm.dk/public_html/F.species.html (2016-04-28)
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  • Kvalitetssikring
    V1 Eksternt PHLS SSI IIB 2 Foreløbigt svar IIB 2 Tiden til endeligt svar V1 Certifikation IIB 1 Forebyggelse af nosokomielle risici Andre risici IIB 3 Udgifter IIIB Postoperative infektioner Andre infektioner IIIB Forbrug af antibiotika V1 Accreditering V2 Utilitarisme versus deontologi IIIB 3 Patientens helbredelse IIIB 4 Hyppighed af non konforme V3 Lægens tilfredshed ß ß Forbedringer ß ß Litteratur Donabedian A The quality of medical care Methods for

    Original URL path: http://www.inetuni2dkhomedskm.dk/public_html/Kvalitetssikring.html (2016-04-28)
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  • Primær
    resistensbestemmelse er hensigtsmæssig ved vækst fra bloddyrkninger med purulente spinalvæsker med pus prøver med ekspektorater og med uklare urineprøver Den er hurtig og adskiller stammer med forskellige resistensmønstre D1 A

    Original URL path: http://www.inetuni2dkhomedskm.dk/public_html/Primaer.html (2016-04-28)
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  • Registrering
    i mm eller semikvantitativt 0 eller 0 3 Aflæsning direkte til en elektronisk hukommelse EDB medfører at resultaterne kan ændres uden spor og derfor måske uberettiget Disse overvejelser gælder alle diffusionsmetoder Neosensitabs Rosco Biodisc Oxo etc hvis metoden overhovedet kan

    Original URL path: http://www.inetuni2dkhomedskm.dk/public_html/Registrering.html (2016-04-28)
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