2007
DOI: 10.1590/s1413-86702007000200014
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Utility of the ceftazidime-imipenem antagonism test (CIAT) to detect and confirm the presence of inducible AmpC beta-lactamases among enterobacteriaceae

Abstract: Detection of AmpC beta-lactamase production by enterobacteria has been problematic. Contrary to ESBLs, no specific guidelines are available for detection and confirmation of AmpC production by clinical relevant microorganisms. Moreover, some bacterial species may produce inducible AmpC beta-lactamases that can be easily overlooked by routine susceptibility tests. We reported here a new test based on the strong inducible effect of imipenem on AmpC genes and the consequent antagonism with ceftazidime. This test … Show more

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Cited by 17 publications
(16 citation statements)
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“…for meropenem and colistin, [2] phenotypic tests for AmpC production (by cefoxitin disc, [3] disc antagonism test, [3] boronic acid inhibition test [4] and ceftazidime-imipenem antagonism test) [5] and test for presence of effl ux pump were performed. [6] Multiplex polymerase chain reaction (PCR) for CTX-M gene 1, 2, 8, 9 and 25 [7] and bla IMP-1 , bla IMP-2 , bla VIM-1 and bla VIM-2 of carbapenemases genes were done.…”
mentioning
confidence: 99%
“…for meropenem and colistin, [2] phenotypic tests for AmpC production (by cefoxitin disc, [3] disc antagonism test, [3] boronic acid inhibition test [4] and ceftazidime-imipenem antagonism test) [5] and test for presence of effl ux pump were performed. [6] Multiplex polymerase chain reaction (PCR) for CTX-M gene 1, 2, 8, 9 and 25 [7] and bla IMP-1 , bla IMP-2 , bla VIM-1 and bla VIM-2 of carbapenemases genes were done.…”
mentioning
confidence: 99%
“…All the susceptibility test plates were incubated at 30 o C for 18-24 hrs. Antagonism indicated by a visible reduction in the inhibition zone around the ceftazidime disk adjacent to the imipenem or cefoxitin disk was inferred as a positive inducible AmpC β-lactamase production [11,14]. Table 1 shows the rate of recovery of P. aeruginosa isolates from the feacal swab samples of the feacal matter of cow.…”
Section: Confirmatory Test For Ampc β-Lactamase Productionmentioning
confidence: 99%
“…AmpC β-lactamase production in the test isolates was phenotypically confirmed using the ceftazidime-imipenem antagonism test (CIAT) which was performed using ceftazidime (30 µg) disk, cefoxitin (30 µg) disk and imipenem disk (10 µg) as described by Cantarelli et al [14]. Ceftazidime disc and imipenem disk were placed at a distance of 20 mm apart on Mueller-Hinton agar plate previously inoculated with a suspension of the test bacteria (adjusted to 0.5 McFarland turbidity standards) that showed reduced susceptibility to cefoxitin.…”
Section: Confirmatory Test For Ampc β-Lactamase Productionmentioning
confidence: 99%
“…These isolates were carrying CIT gene. Cantarelli et al (2007) found that CIAT detected chromosomal AmpC more perfectly than PMABLs as 100% of isolates were induced by imipenam, two (6%) were carrying plasmid (blaDHA) and 32 (94%) isolates were chromosomal. However, in our study there were 16 isolates that were carrying CIT gene, but were negative by the test; These islolates were resistance to ceftazidime and were having other Amp C genes which may inhibit or mask the effect of the inducer (imipenem).…”
mentioning
confidence: 97%
“…Also, Cantarelli et al, (2007) stated that, CIAT test can not be used to test strains showing no inhibition zone for ceftazidime or for those strains bearing plasmidmediated AmpC enzymes that are not typically inducible.…”
mentioning
confidence: 99%