Selective Culture Medium for Screening of Fosfomycin Resistance in Enterobacterales

筛选肠杆菌磷霉素耐药性的选择性培养基

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作者:Patrice Nordmann, Mustafa Sadek, José Manuel Ortiz de la Rosa, Stefan Pfister, Claudine Fournier, Laurent Poirel

Abstract

A selective medium for screening fosfomycin (FOS)-resistant Enterobacterales was developed. Performances of this medium were first evaluated by using cultures of a collection of 84 enterobacterial clinical strains (42 FOS susceptible and 42 FOS resistant). The SuperFOS medium showed excellent sensitivity and specificity of detection (100%) in those conditions. Then, by testing spiked stool and spiked urine specimens, it revealed excellent performances, with lower limits of identification ranging from 101 to 102 CFU/ml. This screening medium allows easy and accurate detection of FOS-resistant isolates regardless of their resistance mechanisms.

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