The automated Vitek 2 (bioMerieux) method was used for bacterial identification and antimicrobial susceptibility testing of GNRs. Susceptibility test results were interpreted according to the Clinical and Laboratory Standards Institute (CLSI) breakpoints [16 ]. The third-generation cephalosporin used for susceptibility testing was changed from ceftriaxone to cefotaxime in our hospital during the study period. Therefore, we have presented the susceptibility results for cefotaxime instead of ceftriaxone throughout this manuscript. The ESBL confirmation tests were performed using the MicroScan Panel (Beckman Coulter). When multiple GNRs were isolated from a single patient, we regarded the patient as being in the resistant GNR group if at least one GNR was resistant to ceftriaxone.
Microscan panel
The MicroScan Panels are a series of laboratory test panels designed to identify and determine the antimicrobial susceptibility of a wide range of microorganisms, including bacteria and yeast. These panels utilize automated and manual testing methods to provide accurate and reliable results for clinical microbiology laboratories.
5 protocols using microscan panel
Antibiotic-Resistant GNR Prevalence Evaluation
The automated Vitek 2 (bioMerieux) method was used for bacterial identification and antimicrobial susceptibility testing of GNRs. Susceptibility test results were interpreted according to the Clinical and Laboratory Standards Institute (CLSI) breakpoints [16 ]. The third-generation cephalosporin used for susceptibility testing was changed from ceftriaxone to cefotaxime in our hospital during the study period. Therefore, we have presented the susceptibility results for cefotaxime instead of ceftriaxone throughout this manuscript. The ESBL confirmation tests were performed using the MicroScan Panel (Beckman Coulter). When multiple GNRs were isolated from a single patient, we regarded the patient as being in the resistant GNR group if at least one GNR was resistant to ceftriaxone.
Antibiotic Susceptibility Testing of Respiratory Pathogens
Antimicrobial Susceptibility Testing of Staphylococcus aureus
Urine Culture and Antibiotic Susceptibility
Antibiotic susceptibility testing was performed by microdilution using MicroScan panels (Beckman Coulter, Brea, CA, USA) in an automated WalkAway system (Beckman Coulter). Results were interpreted following European Committee for Antimicrobial Susceptibility Testing (EUCAST) 2019 guidelines [8 ]. Isolates with AMC minimum inhibitory concentration (MIC) values >8 mg/L were considered resistant. Phenotypic detection of ESBLs and carbapenemases was in accordance with EUCAST recommendations [33 ]. Molecular confirmation of carbapenemases was by real time PCR, using LightMix® modular carbapenemase kits (TIB Molbiol, Berlin, Germany) in a LightCycler 480 II instrument (Roche Diagnostics, Rotkreuz, Switzerland).
Antibiotic Susceptibility of P. aeruginosa
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