Evaluation of three selective chromogenic media, CHROMagar ESBL, CHROMagar CTX-M and CHROMagar KPC, for the detection of Klebsiella pneumoniae producing OXA-48 carbapenemase

J Clin Pathol. 2013 Apr;66(4):348-50. doi: 10.1136/jclinpath-2012-201234. Epub 2013 Jan 2.

Abstract

Three selective chromogenic culture media (CHROMagars ESBL, CTX-M and KPC) were evaluated for their ability to support the growth of nine Klebsiella pneumoniae isolates producing OXA-48 carbapenemase in combination with other β-lactamases. CHROMagar ESBL and CHROMagar KPC were the most sensitive media, supporting growth of all isolates with a detection limit as low as < 100 CFU/ml. Five isolates failed to grow on CHROMagar CTX-M, and five were recovered on CHROMagar KPC only at counts > 10(6) CFU/ml. Both CHROMagar ESBL and CHROMagar KPC may be useful for enhanced isolation of K pneumoniae producing OXA-48-like carbapenemases.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Agar*
  • Anti-Bacterial Agents / pharmacology
  • Bacterial Proteins / metabolism*
  • Bacteriological Techniques*
  • Chromogenic Compounds*
  • Colony Count, Microbial
  • Klebsiella pneumoniae / drug effects
  • Klebsiella pneumoniae / enzymology*
  • Klebsiella pneumoniae / genetics
  • Klebsiella pneumoniae / growth & development
  • Klebsiella pneumoniae / isolation & purification*
  • Limit of Detection
  • Microbial Sensitivity Tests
  • beta-Lactamases / metabolism*

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • Chromogenic Compounds
  • Agar
  • beta-Lactamases
  • carbapenemase
  • oxacillinase