Discordance in the minimal inhibitory concentrations of ertapenem for Enterobacter cloacae: Vitek 2 system versus Etest and agar dilution methods

Our objective was to compare the ertapenem minimal inhibitory concentrations (MICs) for Enterobacter cloacae isolates categorized intermediate or resistant to ertapenem when measured with the Vitek 2 system, with the MICs for these isolates when measured by two methods performed in agar medium: the Etest and agar plate dilution method (APDM). Overall, 50 E. cloacae isolates were included in the study. The mean MIC of ertapenem was 2.92±1.77μg/ml according to the Vitek 2 system, 0.94±0.84μg/ml according to the Etest strips, and 0.93±0.62μg/ml according to the APDM. Furthermore, the MICs determined by the Vitek 2 system were higher than the MICs determined by the two other methods for 96% of strains. Lastly, according to the Etest strips and APDM, 42% of E. cloacae were susceptible to ertapenem. No carbapenemase was identified by the screening method used. Using the Vitek 2 system to determine ertapenem MICs for E. cloacae can have potential consequences in terms of additional carbapenemase-detecting tests and antimicrobial therapy. It would be interesting to determine if the Vitek 2 system is more effective for the detection of carbapenemase producers with low-level carbapenem resistance than the two methods performed in agar medium

A qualitative study into the perceived barriers of accessing healthcare among a vulnerable population involved with a community centre in Romania

(1) Interview guide for family members, and (2) Interview guide for staff members. (DOCX 103 kb

le développement durable dans les fédérations sportives

International audienc

le développement durable dans les fédérations sportives

International audienc

le développement durable dans les fédérations sportives

International audienc

Caring For The Vulnerable: Perspectives in Nursing Theory, Practice and Research

Caring for the Vulnerable Perspectives in Nursing Theory, Practice, and Research, Fourth Edition explores vulnerability from the perspective of individuals, groups, communities, and populations and specifically addresses how vulnerability affects the field of nursing and its care givers. The Fourth Edition focuses on how to work vulnerable populations, provides an overview of treatments and issues as well as presents a basic structure for caring for the vulnerable with the ultimate goal of providing culturally competent care. • Content specific to practicing DNPs • Coverage of integrating military personnel into the general population • Discusses human trafficking, health disparities and complementary medicinehttps://digitalcommons.kennesaw.edu/facbooks2015/1002/thumbnail.jp

Approximation d'ecoulements multifluides instationnaires

Available from CEN Saclay, Service de Documentation, 91191 Gif-sur-Yvette Cedex (France) / INIST-CNRS - Institut de l'Information Scientifique et TechniqueSIGLEFRFranc