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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019 Antimicrobial susceptibility testing of Escherichia coli, enterococci and staphylococci TEST FORMS Name: Name of laboratory: Name of institute: City: Country: E-mail: Fax: Comments: Page 1 of 41 G00-06-001/28.06.2016

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Page 1: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

Antimicrobial susceptibility testing of Escherichia coli, enterococci and staphylococci

TEST FORMS

Name:      

Name of laboratory:      

Name of institute:      

City:      

Country:      

E-mail:      

Fax:      

Comments:      

Page 1 of 27G00-06-001/28.06.2016

Page 2: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORMS METHODS – Enterococci Which method did you use for antimicrobial susceptibility testing of enterococci in this EQAS:

MIC – Broth microdilution MIC – Agar dilution (not evaluated in the final report)

Which standard(s)/guideline(s) do you use when performing AST? CLSI EUCAST ISO 20776-1:2006 TREK

Which incubation conditions do you use?      °C/     h

Which solvent was used for the preparation of the 0.5 McFarland solution? Water Saline Mueller Hinton broth

Please describe how you prepared the inoculum:The inoculum was prepared by adding       µl of 0.5 McFarland solution to       ml MH broth

What is the expected inoculum concentration (e.g. 1*105 CFU/ml)?       CFU/ml

Comments or additional information:      

Page 2 of 27G00-06-001/28.06.2016

Page 3: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORMS METHODS – Staphylococci Which method did you use for antimicrobial susceptibility testing of S. aureus in this EQAS:

MIC – Broth microdilution MIC – Agar dilution (not evaluated in the final report)

Which standard(s)/guideline(s) do you use when performing AST? CLSI EUCAST ISO 20776-1:2006 TREK

Which incubation conditions do you use?      °C/     h

Which solvent was used for the preparation of the 0.5 McFarland solution? Water Saline Mueller Hinton broth

Please describe how you prepared the inoculum:The inoculum was prepared by adding       µl of 0.5 McFarland solution to       ml MH broth

What is the expected inoculum concentration (e.g. 1*105 CFU/ml)?       CFU/ml

Comments or additional information:      

Page 3 of 27G00-06-001/28.06.2016

Page 4: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORMS METHODS – Escherichia coli Which method did you use for antimicrobial susceptibility testing of E. coli in this EQAS:

MIC – Broth microdilution MIC – Agar dilution (not evaluated in the final report)

Which standard(s)/guideline(s) do you use when performing AST? CLSI EUCAST ISO 20776-1:2006 TREK

Which incubation conditions do you use?      °C/     h

Which solvent was used for the preparation of the 0.5 McFarland solution? Water Saline Mueller Hinton broth

Please describe how you prepared the inoculum:The inoculum was prepared by adding       µl of 0.5 McFarland solution to       ml MH broth

What is the expected inoculum concentration (e.g. 1*105 CFU/ml)?       CFU/ml

Comments or additional information:      

Page 4 of 27G00-06-001/28.06.2016

Page 5: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM - Enterococci Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

Enterococci

EURL ENT. 14.1

E. faecium

E. faecalis

Ampicillin, AMP                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Daptomycin, DAP                  

Erythromycin, ERY                  

Gentamicin, GEN                  

Linezolid, LZD                  

Quin.-Dalf. (Synercid), SYN                  

Teicoplanin, TEI                  

Tetracycline, TET                  

Tigecycline, TGC                  

Vancomycin, VAN                  

Strain Antimicrobial Results and interpretation£>

MIC-value (μg/ml) S / R

Enterococci

EURL ENT. 14.2

E. faecium

E. faecalis

Ampicillin, AMP                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Daptomycin, DAP                  

Erythromycin, ERY                  

Gentamicin, GEN                  

Linezolid, LZD                  

Quin.-Dalf. (Synercid), SYN                  

Teicoplanin, TEI                  

Tetracycline, TET                  

Tigecycline, TGC                  

Vancomycin, VAN                  

Page 5 of 27G00-06-001/28.06.2016

Page 6: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM - Enterococci Strain Antimicrobial Results and interpretation

£>

MIC-value (μg/ml) S / R

Enterococci

EURL ENT. 14.3

E. faecium

E. faecalis

Ampicillin, AMP                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Daptomycin, DAP                  

Erythromycin, ERY                  

Gentamicin, GEN                  

Linezolid, LZD                  

Quin.-Dalf. (Synercid), SYN                  

Teicoplanin, TEI                  

Tetracycline, TET                  

Tigecycline, TGC                  

Vancomycin, VAN                  

Strain Antimicrobial Results and interpretation£>

MIC-value (μg/ml) S / R

Enterococci

EURL ENT. 14.4

E. faecium

E. faecalis

Ampicillin, AMP                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Daptomycin, DAP                  

Erythromycin, ERY                  

Gentamicin, GEN                  

Linezolid, LZD                  

Quin.-Dalf. (Synercid), SYN                  

Teicoplanin, TEI                  

Tetracycline, TET                  

Tigecycline, TGC                  

Vancomycin, VAN                  

Page 6 of 27G00-06-001/28.06.2016

Page 7: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM - Enterococci Strain Antimicrobial Results and interpretation

£>

MIC-value (μg/ml) S / R

Enterococci

EURL ENT. 14.5

E. faecium

E. faecalis

Ampicillin, AMP                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Daptomycin, DAP                  

Erythromycin, ERY                  

Gentamicin, GEN                  

Linezolid, LZD                  

Quin.-Dalf. (Synercid), SYN                  

Teicoplanin, TEI                  

Tetracycline, TET                  

Tigecycline, TGC                  

Vancomycin, VAN                  

Strain Antimicrobial Results and interpretation£>

MIC-value (μg/ml) S / R

Enterococci

EURL ENT. 14.6

E. faecium

E. faecalis

Ampicillin, AMP                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Daptomycin, DAP                  

Erythromycin, ERY                  

Gentamicin, GEN                  

Linezolid, LZD                  

Quin.-Dalf. (Synercid), SYN                  

Teicoplanin, TEI                  

Tetracycline, TET                  

Tigecycline, TGC                  

Vancomycin, VAN                  

Page 7 of 27G00-06-001/28.06.2016

Page 8: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM - Enterococci Strain Antimicrobial Results and interpretation

£>

MIC-value (μg/ml) S / R

Enterococci

EURL ENT. 14.7

E. faecium

E. faecalis

Ampicillin, AMP                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Daptomycin, DAP                  

Erythromycin, ERY                  

Gentamicin, GEN                  

Linezolid, LZD                  

Quin.-Dalf. (Synercid), SYN                  

Teicoplanin, TEI                  

Tetracycline, TET                  

Tigecycline, TGC                  

Vancomycin, VAN                  

Strain Antimicrobial Results and interpretation£>

MIC-value (μg/ml) S / R

Enterococci

EURL ENT. 14.8

E. faecium

E. faecalis

Ampicillin, AMP                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Daptomycin, DAP                  

Erythromycin, ERY                  

Gentamicin, GEN                  

Linezolid, LZD                  

Quin.-Dalf. (Synercid), SYN                  

Teicoplanin, TEI                  

Tetracycline, TET                  

Tigecycline, TGC                  

Vancomycin, VAN                  

Page 8 of 27G00-06-001/28.06.2016

Page 9: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM - Enterococci

Antimicrobial susceptibility testing of reference strain Enterococcus faecalis ATCC 29212

Antimicrobial MIC-value (μg/ml)

Ampicillin, AMP      

Chloramphenicol, CHL      

Ciprofloxacin, CIP      

Daptomycin, DAP      

Erythromycin, ERY      

Gentamicin, GEN      

Linezolid, LZD      

Quinupristin-Dalfopristin (Synercid), SYN      

Teicoplanin, TEI      

Tetracycline, TET      

Tigecycline, TIG      

Vancomycin, VAN      

Page 9 of 27G00-06-001/28.06.2016

Page 10: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORMS - Staphylococci Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

S. aureus

EURL ST 14.1

Cefoxitin, FOX                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Clindamycin, CLN                  

Erythromycin, ERY                  

Fusidic acid, FUS                  

Gentamicin, GEN                  

Kanamycin, KAN                  

Linezolid, LZD                  

Mupirocin, MUP                  

Penicillin, PEN                  

Quin.-Dalf. (Synercid), SYN                  

Rifampicin, RIF                  

Streptomycin, STR                  

Sulfamethoxazole, SMX                  

Tetracycline, TET                  

Tiamulin (TIA)                  

Trimethoprim, TMP                  

Vancomycin, VAN                  

Methicillin resistance (MRSA) Positive Negative

Page 10 of 27G00-06-001/28.06.2016

Page 11: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORMS - Staphylococci Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

S. aureus

EURL ST 14.2

Cefoxitin, FOX                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Clindamycin, CLN                  

Erythromycin, ERY                  

Fusidic acid, FUS                  

Gentamicin, GEN                  

Kanamycin, KAN                  

Linezolid, LZD                  

Mupirocin, MUP                  

Penicillin, PEN                  

Quin.-Dalf. (Synercid), SYN                  

Rifampicin, RIF                  

Streptomycin, STR                  

Sulfamethoxazole, SMX                  

Tetracycline, TET                  

Tiamulin (TIA)                  

Trimethoprim, TMP                  

Vancomycin, VAN                  

Methicillin resistance (MRSA) Positive Negative

Page 11 of 27G00-06-001/28.06.2016

Page 12: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORMS - Staphylococci Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

S. aureus

EURL ST 14.3

Cefoxitin, FOX                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Clindamycin, CLN                  

Erythromycin, ERY                  

Fusidic acid, FUS                  

Gentamicin, GEN                  

Kanamycin, KAN                  

Linezolid, LZD                  

Mupirocin, MUP                  

Penicillin, PEN                  

Quin.-Dalf. (Synercid), SYN                  

Rifampicin, RIF                  

Streptomycin, STR                  

Sulfamethoxazole, SMX                  

Tetracycline, TET                  

Tiamulin (TIA)                  

Trimethoprim, TMP                  

Vancomycin, VAN                  

Methicillin resistance (MRSA) Positive Negative

Page 12 of 27G00-06-001/28.06.2016

Page 13: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORMS - Staphylococci Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

S. aureus

EURL ST 14.4

Cefoxitin, FOX                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Clindamycin, CLN                  

Erythromycin, ERY                  

Fusidic acid, FUS                  

Gentamicin, GEN                  

Kanamycin, KAN                  

Linezolid, LZD                  

Mupirocin, MUP                  

Penicillin, PEN                  

Quin.-Dalf. (Synercid), SYN                  

Rifampicin, RIF                  

Streptomycin, STR                  

Sulfamethoxazole, SMX                  

Tetracycline, TET                  

Tiamulin (TIA)                  

Trimethoprim, TMP                  

Vancomycin, VAN                  

Methicillin resistance (MRSA) Positive Negative

Page 13 of 27G00-06-001/28.06.2016

Page 14: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORMS - Staphylococci Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

S. aureus

EURL ST 14.5

Cefoxitin, FOX                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Clindamycin, CLN                  

Erythromycin, ERY                  

Fusidic acid, FUS                  

Gentamicin, GEN                  

Kanamycin, KAN                  

Linezolid, LZD                  

Mupirocin, MUP                  

Penicillin, PEN                  

Quin.-Dalf. (Synercid), SYN                  

Rifampicin, RIF                  

Streptomycin, STR                  

Sulfamethoxazole, SMX                  

Tetracycline, TET                  

Tiamulin (TIA)                  

Trimethoprim, TMP                  

Vancomycin, VAN                  

Methicillin resistance (MRSA) Positive Negative

Page 14 of 27G00-06-001/28.06.2016

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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORMS - Staphylococci Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

S. aureus

EURL ST 14.6

Cefoxitin, FOX                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Clindamycin, CLN                  

Erythromycin, ERY                  

Fusidic acid, FUS                  

Gentamicin, GEN                  

Kanamycin, KAN                  

Linezolid, LZD                  

Mupirocin, MUP                  

Penicillin, PEN                  

Quin.-Dalf. (Synercid), SYN                  

Rifampicin, RIF                  

Streptomycin, STR                  

Sulfamethoxazole, SMX                  

Tetracycline, TET                  

Tiamulin (TIA)                  

Trimethoprim, TMP                  

Vancomycin, VAN                  

Methicillin resistance (MRSA) Positive Negative

Page 15 of 27G00-06-001/28.06.2016

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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORMS - Staphylococci Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

S. aureus

EURL ST 14.7

Cefoxitin, FOX                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Clindamycin, CLN                  

Erythromycin, ERY                  

Fusidic acid, FUS                  

Gentamicin, GEN                  

Kanamycin, KAN                  

Linezolid, LZD                  

Mupirocin, MUP                  

Penicillin, PEN                  

Quin.-Dalf. (Synercid), SYN                  

Rifampicin, RIF                  

Streptomycin, STR                  

Sulfamethoxazole, SMX                  

Tetracycline, TET                  

Tiamulin (TIA)                  

Trimethoprim, TMP                  

Vancomycin, VAN                  

Methicillin resistance (MRSA) Positive Negative

Page 16 of 27G00-06-001/28.06.2016

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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORMS - Staphylococci Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

S. aureus

EURL ST 14.8

Cefoxitin, FOX                  

Chloramphenicol, CHL                  

Ciprofloxacin, CIP                  

Clindamycin, CLN                  

Erythromycin, ERY                  

Fusidic acid, FUS                  

Gentamicin, GEN                  

Kanamycin, KAN                  

Linezolid, LZD                  

Mupirocin, MUP                  

Penicillin, PEN                  

Quin.-Dalf. (Synercid), SYN                  

Rifampicin, RIF                  

Streptomycin, STR                  

Sulfamethoxazole, SMX                  

Tetracycline, TET                  

Tiamulin (TIA)                  

Trimethoprim, TMP                  

Vancomycin, VAN                  

Methicillin resistance (MRSA) Positive Negative

Page 17 of 27G00-06-001/28.06.2016

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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM - Staphylococci

Antimicrobial susceptibility testing of reference strain S. aureus ATCC 29213 (MIC)

Antimicrobial MIC-value (μg/ml)

Cefoxitin, FOX      

Chloramphenicol, CHL      

Ciprofloxacin, CIP      

Clindamycin, CLN      

Erythromycin, ERY      

Fusidic acid, FUS      

Gentamicin, GEN      

Kanamycin, KAN      

Linezolid, LZD      

Mupirocin, MUP      

Penicillin, PEN      

Quin.-Dalf. (Synercid), SYN      

Rifampicin, RIF      

Streptomycin, STR      

Sulfamethoxazole, SMX      

Tetracycline, TET      

Tiamulin (TIA)      

Trimethoprim, TMP      

Vancomycin, VAN      

Page 18 of 27G00-06-001/28.06.2016

Page 19: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM – E. coliStrain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.1

Ampicillin, AMP                  Azithromycin, AZT                  Cefotaxime, FOT                  Ceftazidime, TAZ                  Chloramphenicol, CHL                  Ciprofloxacin CIP                  Colistin, COL                  Gentamicin, GEN                  Meropenem, MERO                  Nalidixic acid, NAL                  Sulfamethoxazole, SMX                  Tetracycline, TET                  Tigecycline, TGC                  Trimethoprim, TMP                  

All strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory tests for ESBL/AmpC/carbapenemase production. See further description of confirmatory tests in the protocol section ‘3.3.1 E. coli’.Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.1

Cefepime, FEP                  Cefotaxime, FOT                  Cefotaxime + clavulanic acid (F/C)                  Cefoxitin, FOX                  Ceftazidime, TAZ                  Ceftazidime+ clavulanic acid (T/C)                  Ertapenem, ETP                  Imipenem, IMI                  Meropenem, MERO                  Temocillin, TRM                  

Interpretation of PANEL 2 results:

ESBL phenotype ESBL+AmpC phenotype

AmpC phenotype Carbapenemase phenotype

Other phenotypes Susceptible (to panel 2 antimicrobials)

Comments (include optional genotype or other results):      

Page 19 of 27G00-06-001/28.06.2016

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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM – E. coli Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.2

Ampicillin, AMP                  Azithromycin, AZT                  Cefotaxime, FOT                  Ceftazidime, TAZ                  Chloramphenicol, CHL                  Ciprofloxacin CIP                  Colistin, COL                  Gentamicin, GEN                  Meropenem, MERO                  Nalidixic acid, NAL                  Sulfamethoxazole, SMX                  Tetracycline, TET                  Tigecycline, TGC                  Trimethoprim, TMP                  

All strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory tests for ESBL/AmpC/carbapenemase production. See further description of confirmatory tests in the protocol section ‘3.3.1 E. coli’. Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.2

Cefepime, FEP                  Cefotaxime, FOT                  Cefotaxime + clavulanic acid (F/C)                  Cefoxitin, FOX                  Ceftazidime, TAZ                  Ceftazidime+ clavulanic acid (T/C)                  Ertapenem, ETP                  Imipenem, IMI                  Meropenem, MERO                  Temocillin, TRM                  

Interpretation of PANEL 2 results:

ESBL phenotype ESBL+AmpC phenotype

AmpC phenotype Carbapenemase phenotype

Other phenotypes Susceptible (to panel 2 antimicrobials)

Comments (include optional genotype or other results):      

Page 20 of 27G00-06-001/28.06.2016

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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM – E. coliStrain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.3

Ampicillin, AMP                  Azithromycin, AZT                  Cefotaxime, FOT                  Ceftazidime, TAZ                  Chloramphenicol, CHL                  Ciprofloxacin CIP                  Colistin, COL                  Gentamicin, GEN                  Meropenem, MERO                  Nalidixic acid, NAL                  Sulfamethoxazole, SMX                  Tetracycline, TET                  Tigecycline, TGC                  Trimethoprim, TMP                  

All strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory tests for ESBL/AmpC/carbapenemase production. See further description of confirmatory tests in the protocol section ‘3.3.1 E. coli’. Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.3

Cefepime, FEP                  Cefotaxime, FOT                  Cefotaxime + clavulanic acid (F/C)                  Cefoxitin, FOX                  Ceftazidime, TAZ                  Ceftazidime+ clavulanic acid (T/C)                  Ertapenem, ETP                  Imipenem, IMI                  Meropenem, MERO                  Temocillin, TRM                  

Interpretation of PANEL 2 results:

ESBL phenotype ESBL+AmpC phenotype

AmpC phenotype Carbapenemase phenotype

Other phenotypes Susceptible (to panel 2 antimicrobials)

Comments (include optional genotype or other results):      

Page 21 of 27G00-06-001/28.06.2016

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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM – E. coliStrain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.4

Ampicillin, AMP                  Azithromycin, AZT                  Cefotaxime, FOT                  Ceftazidime, TAZ                  Chloramphenicol, CHL                  Ciprofloxacin CIP                  Colistin, COL                  Gentamicin, GEN                  Meropenem, MERO                  Nalidixic acid, NAL                  Sulfamethoxazole, SMX                  Tetracycline, TET                  Tigecycline, TGC                  Trimethoprim, TMP                  

All strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory tests for ESBL/AmpC/carbapenemase production. See further description of confirmatory tests in the protocol section ‘3.3.1 E. coli’. Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.4

Cefepime, FEP                  Cefotaxime, FOT                  Cefotaxime + clavulanic acid (F/C)                  Cefoxitin, FOX                  Ceftazidime, TAZ                  Ceftazidime+ clavulanic acid (T/C)                  Ertapenem, ETP                  Imipenem, IMI                  Meropenem, MERO                  Temocillin, TRM                  

Interpretation of PANEL 2 results:

ESBL phenotype ESBL+AmpC phenotype

AmpC phenotype Carbapenemase phenotype

Other phenotypes Susceptible (to panel 2 antimicrobials)

Comments (include optional genotype or other results):      

Page 22 of 27G00-06-001/28.06.2016

Page 23: Bilag 4d-CRL2b til SOP G00-06-001 · Web viewAll strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory

EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM – E. coliStrain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.5

Ampicillin, AMP                  Azithromycin, AZT                  Cefotaxime, FOT                  Ceftazidime, TAZ                  Chloramphenicol, CHL                  Ciprofloxacin CIP                  Colistin, COL                  Gentamicin, GEN                  Meropenem, MERO                  Nalidixic acid, NAL                  Sulfamethoxazole, SMX                  Tetracycline, TET                  Tigecycline, TGC                  Trimethoprim, TMP                  

All strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory tests for ESBL/AmpC/carbapenemase production. See further description of confirmatory tests in the protocol section ‘3.3.1 E. coli’. Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.5

Cefepime, FEP                  Cefotaxime, FOT                  Cefotaxime + clavulanic acid (F/C)                  Cefoxitin, FOX                  Ceftazidime, TAZ                  Ceftazidime+ clavulanic acid (T/C)                  Ertapenem, ETP                  Imipenem, IMI                  Meropenem, MERO                  Temocillin, TRM                  

Interpretation of PANEL 2 results:

ESBL phenotype ESBL+AmpC phenotype

AmpC phenotype Carbapenemase phenotype

Other phenotypes Susceptible (to panel 2 antimicrobials)

Comments (include optional genotype or other results):      

Page 23 of 27G00-06-001/28.06.2016

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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM – E. coliStrain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.6

Ampicillin, AMP                  Azithromycin, AZT                  Cefotaxime, FOT                  Ceftazidime, TAZ                  Chloramphenicol, CHL                  Ciprofloxacin CIP                  Colistin, COL                  Gentamicin, GEN                  Meropenem, MERO                  Nalidixic acid, NAL                  Sulfamethoxazole, SMX                  Tetracycline, TET                  Tigecycline, TGC                  Trimethoprim, TMP                  

All strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory tests for ESBL/AmpC/carbapenemase production. See further description of confirmatory tests in the protocol section ‘3.3.1 E. coli’. Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.6

Cefepime, FEP                  Cefotaxime, FOT                  Cefotaxime + clavulanic acid (F/C)                  Cefoxitin, FOX                  Ceftazidime, TAZ                  Ceftazidime+ clavulanic acid (T/C)                  Ertapenem, ETP                  Imipenem, IMI                  Meropenem, MERO                  Temocillin, TRM                  

Interpretation of PANEL 2 results:

ESBL phenotype ESBL+AmpC phenotype

AmpC phenotype Carbapenemase phenotype

Other phenotypes Susceptible (to panel 2 antimicrobials)

Comments (include optional genotype or other results):      

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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM – E. coliStrain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.7

Ampicillin, AMP                  Azithromycin, AZT                  Cefotaxime, FOT                  Ceftazidime, TAZ                  Chloramphenicol, CHL                  Ciprofloxacin CIP                  Colistin, COL                  Gentamicin, GEN                  Meropenem, MERO                  Nalidixic acid, NAL                  Sulfamethoxazole, SMX                  Tetracycline, TET                  Tigecycline, TGC                  Trimethoprim, TMP                  

All strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory tests for ESBL/AmpC/carbapenemase production. See further description of confirmatory tests in the protocol section ‘3.3.1 E. coli’. Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.7

Cefepime, FEP                  Cefotaxime, FOT                  Cefotaxime + clavulanic acid (F/C)                  Cefoxitin, FOX                  Ceftazidime, TAZ                  Ceftazidime+ clavulanic acid (T/C)                  Ertapenem, ETP                  Imipenem, IMI                  Meropenem, MERO                  Temocillin, TRM                  

Interpretation of PANEL 2 results:

ESBL phenotype ESBL+AmpC phenotype

AmpC phenotype Carbapenemase phenotype

Other phenotypes Susceptible (to panel 2 antimicrobials)

Comments (include optional genotype or other results):      

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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM – E. coliStrain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.8

Ampicillin, AMP                  Azithromycin, AZT                  Cefotaxime, FOT                  Ceftazidime, TAZ                  Chloramphenicol, CHL                  Ciprofloxacin CIP                  Colistin, COL                  Gentamicin, GEN                  Meropenem, MERO                  Nalidixic acid, NAL                  Sulfamethoxazole, SMX                  Tetracycline, TET                  Tigecycline, TGC                  Trimethoprim, TMP                  

All strains resistant to cefotaxime (FOT), ceftazidime (TAZ) and/or meropenem (MERO) should be tested in the second panel for confirmatory tests for ESBL/AmpC/carbapenemase production. See further description of confirmatory tests in the protocol section ‘3.3.1 E. coli’. Strain Antimicrobial Results and interpretation

>

MIC-value (μg/ml) S / R

E. coliEURL EC 14.8

Cefepime, FEP                  Cefotaxime, FOT                  Cefotaxime + clavulanic acid (F/C)                  Cefoxitin, FOX                  Ceftazidime, TAZ                  Ceftazidime+ clavulanic acid (T/C)                  Ertapenem, ETP                  Imipenem, IMI                  Meropenem, MERO                  Temocillin, TRM                  

Interpretation of PANEL 2 results:

ESBL phenotype ESBL+AmpC phenotype

AmpC phenotype Carbapenemase phenotype

Other phenotypes Susceptible (to panel 2 antimicrobials)

Comments (include optional genotype or other results):      

Page 26 of 27G00-06-001/28.06.2016

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EU Reference Laboratory for Antimicrobial Resistance External Quality Assurance System (EQAS) 2019

TEST FORM – E. coli

Antimicrobial susceptibility testing of reference strain E. coli ATCC 25922

Antimicrobial MIC-value (μg/ml)1st panel Ampicillin, AMP      

Azithromycin, AZT      

Cefotaxime, FOT      

Ceftazidime, TAZ      

Chloramphenicol, CHL      

Ciprofloxacin, CIP      

Colistin, COL      

Gentamicin, GEN      

Meropenem, MERO      

Nalidixic acid, NAL      

Sulfamethoxazole, SMX      

Tetracycline, TET      

Tigecycline, TGC      

Trimethoprim, TMP      

2nd panel Cefepime, FEP      

Cefotaxime, FOT      

Cefotaxime + clavulanic acid (F/C)      

Cefoxitin, FOX      

Ceftazidime, TAZ      

Ceftazidime+ clavulanic acid (T/C)      

Ertapenem, ETP      

Imipenem, IMI      

Meropenem, MERO      

Temocillin, TRM      

Page 27 of 27G00-06-001/28.06.2016