title: Detection of extended-spectrum beta-lactamases in members of the family enterobacteriaceae: comparison of the MAST DD test, the double disc and the Etest ESBL.
abstract: A technically simple method-the MAST double disc (MDD) test-for the detection of extended-spectrum beta-lactamase (ESBL) production by bacteria is described. A wide range of ESBL, non-ESBL and Class 1 beta-lactamase-producing isolates was examined. The MDD test, which uses discs containing ceftazidime and a complementary disc containing ceftazidime and clavulanate and a second pair containing cefotaxime and cefotaxime and clavulanate was compared with the standard double disc diffusion test and an Etest method. Both the Etest and the MDD correctly identified 93% of ESBL producers. The MDD is an inexpensive alternative to current methods for the detection of ESBL production.
authors.affiliation: Division of Microbiology, University of Leeds, Leeds LS2 9JT, UK. michfm@leeds.ac.uk
authors.forename: F H
authors.initials: FH
authors.lastname: M'Zali
authors.forename: A
authors.initials: A
authors.lastname: Chanawong
authors.forename: K G
authors.initials: KG
authors.lastname: Kerr
authors.forename: D
authors.initials: D
authors.lastname: Birkenhead
authors.forename: P M
authors.initials: PM
authors.lastname: Hawkey
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology; D002442:Ceftazidime / Q000494:pharmacology; D002511:Cephalosporins / Q000494:pharmacology; D019818:Clavulanic Acid / Q000494:pharmacology; D004755:Enterobacteriaceae / Q000187:drug effects / Q000201:enzymology*; D005798:Genes, Bacterial / Q000235:genetics; D008826:Microbial Sensitivity Tests; D020133:Reverse Transcriptase Polymerase Chain Reaction; D001618:beta-Lactamases / Q000378:metabolism*
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D019818:Clavulanic Acid; D002442:Ceftazidime; D001618:beta-Lactamases