Interpretation chart of phenotypic carbapenemase confirmation tests
Confirmation test | Carbapenemase | AmpC with porin loss | ESBL with porin loss | ||
---|---|---|---|---|---|
Class A | Class B | Class D | |||
Modified Hodge test | + | + | + | -/+ | -/+ |
Meropenem ± boronic acid | + | - | - | +/- | - |
Meropenem ± cloxacillin | - | - | - | +/- | - |
Imipenem ± EDTA | - | + | - | - | - |
Meropenem ± DPA | - | + | - | - | - |
Abbreviations: EDTA, ethylene diamine tetra-acetic acid; DPA, dipicolinic acid