Failure of quality control measures to prevent reporting of false resistance to imipenem, resulting in a pseudo-outbreak of imipenem-resistant Pseudomonas aeruginosa

J Clin Microbiol. 1998 Feb;36(2):595-7. doi: 10.1128/JCM.36.2.595-597.1998.

Abstract

False results showing an outbreak of Pseudomonas aeruginosa with resistance to imipenem were traced to a defective lot of microdilution MIC testing panels. These panels contained two- to threefold lower concentrations of imipenem than expected and resulted in artifactual two- to fourfold increases in MICs of imipenem. The quality-control MIC results for Pseudomonas aeruginosa ATCC 27853 were 4 microg/ml, the highest value within the range recommended by the National Committee for Clinical Laboratory Standards. We recommend that this value be considered out of the quality-control range.

MeSH terms

  • Case-Control Studies
  • Diagnostic Errors*
  • Disease Outbreaks
  • Drug Resistance, Microbial
  • False Positive Reactions
  • Imipenem / pharmacology*
  • Microbial Sensitivity Tests / methods*
  • Pseudomonas Infections / diagnosis*
  • Pseudomonas Infections / drug therapy*
  • Pseudomonas Infections / epidemiology
  • Pseudomonas aeruginosa / drug effects
  • Quality Control
  • Thienamycins / pharmacology*

Substances

  • Thienamycins
  • Imipenem