Efficient Inactivation of Clinically Relevant Antimicrobial Drug Concentrations by BacT/Alert or Bactec Resin-Containing Media in Simulated Adult Blood Cultures

Antimicrob Agents Chemother. 2019 Jun 24;63(7):e00420-19. doi: 10.1128/AAC.00420-19. Print 2019 Jul.

Abstract

We assessed the antimicrobial-inactivation capability of BacT/Alert (FA Plus and FN Plus) or Bactec (Plus Aerobic/F and Plus Anaerobic/F) media for 40 antibiotic-bacterium combinations in simulated adult blood cultures. Aside from high recovery rates (93.2% and 88.4%, respectively), we showed that at the lowest but clinically relevant antibiotic concentrations, both BacT/Alert and Bactec media recovered all the organisms tested with drugs except for Escherichia coli, which was tested in the presence of meropenem. Delayed recoveries were mainly associated with vancomycin.

Keywords: blood culture system; drug inactivation; personalized therapy.

MeSH terms

  • Adult
  • Anti-Bacterial Agents / pharmacology*
  • Bacteremia / microbiology
  • Bacteria / drug effects
  • Bacteria / isolation & purification*
  • Blood Culture / methods*
  • Culture Media / chemistry
  • Culture Media / pharmacology*
  • Escherichia coli / drug effects
  • Escherichia coli / isolation & purification
  • Humans
  • Meropenem / pharmacology
  • Pseudomonas aeruginosa / isolation & purification
  • Time Factors

Substances

  • Anti-Bacterial Agents
  • Culture Media
  • Meropenem