AutoICD API

86930-5

Laboratory

Carbapenemase [Presence] in Isolate

Definition

The detection of carbapenemase-producing isolates by various phenotypic methods, including the Modified Hodge Test (MHT) and Carbapemenase Inactivation Method (CIM). In MHT, carbapenemase production is detected when the test isolate produces the enzyme and allows growth of a carbapenem susceptible strain (E.coli ATCC 25922) towards a carbapenem disk. The result is a characteristic cloverleaf-like indentation. For CIM, a disk containing the indicator antibiotic meropenem is incubated for 2 hours in a bacterial suspension of the isolate. When the isolate produces carbapenemase, the meropenem in the disk is inactivated allowing uninhibited growth of an indicator strain.[PMID: 28476242]

LOINC 6-Axis Classification

Component

Carbapenemase

Property

PrThr

Time Aspect

Pt

System

Isolate

Scale Type

Ord

Method Type

N/A

Details

Class

MICRO

Order/Observation

Both

Short Name

Carbapenemase Islt Ql

Display Name

Carbapenemase Ql (Isol)

Related Names

carbapenem-resistant Klebsiella pneumoniaeCRECRKPHodge testIDInfectious DiseaseInfectiousDiseaseIsltIsolMicrobiologyOrdinalPoint in timePRQLQualQualitativeRandomScreen

Frequently Asked Questions

What is LOINC code 86930-5?

LOINC code 86930-5 identifies "Carbapenemase [Presence] in Isolate". The detection of carbapenemase-producing isolates by various phenotypic methods, including the Modified Hodge Test (MHT) and Carbapemenase Inactivation Method (CIM). In MHT, carbapenemase production is detected when the test isolate produces the enzyme and allows growth of a carbapenem susceptible strain (E.coli ATCC 25922) towards a carbapenem disk. The result is a characteristic cloverleaf-like indentation. For CIM, a disk containing the indicator antibiotic meropenem is incubated for 2 hours in a bacterial suspension of the isolate. When the isolate produces carbapenemase, the meropenem in the disk is inactivated allowing uninhibited growth of an indicator strain.[PMID: 28476242]

What does 86930-5 measure?

This code measures Carbapenemase in Isolate. It belongs to the MICRO class in the LOINC classification.

What is LOINC?

LOINC (Logical Observation Identifiers Names and Codes) is a universal standard for identifying laboratory and clinical observations. It is maintained by the Regenstrief Institute and used worldwide for health data exchange.