Version 2.78

Status Information

Status
DEPRECATED
Reason
Ambiguous
Comment
It is not clear whether this term was meant to represent assays that detect isolates susceptible to carbapenems or assays that detect carbapenemase-producing isolates. The term name suggests the former but the term description suggests the latter since it mentions the Modified Hodge test (MHT).
Map-To Long Common Name Mapping Guidance
88462-7 Carbapenem [Susceptibility] For detection of isolates susceptible to carbapenems
86930-5 Carbapenemase [Presence] in Isolate For detection of carbapenemase-producing isolates

Term Description

The Modified Hodge Test (MHT) detects carbapenemase production in isolates of Enterobacteriaceae. In the United States, the most common carbapenemase found in Enterobacteriaceae is the Klebsiella pneumoniae carbapenemase (KPC). Other carbapenemase, like the metallo β lactamase (MBL) and the SME-1 in Serratia marcescens, can also produce a positive MHT, but are found infrequently in the United States.

Carbapenemase production is detected by the MHT 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.
Source: Centers for Disease Control and Prevention

Fully-Specified Name

Component
Carbapenem
Property
Susc
Time
Pt
System
Isolate
Scale
Ord
Method

Additional Names

Short Name
Deprecated Carbapenem Islt Ql
Display Name
Carbapenem [Susc]
Consumer Name Alpha Get Info
Susceptibility to Carbapenem

Example Answer List: LL1032-3

Source: Hong Kong Hospital Authority
Answer Code Score Answer ID
PositiveCopyright http://snomed.info/sct ID:10828004 Positive (qualifier value) LA6576-8
NegativeCopyright http://snomed.info/sct ID:260385009 Negative (qualifier value) LA6577-6
Non-reportable Positive LA13967-7
Non-reportable Negative LA13968-5

Basic Attributes

Class
ABXBACT
Type
Laboratory
First Released
Version 2.34
Last Updated
Version 2.64
Change Reason
Corrected Scale from OrdQn to Ord as the Hodge test yields a positive/negative result.; Corrected Component from "Carbapenemase resistance" to "Carbapenem resistance" (bacteria are resistant to carbapenem antibiotics by virtue of producing carbapenemase)
Order vs. Observation
Observation

Member of these Groups Get Info

LOINC Group Group Name
LG41490-0 CarbapenemSusc|Isolate

Language Variants Get Info

Tag Language Translation
es-ES Spanish (Spain) Carbapenem:Susceptibilidad:Punto temporal:Aislado:Ord:
es-MX Spanish (Mexico) Carbapenem:Susceptibilidad (microorganismos):Punto temporal:Aislado:Ordinal:
fr-CA French (Canada) Carbapénème:Susceptibilité:Temps ponctuel:Isolat:Ordinal:
fr-FR French (France) Carbapénème:Sensibilité:Ponctuel:Isolat:Qualitatif:null
it-IT Italian (Italy) Carbapenemi:Susc:Pt:Isolato:Ord:
Synonyms: Punto nel tempo (episodio) Sensibilità (microrganismi) Suscettibilità agli antibiotici
nl-NL Dutch (Netherlands) carbapenem:gevoeligheid:moment:isolaat:ordinaal:
pt-BR Portuguese (Brazil) Piridoxal fosfato::Pt:Isolado:OrdQn:
zh-CN Chinese (China) 碳青霉烯:抗生素敏感性:时间点:分离株:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 分离物;分离菌;分离菌株;隔离种群 抗生素敏感性(微生物);敏感性;某种抗微生物制剂对于某个分离株的影响;药物敏感性;药物敏感性(微生物) 抗生素敏感性试验;药敏;药敏类;药敏试验;药敏试验类 时刻;随机;随意;瞬间 碳青霉烯类;碳青霉烯类抗生素

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=62237-3