Gram-negative bacilli with acquired metallo-␤-lactamase (MBL) production have been increasingly reported in some countries, necessitating their detection. The aim of this study was to evaluate the performance of the Hodge test and those of the imipenem (IPM)-EDTA, ceftazidime (CAZ)-mercaptopropionic acid (MPA), and CAZ-sodium mercaptoacetic acid (SMA) double-disk synergy tests (DDSTs). The efficiencies of testing CAZ-resistant and IPM-nonsusceptible isolates were also compared. Strains used for the evaluation were known IMP-1 and VIM-2 MBL-producing isolates and consecutive and CAZ-nonsusceptible isolates of pseudomonads and acinetobacters. The performance of the Hodge test was improved by addition of zinc sulfate (140 g/disk) to an IPM disk. In DDSTs, EDTA (ca. 1,900 g) disks were better at detecting MBL-producing strains among pseudomonads, while MPA (3 l) and SMA (3 mg) disks performed better for acinetobacters. EDTA (ca. 750 g)-plus-SMA (ca. 2 mg) disks performed better than EDTA, MPA, or SMA disks with both organisms. CAZ-SMA DDSTs failed to detect 22 of 80 (28%) MBL-producing acinetobacters. In conclusion, use of an IPM disk and an EDTA (750 g)-plus-SMA (2 mg) disk improves performance, and testing IPMnonsusceptible isolates rather than CAZ-resistant isolates could reduce screening work. Further evaluation of the test is required for the detection of other types of MBL-producing gram-negative bacilli.

We have generated and detected coherent lattice vibrations in single-walled carbon nanotubes corresponding to the radial breathing mode (RBM) using ultrashort laser pulses. Because the band gap is a function of diameter, these RBM-induced diameter oscillations cause ultrafast band gap oscillations, thereby modulating the interband excitonic resonances at the phonon frequencies (3-9 THz). Excitation spectra show a large number of pronounced peaks, allowing the determination of the chiralities present in particular samples and relative population differences of particular chiralities between samples.