Phenotypic Detection of AmpC β-Lactamase Using Disc Approximation Test: can they be used routinely? Introduction AmpC β-lactamases pose a significant clinical challenge by hydrolyzing penicillins, cephalosporins (e.g., ceftazidime), and cephamycins (e.g., cefoxitin). If undetected, they lead to: Inappropriate treatment: Initial susceptibility testing may falsely classify AmpC-producing isolates as sensitive to expanded-spectrum cephalosporins. Clinical failure: Resistance...