TABLE 3.
Clinical features of patients and characteristics of A. baumannii isolates with blaSIM-1 cassette-carrying class 1 integrons
| Patient no. | Isolatea | Age (yrs)/sex | Underlying disease | Hospital ward | Days since admissionb | Previous antimicrobial therapy (days)c | Specimen/ diagnosisc | MIC (μg/ml)c
|
PFGE pattern | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAM | PIP | CTX | CAZ | FEP | ATM | IPM | MEM | GEN | TOB | AMK | CIP | |||||||||
| 1 | 03/9/T104 | 9/F | Cerebral palsy | Intensive care unit | 30 | MEM (12), ATM (9), FEP (5) | Sputum/ pneumonia | 16 | 64 | >256 | >256 | 64 | 128 | 8 | 16 | 16 | 16 | 128 | 0.5 | A1 |
| 2 | 04/5/U2266 | 66/F | Hypothyroidism, osteoporosis, hypertension | Outpatient | NA | ROX (10) | Urine/UTI | 16 | 64 | >256 | >256 | 64 | 128 | 8 | 16 | 16 | 16 | 128 | 0.5 | A1 |
| 3 | 04/8/U1575 | 64/M | Herniated lumbar disc | Internal medicine | 9 | FMX (7) | Urine/UTI | 16 | 32 | >256 | >256 | 64 | 128 | 16 | 16 | 16 | 16 | 128 | 0.5 | A2 |
| 4 | 04/11/U1817 | 45/M | Intracranial hemorrhage | Internal medicine | 11 | ISP (8), CTX (7), CFM (4) | Urine/UTI | 16 | 32 | >256 | >256 | 64 | 128 | 8 | 16 | 16 | 16 | 128 | 0.5 | A2 |
| 5 | 04/12/U575 | 13/M | Chronic myelogenous leukemia | Pediatrics | 4 | None | Urine/UTI | 16 | 128 | >256 | >256 | 128 | 128 | 16 | 16 | 16 | 16 | 128 | 0.5 | B1 |
| 6 | 04/12/U837 | 5/M | Acute lymphocytic leukemia | Pediatrics | 3 | AMC (4) | Urine/UTI | 16 | 256 | >256 | >256 | 64 | 128 | 8 | 16 | 16 | 16 | 128 | 0.5 | B1 |
| 7 | 04/12/U1398 | 3/M | Acute myelogenous leukemia | Pediatrics | 3 | SXT (3), AMC (2), ISP (2) | Urine/UTI | 16 | 128 | >256 | >256 | 128 | 128 | 8 | 16 | 16 | 16 | 64 | 0.5 | B2 |
The first two numbers, separated by a slash, indicate the year and month of isolation, respectively.
Days between admission and the isolation of SIM-1-producing A. baumannii.
Abbreviations: SAM, ampicillin-sulbactam; PIP, piperacillin; CTX, cefotaxime; CAZ, ceftazidime; FEP, cefepime; ATM, aztreonam; IPM, imipenem; MEM, meropenem; GEN, gentamicin; TOB, tobramycin; AMK, amikacin; CIP, ciprofloxacin; ROX, roxithromycin; FMX, flomoxef; ISP, isepamycin; CFM, cefixime; AMC, amoxicillin-clavulanate; SXT, trimethoprim-sulfamethoxazole; NA, not applicable; UTI, urinary tract infection.