TABLE 1.
Details of patient from whom imipenem-resistant E. coli was isolateda
| Patient | Isolate | Infection site | LOS prior to IpmrE. coli | LOS | Antibiotic treatment
|
Infection/colonization | Outcome | |
|---|---|---|---|---|---|---|---|---|
| 1 mo prior to E. coli isolation | After E. coli isolation | |||||||
| 1 | 157 | Urine | 10 d | 14 d | FQ | No treatment | Colonization | Recovery |
| 2 | 329 | Blood | 1 db | 3 d | No treatment | Empiric i.v. CRO | Infection | Death |
| 3 | 339 | Subphrenic abscess | 30 d | 4 m | BS-CEPH, FQ, MTA, VAN, followed with 14 d IPM until 2 wks before isolation | TZP, AMK | Infection | Recovery |
| 4 | 360 | Urine | 2 db | 18 d | CXMc | VAN, AMK, MTA | Colonization | Recovery |
LOS, length of hospital stay in days (d) or months (m); i.v., intravenous; Ab, antibiotic; BS-CEPH, broad-spectrum cephalosporins; FQ, fluoroquinone; MTA, metronidazole; IPM, imipenem; TZP, piperacillin-tazobactam; AMK, amikacin; CXM, cefuroxime.
Admitted from two different chronic care facilities.
Treated with cefuroxime (CXM) for a urinary tract infection that occurred during hospitalization 1.5 months earlier.