TABLE 2.
Antimicrobial susceptibility test results for 186 bloodstream isolates of ESBL-producing E. coli, K. pneumoniae, and P. mirabilis
Antimicrobial agent |
E. coli (n = 104)
|
K. pneumoniae (n = 58)
|
P. mirabilis (n = 24)
|
||||||
---|---|---|---|---|---|---|---|---|---|
MIC (μg/ml)a
|
No. (%) susceptibleb | MIC (μg/ml)
|
No. (%) susceptible | MIC (μg/ml)
|
No. (%) susceptible | ||||
MIC50 | MIC90 | MIC50 | MIC90 | MIC50 | MIC90 | ||||
Amikacin | 2 | 8 | 102 (98.1) | 2 | 16 | 53 (91.4) | 2 | 4 | 24 (100) |
Amoxicillin-clavulanic acid | 16/8 | 128/64 | 48 (46.1) | 8/4 | 128/64 | 32 (55.1) | 2/1 | 4/2 | 24 (100) |
Aztreonam | 256 | 256 | 0 (0) | 256 | 256 | 0 (0) | 0.25 | 1 | 0 (0) |
Cefoxitin | 2 | ≥64 | 74 (71.1) | 2 | ≥64 | 43 (74.1) | 2 | 8 | 100 (0) |
Cefepime | 16 | 256 | 0 (0) | 1 | 256 | 0 (0) | 2 | 32 | 0 (0) |
Cefotaxime | 256 | 256 | 0 (0) | 8 | 256 | 0 (0) | 16 | 256 | 0 (0) |
Ceftazidime | 256 | 256 | 0 (0) | 256 | 256 | 0 (0) | 4 | 16 | 0 (0) |
Ciprofloxacin | ≥16 | ≥16 | 9 (8.6) | 2 | ≥16 | 27 (46.5) | ≥16 | ≥16 | 3 (12.5) |
Gentamicin | 0.5 | ≥32 | 59 (56.7) | 0.25 | ≥32 | 40 (68.9) | ≥32 | ≥32 | 0 (0) |
Imipenem | 0.25 | 0.25 | 104 (100) | 0.25 | 0.25 | 58 (100) | 1 | 4 | 24 (100) |
Levofloxacin | ≥32 | ≥32 | 9 (8.6) | 2 | ≥32 | 28 (48.2) | ≥32 | ≥32 | 3 (12.5) |
Meropenem | 0.03 | 0.25 | 104 (100) | 0.03 | 0.25 | 58 (100) | 0.03 | 0.25 | 24 (100) |
Piperacillin-tazobactam | 2/4 | 256/4 | 86 (82.7) | 2/4 | 256/4 | 37 (63.8) | 0.5/4 | 1/4 | 24 (100) |
Trimethoprim-sulfamethoxazole | ≥4/76 | ≥4/76 | 35 (33.6) | 0.12/2.38 | ≥4/76 | 2 (55.2) | 0.12/2.38 | ≥4/76 | 14 (58.3) |
MIC50 and MIC90 are the MICs at which 50 and 90% of isolates, respectively, are inhibited.
In accordance with CLSI guidelines, all ESBL-producing isolates were considered resistant to all penicillins, cephalosporins, and aztreonam regardless of the MICs that emerged for these drugs during in vitro susceptibility testing (see reference 9).