TABLE 4.
Susceptibilities of gram-negative bacteria isolated from lower respiratory tract specimens of hospitalized patients in four European countries, Canada, and the United States to antimicrobialsa
| Organism | Antimicrobial agent | France
|
Germany
|
Italy
|
Spain
|
Canada
|
United States
|
||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No. of isolates | % Susceptible | No. of isolates | % Susceptible | No. of isolates | % Susceptible | No. of isolates | % Susceptible | No. of isolates | % Susceptible | No. of isolates | % Susceptible | ||
| E. coli | Cefotaxime | 2,416 | 99.6 | 2,631 | 98.0 | 685 | 94.0 | 815 | 96.7 | 1,033 | 95.5 | 3,249 | 95.8 |
| Ceftazidime | 2,555 | 98.4 | 1,508 | 97.9 | 899 | 93.1 | 737 | 97.3 | 1,418 | 97.0 | 4,716 | 93.8 | |
| Ceftriaxone | 134 | 97.8 | 213 | 100 | 674 | 92.6 | NAb | NA | 1,381 | 96.8 | 4,600 | 96.2 | |
| Ciprofloxacin | 2,300 | 93.6 | 2,200 | 83.8 | 934 | 90.9 | 841 | 84.7 | 1,719 | 91.2 | 5,042 | 88.0 | |
| Gentamicin | 2,422 | 96.2 | 2,548 | 92.9 | 931 | 94.4 | 836 | 92.1 | 1,974 | 94.0 | 6,218 | 90.6 | |
| TMP-SMX | 2,212 | 77.0 | 2,489 | 73.8 | 893 | 79.2 | 836 | 72.0 | 2,005 | 83.6 | 6,012 | 77.3 | |
| Klebsiella spp. | Cefotaxime | 1,160 | 96.5 | 3,615 | 92.7 | 901 | 90.0 | 617 | 93.0 | 1,367 | 97.6 | 6,506 | 92.3 |
| Ceftazidime | 1,287 | 94.7 | 2,065 | 92.0 | 1,103 | 80.3 | 562 | 94.3 | 1,975 | 98.0 | 9,459 | 89.9 | |
| Ceftriaxone | 89 | 91.0 | 180 | 100 | 904 | 86.7 | NA | NA | 1,777 | 98.0 | 9,382 | 92.3 | |
| Ciprofloxacin | 1,223 | 92.6 | 3,164 | 87.0 | 1,134 | 95.2 | 629 | 96.5 | 2,324 | 94.2 | 10,198 | 90.5 | |
| Gentamicin | 1,157 | 97.2 | 3,562 | 93.8 | 1,169 | 89.4 | 629 | 93.0 | 2,568 | 97.6 | 12,426 | 92.3 | |
| TMP-SMX | 1,048 | 90.6 | 3,532 | 85.7 | 1,122 | 88.6 | 631 | 88.6 | 2,625 | 96.0 | 12,011 | 90.6 | |
| Citrobacter spp. | Cefotaxime | 350 | 77.7 | 657 | 81.6 | 136 | 87.5 | 106 | 88.7 | 208 | 78.9 | 1,024 | 78.6 |
| Ceftazidime | 361 | 74.0 | 403 | 76.7 | 165 | 81.8 | 95 | 83.2 | 280 | 80.4 | 1,566 | 72.2 | |
| Ceftriaxone | NA | NA | NA | NA | 131 | 88.6 | NA | NA | 251 | 82.9 | 1,509 | 75.6 | |
| Ciprofloxacin | 336 | 81.6 | 514 | 90.3 | 169 | 95.3 | 125 | 91.2 | 338 | 90.8 | 1,591 | 88.1 | |
| Gentamicin | 350 | 89.7 | 651 | 96.5 | 176 | 98.9 | 125 | 97.6 | 369 | 88.9 | 1,956 | 91.3 | |
| TMP-SMX | 321 | 85.4 | 641 | 96.1 | 163 | 92.6 | 125 | 93.6 | 379 | 87.3 | 1,891 | 89.6 | |
| Enterobacter spp. | Cefotaxime | 1,806 | 58.1 | 2,190 | 70.8 | 779 | 63.5 | 581 | 78.0 | 1,126 | 79.8 | 2,413 | 73.1 |
| Ceftazidime | 1,926 | 49.7 | 1,421 | 63.4 | 979 | 57.6 | 579 | 71.7 | 1,602 | 81.8 | 3,471 | 70.7 | |
| Ceftriaxone | 180 | 40.0 | 151 | 74.2 | 731 | 64.8 | NA | NA | 1,467 | 81.1 | 3,314 | 73.7 | |
| Ciprofloxacin | 1,855 | 59.2 | 1,920 | 89.6 | 988 | 77.6 | 689 | 98.3 | 1,949 | 94.3 | 3,615 | 93.4 | |
| Gentamicin | 1,797 | 94.3 | 2,213 | 95.1 | 1,000 | 85.7 | 686 | 98.7 | 2,082 | 96.3 | 4,394 | 95.7 | |
| TMP-SMX | 1,681 | 71.7 | 2,140 | 94.1 | 955 | 81.7 | 688 | 95.6 | 2,127 | 94.9 | 4,194 | 96.1 | |
| S. marcescens | Cefotaxime | 806 | 81.5 | 1,041 | 94.5 | 352 | 83.8 | 265 | 94.3 | 791 | 95.2 | 3,531 | 85.4 |
| Ceftazidime | 808 | 95.7 | 728 | 90.1 | 492 | 85.4 | 239 | 95.8 | 1,205 | 97.2 | 5,254 | 88.6 | |
| Ceftriaxone | 128 | 68.0 | 168 | 51.2 | 331 | 88.2 | NA | NA | 994 | 96.1 | 5,104 | 89.4 | |
| Ciprofloxacin | 792 | 77.7 | 1,031 | 61.7 | 498 | 88.4 | 307 | 93.2 | 1,436 | 86.7 | 5,406 | 90.2 | |
| Gentamicin | 809 | 90.7 | 1,003 | 91.7 | 495 | 96.8 | 307 | 96.1 | 1,447 | 93.6 | 6,510 | 93.2 | |
| TMP-SMX | 706 | 79.6 | 977 | 85.8 | 429 | 87.0 | 307 | 97.7 | 1,461 | 93.0 | 6,352 | 95.7 | |
| H. influenzae | Cefotaxime | 2,381 | 100 | 1,124 | 100 | 336 | 100 | 1,776 | 100 | 421 | 100 | 774 | 100 |
| Ceftazidime | NA | NA | 837 | 100 | 224 | 100 | NA | NA | NA | NA | 75 | 100 | |
| Ceftriaxone | 159 | 100 | NA | NA | 334 | 100 | 124 | 100 | 216 | 100 | 1,578 | 100 | |
| Ciprofloxacin | 389 | 100 | 1,032 | 100 | 411 | 100 | 1,524 | 100 | 420 | 100 | 243 | 100 | |
| Gentamicin | 2,230 | 74.2 | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | |
| TMP-SMX | 2,492 | 74.4 | 1,100 | 84.7 | 633 | 86.3 | 1,617 | 60.4 | 1,736 | 79.8 | 2,138 | 81.0 | |
| P. aeruginosa | Amikacin | 9,072 | 68.1 | 2,632 | 91.7 | 4,729 | 80.8 | 2,857 | 96.9 | 4,479 | 81.2 | 26,459 | 85.8 |
| Cefepime | 8,534 | 54.5 | 3,660 | 76.6 | 2,737 | 61.2 | 2,991 | 70.1 | 805 | 64.5 | 24,118 | 70.7 | |
| Cefotaxime | NA | NA | 2,402 | 5.5 | 3,538 | 8.7 | 1,768 | 12.7 | 1,789 | 25.0 | 12,781 | 12.3 | |
| Ceftazidime | 9,031 | 70.9 | 4,873 | 79.8 | 5,700 | 59.4 | 3,178 | 73.4 | 7,666 | 74.7 | 32,069 | 71.5 | |
| Ceftriaxone | NA | NA | 88 | 22.7 | 3,165 | 8.8 | 154 | 57.1 | 3,377 | 16.3 | 16,504 | 16.0 | |
| Ciprofloxacin | 9,057 | 57.3 | 4,737 | 66.0 | 5,405 | 57.8 | 3,182 | 71.2 | 7,529 | 63.0 | 32,012 | 61.0 | |
| Gentamicin | 7,993 | 42.4 | 4,581 | 72.1 | 5,571 | 53.3 | 3,163 | 65.8 | 7,516 | 67.0 | 35,769 | 67.1 | |
| Imipenem | 9,076 | 69.8 | 4,435 | 70.8 | 5,418 | 63.1 | 3,039 | 71.4 | 5,416 | 77.6 | 30,949 | 74.0 | |
| Piperacillin-tazobactam | 8,598 | 71.3 | 4,624 | 88.9 | 2,916 | 81.9 | 2,926 | 80.2 | 5,127 | 88.7 | 25,157 | 84.9 | |
Lower respiratory tract isolates included those from sputum, bronchial washings, and tracheal aspirates. Data are cumulative for 2000 to 2001.
NA, not available, <50 results were available.