TABLE 2.
Patient | MBL* | Age, years | Site of care | Susceptibility profile of organism | Days on COL, n |
COL base equivalent |
Microbiological Outcome | eradication | |
---|---|---|---|---|---|---|---|---|---|
Regimen | mg/kg/day† | ||||||||
1 | Yes | 49 | ICU | Not available | 10.0 | 150 mg bid | 4.3 | F, home | Yes |
2 | Yes | 43 | ICU | Not available | 20.0 | 75 mg q8h | 3.1 | F, home | Yes |
3 | Yes | 68 | ICU | S: COL
R: PIP, TZP, AG, CIP |
16.5 | 150 mg bid | 4.2 | F, home | No |
4 | NC | 48 | ICU | S: PIP, CAZ, AG
R: CIP |
6.5 | 150 mg bid | 5.1 | F, home | Yes |
5 | Yes | 37 | ONC | S: PIP, TZP, AZT, COL
R: AG, CIP; I: CAZ |
6.7 | 50 mg tid | 2.5 | U, home | Yes |
6 | NC | 51 | ONC
ICU |
Not available | 13.1 | 150 mg bid | 4.2 | F, home | Yes |
7 | Yes | 54 | ICU | S: COL
R: PIP, CAZ, AZT, AG, CIP |
22.5 | 150 mg bid | 7.8 | Ind, died | No |
8 | Yes | 59 | ICU | Not available | 16.8 | 150 mg bid | 3.3 | F, home | Yes |
9 | No | 60 | GEN | Not available | 59.1 | 150 mg bid | 6.0 | Ind, home | No |
10 | No | 44 | GEN | S: AG, CIP, COL; I: FEP
R: TZP, CAZ, AZT |
3.6 | 80 mg bid | 3.7 | U, home | Yes |
11 | Yes | 64 | ICU
GEN |
See Table 1 | 4.9 | 75 mg q8h | 3.5 | F, home | Yes |
12 | Yes | 46 | ICU | See Table 1 | 25.2 | 150 mg bid | 3.6 | F, home | Yes |
Metallo-beta-lactamase (MBL)-producing Pseudomonas aeruginosa (resistant to imipenem and meropenem). Isolates 4 and 6 were obtained before 2002, and were not confirmed with EDTA testing. The most frequently encountered minimum inhibitory concentrations were as follows – piperacillin (PIP) 32 μg/mL (susceptible [S]), PIP/tazobactam (TZP) 16 μg/mL (S), ceftazidime (CAZ) 32 μg/mL (resistant [R]), cefipime (FEP) 16 μg/mL (intermediate [I]), aztreonam (AZT) 8 μg/mL (S), gentamicin greater than 128 μg/mL (R), tobramycin greater than 128 μg/mL (R), amikacin 64 μg/mL (R), ciprofloxacin (CIP) 64 μg/mL (R);
Using ideal/lean body weight. AG Aminoglycosides; bid Twice a day; F Favourable; GEN General ward; Home Discharged home; ICU Intensive care unit; Ind Indeterminate; NC Not confirmed; ONC Hematology/stem cell transplant unit; q Every; tid Three times a day; U Unfavourable