TABLE 2.
Antimicrobial susceptibilities to β-lactam antibiotics for 118 KPC- and ESBL-producing isolates and 37 KPC-producing non-ESBL-producing isolates
| Strain group and antimicrobial | MIC (μg/ml) |
% Resistanta | ||
|---|---|---|---|---|
| Range | 50% | 90% | ||
| ESBL-producing isolates | ||||
| Aztreonam | 128->256 | 256 | >256 | 100 |
| Cefepime | 16-128 | 64 | 128 | 85.6 |
| CTX | 64->128 | 64 | >128 | 100 |
| CAZ | 128->256 | 128 | >256 | 100 |
| Ertapenem | 4-64 | 16 | 32 | 90.7 |
| Imipenem | 4-64 | 16 | 32 | 66.1 |
| Meropenem | 2-64 | 16 | 32 | 61.9 |
| Piperacillin-tazobactam | 256->256 | 256 | >256 | 100 |
| Non-ESBL-producing isolates | ||||
| Aztreonam | 64->256 | 128 | 256 | 100 |
| Cefepime | 8-128 | 16 | 128 | 43.2 |
| CTX | 16-128 | 64 | 128 | 73.0 |
| CAZ | 8-128 | 32 | 128 | 70.3 |
| Ertapenem | 4-64 | 8 | 32 | 54.0 |
| Imipenem | 2-32 | 8 | 16 | 43.2 |
| Meropenem | 2-32 | 8 | 16 | 37.8 |
| Piperacillin-tazobactam | 16->256 | 128 | 256 | 81.1 |
The CLSI breakpoints used to define resistance were as follows: aztreonam, ≥32 μg/ml; ertapenem, ≥8 μg/ml; cefepime, ≥32 μg/ml; CTX, ≥64 μg/ml; CAZ, ≥32 μg/ml; imipenem, ≥16 μg/ml; meropenem, ≥16 μg/ml; piperacillin-tazobactam, ≥128/4 μg/ml.