Bacteria | Ceftazidime/cefepime* | Ceftriaxone/cefotaxime | Fluoroquinolones† | Aminoglycosides‡ | Ertapenem | Imipenem/meropenem | Pip-tazo/ticar-clav | Tige-cycline |
---|---|---|---|---|---|---|---|---|
Acinetobacter species | ++ | +/++ | +++ | +++ | – | +++ | +++ | +++ |
Citrobacter freundii | ++/+++ | ++/+++ | ++++ | ++++ | ++++ | ++++ | +++/++++ | NA |
Enterobacter aerogenes | ++/+++ | ++/+++ | ++++ | ++++ | ++++ | ++++ | +++/++++ | +++ |
Enterobacter cloacae | ++/+++ | ++/+++ | ++++ | ++/+++ | ++++ | ++++ | ++ | +++ |
Escherichia coli | ++++ | ++++ | +++ | ++++ | ++++ | ++++ | ++++ | ++++ |
E coli (ESBL) | – | – | ++ | +++ | ++++ | ++++ | –/+ | +++ |
Klebsiella pneumoniae | ++++ | ++++ | ++++ | ++++ | ++++ | ++++ | ++++ | ++++ |
K pneumoniae (ESBL) | – | – | +++ | ++++ | ++++ | ++++ | –/+ | +++ |
K pneumoniae (ampC) | ++ | ++ | ++++ | ++++ | +++ | ++++ | –/+ | ++++ |
Morganella morganii | ++/+++ | ++/+++ | ++++ | +++/++++ | ++++ | ++++ | ++++ | NA |
Proteus mirabilis | ++++ | ++++ | +++/++++ | ++++ | ++++ | ++++ | ++++ | + |
Proteus vulgaris | ++ | ++ | ++++ | +++/++++ | ++++ | ++++ | ++++ | NA |
Providencia rettgeri | ++/+++ | +++ | +++ | + | +++ | ++++ | ++++ | NA |
Providencia stuartii | ++/+++ | +++ | +++ | ++ | +++ | ++++ | ++++ | NA |
Pseudomonas aeruginosa | +++ | + | +++ | +++ | – | +++ | +++ | –/+ |
Serratia marcescens | +++ | +++ | +++ | ++ | ++++ | ++++ | ++++ | +++ |
Cefepime has activity against ampC-producing organisms;
Includes ciprofloxacin, levofloxacin, moxifloxacin (moxifloxacin has only moderate activity against Pseudomonas aeruginosa);
Includes gentamicin, netilmicin, tobramycin, amikacin. – Poor activity; + Limited activity and/or resistance ≥15%; ++ Moderate to good activity and/or resistance 10% to 14%; +++ Very good activity and/or resistance 5% to 9%; ++++ Excellent activity and/or resistance <5%; ESBL Extended-spectrum beta-lactamase; NA Not available; Pip-tazo Pipercillin-tazobactam; Ticar-clav Ticarcillin-clavulanate. Data adapted from references 216,248–255