Table 3.
Activities of antipseudomonal agents against P. aeruginosa bloodstream isolates with diverse resistance mechanisms
Antibiotica | All isolates (n = 190) |
Isolates overexpressing ampC (n = 45)b |
Isolates overexpressing mexB (n = 24) |
Isolates overexpressing mexY (n = 25) |
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
% S | MIC50 | MIC90 | % S | MIC50 | MIC90 | % S | MIC50 | MIC90 | % S | MIC50 | MIC90 | |
CAZ | 76.3 | 4 | 32 | 17.8 | 32 | 128 | 58.7 | 8 | 64 | 68.0 | 8 | 32 |
FEP | 61.6 | 8 | 32 | 17.8 | 32 | 64 | 25.0 | 16 | 32 | 16.0 | 16 | 32 |
ATM | 67.4 | 8 | 32 | 22.2 | 16 | 64 | 33.3 | 16 | 32 | 40.0 | 16 | 16 |
PIP | 80.5 | 8 | 128 | 28.9 | 128 | 128 | 79.2 | 32 | 128 | 68.0 | 16 | 128 |
PIP-Tz | 86.3 | 8 | 128 | 44.4 | 128 | 256 | 79.2 | 16 | 256 | 80.0 | 16 | 128 |
IMP | 67.9 | 2 | 32 | 37.8 | 16 | 32 | 41.7 | 8 | 32 | 32.0 | 16 | 32 |
MER | 77.4 | 1 | 16 | 44.4 | 8 | 16 | 41.7 | 8 | 32 | 44.0 | 8 | 16 |
CIP | 71.6 | 0.25 | 32 | 40.0 | 32 | 32 | 45.8 | 2 | 32 | 24.0 | 32 | 32 |
LEV | 68.4 | 1 | 32 | 35.6 | 32 | 32 | 33.3 | 8 | 32 | 16.0 | 32 | 32 |
GEN | 78.9 | 2 | 64 | 46.7 | 32 | 64 | 66.7 | 2 | 64 | 40.0 | 32 | 64 |
TOB | 81.6 | 0.5 | 64 | 51.1 | 4 | 64 | 66.7 | 1 | 64 | 48.0 | 8 | 64 |
AMK | 98.4 | 4 | 8 | 100 | 4 | 8 | 100 | 4 | 8 | 100 | 4 | 16 |
COL | 96.8 | 0.5 | 1 | 93.3 | 0.5 | 1 | 95.8 | 0.5 | 1 | 100 | 0.5 | 1 |
CAZ, ceftazidime; FEP, cefepime; ATM, aztreonam; PIP, piperacillin; PIP-Tz, piperacillin-tazobactam; IMP, imipenem; MER, meropenem; CIP, ciprofloxacin; LEV, levofloxacin; GEN, gentamicin; TOB, tobramycin; AMK, amikacin; COL, colistin.
One of the isolates showing ampC overexpression additionally produced the MBL VIM-2 and was therefore excluded from this analysis.