Table 1:
Antimicrobial agent | Isolate
|
|||
---|---|---|---|---|
blaNDM-1-positive Morganella morganii* |
blaNDM-1-positive Providencia rettgeri |
|||
MIC, mg/L† | Interpretation§ | MIC, mg/L† | Interpretation§ | |
Ertapenem | 4 | R | 8 | R |
Imipenem | 16 | R | ≥ 32 | R |
Meropenem | 8 | R | ≥ 32 | R |
Doripenem | ≥ 8 | R | ≥ 8 | R |
Ampicillin | ≥ 32‡ | R | ≥ 32‡ | R |
Amoxicillin/clavulinic acid | ≥ 32/16‡ | R | ≥ 32/16‡ | R |
Cefazolin | ≥ 64‡ | R | ≥ 64‡ | R |
Ceftriaxone | ≥ 64‡ | R | 32‡ | R |
Ceftazidime | ≥ 64 | R | ≥ 64 | R |
Cefepime | ≥ 64 | R | 32 | R |
Amikacin | ≥ 128 | R | ≥ 128 | R |
Gentamicin | ≥ 32 | R | ≥ 32 | R |
Tobramycin | ≥ 32 | R | ≥ 32 | R |
Ciprofloxacin | ≥ 8 | R | ≥ 8 | R |
Nitrofurantoin | 128‡ | R | 256‡ | R |
Tetracycline | ≥ 32 | R | ≥ 32 | R |
Chloramphenicol | 32 | R | 8 | S |
Colistin | ≥ 16 | R¶ | ≥ 16 | R¶ |
Tigecycline | 2 | S** | 1 | S** |
Note: MIC = minimum inhibitory concentration, NDM-1 = New Delhi metallo-β-lactamase-1, R = resistant, S= susceptible,
These results are from the second isolate of blaNDM-1-positive Morganella morganii described in case one.
MICs are based on from frozen broth microdilution panels following the standards of the Clinical Laboratory Standards Institute,14 unless otherwise indicated.
MICs are based on the Vitek-2 automated susceptibility testing system (bioMérieux, France).
Interpretations, when available, are provided from the Clinical Laboratory Standards Institute document no. M100-S21 (January 2011),10 unless otherwise indicated.
Interpretation is provided based on the European Committee on Antimicrobial Susceptibility Testing (EUCAST) clinical breakpoints.15
Interpretation is provided based on the product monograph of Tygacil (tigecycline), approved by Health Canada.16