Table 1.
Characteristics of the Patients and Isolates
Patient | Age in years | Sex | Hospitalization dates | Diagnosis | Location (unit, hospital) | Isolate | Specimen | Isolation date | Colistin therapy, days/DDD | MIC, μg/mL | Sequence type | KPC | PFGE | Outcome |
A | 63 | Male | 13 Jan 2010–10 Mar 2010 | Cholangitis, OLTx | Surgical, A | A1 | Urine | 22 Jan 2010 | None | 1 | 258 | 2 | A1 | Survived |
TICU, A | A2 | Wound | 10 Mar 2010 | 14/19.2 | >128 | 258 | 2 | A1 | ||||||
B | 25 | Female | 18 Jan 2010–18 Sep 2010 | Hemorrhagic pancreatitis, multivisceral Tx | TICU, A | B1 | Blood | 20 Mar 2010 | None | 1 | 258 | 2 | A1 | Survived |
TICU, A | B2 | Wound | 13 Apr 2010 | 18/48.3 | >128 | 258 | 2 | A1 | ||||||
C | 65 | Male | 11 Mar 2010–18 Mar 2010, 20 Mar 10–21 Apr 2010 | Cholangitis, OLTx | Surgical, A | C | Blood | 20 Mar 2010 | None | >128 | 258 | 2 | A1 | Survived |
D | 42 | Male | 25 Feb 2010–23 May 2010 | Intra-abdominal abscess, OLTx | TICU, A | D1 | Blood | 3 Apr 2010 | None | 1 | 258 | 2 | A1 | Died |
TICU, A | D2 | Blood | 17 Apr 2010 | 12/27.6 | 128 | 258 | 2 | A1 | ||||||
E | 41 | Female | 22 Mar 2010–25 Mar 2010, 16 May 2010–20 May 2010 | TBI, UTI | Medicine, B | E | Urine | 16 May 2010 | None | 128 | 258 | 2 | A2 | Survived |
NOTE. MIC, minimum inhibitory concentration; OLTx, orthotopic liver transplantation; Tx, transplantation; TBI, traumatic brain injury; TICU, transplant ICU; DDD, defined daily dose; ST, multilocus sequence type; PFGE, pulse-field gel electrophoresis. The study patients were located in the same units during the following periods of time:
-A + B: 1/18/10–1/20/10, 2/22/10–2/27/10
-A + B + D: 2/25/10–2/27/10
-B + D: 2/27/10–3/1/10, 3/4/10–3/10/10, 3/16/10–3/17/10, 4/5/10–5/17/10
-A + D: 3/1/10–3/4/10
-B + C: 3/12/10–3/14/10, 3/22/10–3/27/10, 3/28/10–3/30/10
-C + D: 3/14/10–3/18/10, 3/20/10–3/22/10, 3/27/10–3/28/10
-B + C + D: 3/30/10–4/5/10