Isolate Number |
MS 2218 |
MS2287 |
Isolate |
Klebsiella pneumoniae |
Citrobacter freundii |
Age /sex |
73 years, female |
56 years ,male |
Hospital location |
ICU |
ICU |
Admitting unit |
Cardiology |
Neurosurgery |
Underlying disease |
Coronary heart disease |
Road traffic accident |
Co-morbid conditions |
Diabetes mellitus |
none |
Days in hospital |
35 days |
45days |
Surgical procedures ,if any |
Coronary artery bypass grafting |
Craniotomy |
Anti–microbials used prior to detection of OXA-181 |
Cefoperazone- sulbactam, vancomycin |
Ceftriaxone, cefoperazone -sulbactam, amikacin, imipenem, metronidazole |
Indwelling devices |
Internal jugular venous catheter, peripheral venous line, urinary catheter |
Internal jugular venous catheter, peripheral venous line, urinary catheter |
Mechanical ventilation |
Intubated |
Intubated |
Outcome |
Recovered |
Expired |
Source specimen |
Blood |
Urine |
MIC –IMP mg/L |
128 |
32 |
MIC –MEM mg/L |
64 |
16 |
MHT |
Positive |
Positive |
ESBL screen test |
Positive |
Positive |
Carbapenemase |
OXA-48/OXA-181 |
OXA-48/OXA-181 |
Anti–microbial susceptibility profile Susceptible to |
Colistin and tigecycline |
Colistin and tigecycline |
Anti–microbial susceptibility profile Resistant to |
amikacin, ciprofloxacin,aztreonam, piperacillin-tazobactam and ceftazidime |
amikacin, ciprofloxacin, aztreonam, piperacillin-tazobactam and ceftazidime |