Table 1.
Characteristics of patients infected and/or colonized with the ertapenem-resistant, CTX-M-15-producing, and porin-deficient clonal K. pneumoniae isolates
| Patient no. | Age (yr)/gender | Admission date | Days in the unit prior to colonization | Days in the unit prior to infection | Source of carriage | Type of infection | Reason for ICU admission | Underlying disease(s) | Antibiotic regimen prior to infectionc | Antibiotic regimen for infectionc | Outcome |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 69/M | 4/27/12 | 27 | Bacteremia | Respiratory failure | Diabetes mellitus/tetraplegia | FEP | MEM, CST | Deathb | ||
| 2 | 80/F | 5/6/12 | 23 | Fecal | Stroke | Pulmonary fibrosis | TZP, FEP | Death | |||
| 3 | 75/F | 5/15/12 | 14 | Fecal, bronchial | Stroke/respiratory failure | TZP | Death | ||||
| 4 | 75/F | 5/16/12 | 13 | Fecal | Stroke/septic shock | Hypothyroidism | VAN | Death | |||
| 5a | 39/Ma | 5/18/12 | 4 | Pneumonia | Stroke/pneumonia | Pulmonary fibrosis/diabetes mellitus/morbid obesity | TZP | MEM, CST | Discharged | ||
| 6 | 77/M | 6/1/12 | 10 | Fecal | Polytrauma | Chronic lymphocytic leukemia | FEP, MTZ | Discharged | |||
| 7 | 57/M | 6/6/12 | 6 | 19 | Fecal | Bacteremia | Stroke | Diabetes mellitus/alcoholic cirrhosis | TZP | MEM | Discharged |
| 8 | 76/M | 6/7/12 | 5 | Fecal | Stroke | FEP | Discharged | ||||
| 9 | 60/M | 6/17/12 | 15 | Fecal | Respiratory failure | Guillain-Barré syndrome | TZP | Death | |||
| 10 | 37/F | 6/27/12 | 5 | Fecal | Heart failure | Diabetes mellitus | Discharged | ||||
| 11 | 50/M | 7/13/12 | 14 | 23 | Fecal | Pneumonia | Polytrauma | Alcoholic cirrhosis | FEP | MEM, CST | Discharged |
| 12 | 56/F | 7/20/12 | 12 | 14 | Fecal bronchial | Bacteremia | Status epilepticus | Diabetes mellitus/alcoholic cirrhosis/hypothyroidism | CST | MEM | Deathb |
| 13 | 79/M | 7/23/12 | 14 | Fecal, bronchial | Cerebral hemorrhage | FEP | Death | ||||
| 14 | 87/F | 8/2/12 | 4 | Fecal | Stroke/renal failure | TZP | Death | ||||
| 15 | 61/M | 8/23/12 | 3 | Fecal | Heart failure | SAM | Discharged | ||||
| 16 | 72/M | 9/16/12 | 10 | 12 | Fecal | Pneumonia | Stroke | FEP | MEM | Discharged | |
| 17 | 62/M | 9/16/2 | 12 | Bronchial | Stroke | Diabetes mellitus | AZM | Discharged | |||
| 18 | 79/F | 9/25/12 | 7 | Bacteremia | Abdominal surgery | TIM, AMK, MTZ | MEM, CST | Deathb | |||
| 19 | 18/M | 10/26/12 | 11 | Fecal | Polytrauma | Hypothyroidism | CAZ | Discharged |
Index case.
Due to infection.
AMK, amikacin; AZM, azithromycin; CAZ, ceftazidime; CST, colistin; FEP, cefepime; MEM, meropenem; MTZ, metronidazole; SAM, ampicillin-sulbactam; TZP, piperacillin-tazobactam; TIM, ticarcillin-clavulanic acid; VAN, vancomycin.