Table 5. In vitro activities of 10 antimicrobial agents against bla KPC-2 and bla IMP-8 positive Enterobacteriaceae. a .
Antimicrobial agent | bla KPC-2 positive isolates (n = 17) b | bla IMP-8 positive isolates (n = 37) c | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
%R | %I | %S | MIC50 | MIC90 | MIC Range | %R | %I | %S | MIC50 | MIC90 | MIC Range | |
Carbapenem: | ||||||||||||
Ertapenem | 100 | 0 | 0 | > 128 | > 128 | 32 - > 128 | 81.1 | 13.5 | 5.4 | 4 | 8 | 0.5–64 |
Imipenem | 100 | 0 | 0 | 64 | 64 | 16–64 | 37.8 | 24.3 | 37.8 | 2 | 16 | 0.5–64 |
Meropenem | 100 | 0 | 0 | 128 | > 128 | 16 - > 128 | 2.7 | 10.8 | 86.5 | 0.5 | 2 | 0.125–4 |
Cephalosporins: | ||||||||||||
Cefotaxime | 100 | 0 | 0 | > 128 | > 128 | 128 - > 128 | 100 | 0 | 0 | 128 | > 128 | 8 - > 128 |
Flomoxef | 100 | 0 | 0 | > 128 | > 128 | 64 - > 128 | 81.1 | 13.5 | 5.4 | > 128 | > 128 | 8 - > 128 |
Cefepime | 100 | 0 | 0 | 128 | > 128 | 32 - > 128 | 48.6 | 18.9 | 32.4 | 16 | 128 | 0.25 - > 128 |
Non-β-lactams: | ||||||||||||
Amikacin | 17.6 | 5.9 | 76.5 | 2 | > 128 | 1 - > 128 | 8.1 | 0 | 91.9 | 2 | 8 | 1 - > 128 |
Ciprofloxacin | 94.1 | 0 | 5.9 | 128 | > 128 | 0.5 - > 128 | 67.6 | 10.8 | 21.6 | 8 | 128 | ≤ 0.03 - > 128 |
Colistin | 5.9 | 0 | 94.1 | 0.5 | 1 | 0.5 - > 16 | 5.4 | 0 | 94.6 | 1 | 1 | 0.5 - > 128 |
Tigecycline | 5.9 | 0 | 94.1 | 1 | 1 | 0.25–8 | 27.0 | 0 | 73.0 | 1 | 4 | 0.25–8 |
a Interpretive breakpoints are based on the 2012 CLSI criteria except colistin and tigecycline breakpoints for which the EUCAST breakpoints are used, while flomoxef breakpoints are based on Liao et al (JMII, 2006).
b including 16 K. pneumoniae and 1 E. coli.
c including 1 K. pneumoniae, 26 E. cloacae, 1 E. coli, 1 K. oxytoca, 4 C. freundii and 4 R. planticola.