Table 6. Carbapenem MICs (μg/mL) of 1135 carbapenem-nonsusceptible Enterobacteriaceae isolates with different ESBL, AmpC, and carbapenemase combination profiles.
No. of isolates | β-lactamase profile | Ertapenem | Imipenem | Meropenem | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
bla ESBL | bla AmpC | bla Carb a | MIC50 | MIC90 | MIC range | MIC50 | MIC90 | MIC range | MIC50 | MIC90 | MIC range | |
22 | + b | - | + | >128 | >128 | 0.5 - >128 | 32 | 64 | 1–64 | 64 | >128 | 0.125 - >128 |
6 | - | + c | + | 4 | 8 | 1–8 | 1 | 8 | 0.5–8 | 0.5 | 1 | 0.5–1 |
9 | + | + d | + | 4 | >128 | 1–128 | 8 | 64 | 2–64 | 1 | 128 | 0.5–128 |
20 | - | - | + | 4 | 32 | 0.5 - >128 | 1 | 16 | 0.5–64 | 0.5 | 4 | 0.25–64 |
113 | + | - | - | 2 | 16 | 1–128 | 0.5 | 2 | 0.06–32 | 0.25 | 4 | 0.06 - >128 |
316 | - | + | - | 2 | 8 | 0.5 - > 128 | 1 | 4 | 0.125–128 | 0.125 | 1 | ≤0.03–64 |
373 | + | + | - | 2 | 16 | 0.5 - >128 | 1 | 4 | 0.125–64 | 0.125 | 1 | <0.03–32 |
276 | - | - | - | 2 | 8 | 0.5–128 | 0.5 | 4 | 0.125–64 | 0.125 | 1 | ≤0.03–16 |
a bla Carb, carbapenemase. The distribution of the carbapenemases genes were: KPC-2 (13), IMP-8 (6), VIM-1 (2), and NDM-1 (1) among the 22 bla ESBL+ bla AmpC- bla Carb+ isolates; IMP-8 (6) among all 6 bla ESBL- bla AmpC+ bla Carb+ isolates; IMP-8 (7) and KPC-2 (2) among the 9 bla ESBL+ bla AmpC+ bla Carb+ isolates; and IMP-8 (18) and KPC-2 (2) among the 20 bla ESBL- bla AmpC- bla Carb+ isolates.
b Co-carriage of bla ESBL included CTX-M+SHV (12 isolates), SHV (8), CTX-M (1), SHV+OXY-5 (1).
c Co-carriage of bla AmpC included ACT (5), and CMY (1)
d Co-carriage of bla ESBL and bla AmpC included SHV+ACT (4), CTX-M+CMY (3), SHV+CMY (1), CTX-M+DHA (1)