Table 3. Antibiotic susceptibility profile of NDM-1-producing Enterobacteriaceae with breakpoints (mg/L).
Patient number (organism) | AMK (16) | ATM (4) | FEP (8) | FOX (8) | CTX (1) | TZP (4) | CIP (1) | CST (2) | ETP (0.5) | GEN (4) | IPM (1) | MEM (1) | TGC (2) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 (E. coli) | 256 | 24 | 64 | 256 | 256 | 256 | 32 | 0.5 | 8 | 1024 | 32 | 32 | 1 |
2(M. morgannii) | 256 | 256 | 256 | 256 | 256 | 256 | 32 | 256 | 4 | 1024 | 16 | 12 | 4 |
3(K. pneumoniae) | 24 | 24 | 256 | 256 | 256 | 256 | 32 | .125 | 32 | 0.125 | 32 | 32 | 0.75 |
4 (E. coli) | 256 | 256 | 96 | 256 | 256 | 256 | >32 | 0.125 | >32 | 1024 | 1.5 | 32 | 0.25 |
5(K. pneumoniae) | 256 | 256 | 256 | 256 | 256 | 256 | >32 | 0.38 | >32 | 512 | 32 | 32 | 1.5 |
6(K. pneumoniae) | 4 | 64 | 256 | 256 | 256 | 256 | 1 | 0.75 | >32 | 2 | >32 | >32 | 1 |
7 (P. stuartii) | 1.5 | 0.25 | 0.25 | 256 | 256 | 1.5 | 1.5 | 256 | 3 | 0.125 | 1 | 1.5 | 2 |
8(K. pneumoniae) | 16 | 96 | 256 | 256 | 256 | 256 | 0.19 | 0.38 | 16 | 1 | 32 | 6 | 0.75 |
9 (E. coli) | 3 | 0.064 | 256 | 256 | 256 | 256 | >32 | 0.25 | >32 | 24 | 4 | 12 | 0.5 |
10 (Enterobacter cloacae) | >256 | 128 | 32 | 256 | 256 | 256 | 12 | 0.38 | >32 | 1024 | 32 | 32 | 3 |
11(K. pneumoniae) | 16 | 128 | 64 | 256 | 256 | 256 | 32 | 4 | >32 | 3 | >32 | 24 | 16 |
12(K. pneumoniae) | 16 | 96 | 256 | 256 | 256 | 256 | 32 | 0.75 | 32 | 3 | >32 | >32 | 8 |
13(K. pneumoniae) | 256 | 256 | 128 | 256 | 256 | 256 | 16 | 0.25 | >32 | 512 | >32 | >32 | 0.5 |
14(K. pneumoniae) | 128 | 128 | 256 | 256 | 256 | 256 | 32 | 0.38 | >32 | 64 | >32 | >32 | 4 |
15(K. pneumoniae) | 16 | 128 | 256 | 256 | 256 | 256 | 16 | 0.25 | >32 | 64 | 16 | 16 | 0.5 |
16 (E. coli) | 128 | 256 | 256 | 256 | 256 | 256 | 32 | 0.38 | >32 | 64 | >32 | >32 | 8 |
17(K. pneumoniae) | 32 | 256 | 256 | 256 | 256 | 256 | 32 | 0.125 | >32 | 0.125 | >32 | >32 | 4 |
18(K. pneumoniae) | 64 | 128 | 256 | 256 | 256 | 256 | 16 | 0.38 | >32 | 64 | >32 | >32 | 0.5 |
19(K. pneumoniae) | 32 | 128 | 256 | 256 | 256 | 256 | 32 | 48 | >32 | 128 | >32 | >32 | 16 |
20(K. pneumoniae) | 128 | 256 | 256 | 256 | 256 | 256 | 16 | 1.5 | >32 | 512 | >32 | >32 | 4 |
21(K. pneumoniae) | 64 | 128 | 256 | 256 | 256 | 256 | 32 | 0.38 | >32 | 128 | >32 | >32 | 2 |
The values in parenthesis in the first row are the recommended breakpoints for resistance according to CLSI [11]. AMK = amikacin; ATM = aztreonam; FEP = cefepime; FOX = cefoxitin; CTX = cefotaxime; TZP = piperacillin-tazobactam; CIP = ciprofloxacin; CST = colistin; ETP = ertapenem; GEN = gentamicin; IPM = imipenem; MEM = meropenem; TGC = tigecycline.