Table 1.
Characteristics of patients with carbapenem-non-susceptible Enterobacteriaceae
Patient number/Isolatea |
Sexb/age | Wardc | Underlying diseased | Invasive procedure |
Type of specimen tested |
Infection due to CPE |
Antibiotic therapy | Outcome |
1/KPN1 | M/65 years |
Brain Hospital ICU |
TBI | Mechanical ventilation |
Tracheal secretion |
Pneumonia | Levofloxacin | Alive |
2/ECL1 | M/24 years |
Orthopedics | Tibia and fibula fracture | Plate fixation | Wound secretion |
Wound infection |
Lomefloxacin | Alive |
3/ECL2 | M/78 years |
Department of cardiovascular |
MI, hypertension, diabetes, GCA |
None | Tracheal secretion |
Pneumonia | Ceftizoxime | Alive |
4/KPN2 | M/neonatal | NICU | Premature infant, CHD, NRF, RDS, HIE |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | Imipenem | Alive |
5/KPN3 | M/neonatal | NICU | Premature infant, MODS, NRF, RDS, HIE |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | Piperacillin/tazobactam | Death unrelated to CPE |
6/ECL3 | F/62 years |
Brain Hospital ICU |
ICH | Mechanical ventilation |
Tracheal secretion |
Pneumonia | Ciprofloxacin | Alive |
7/KPN4 | F/83 years |
Brain Hospital ICU |
TBI | Mechanical ventilation |
Tracheal secretion |
Pneumonia | Levofloxacin | Alive |
8/KOX1 | F/54 years |
Orthopedics | Right knee purulent arthritis |
Arthroscopic Surgery |
Wound secretion |
Wound infection |
Lomefloxacin | Alive |
9/KOX2 | F/76 years |
Surgery ICU | NRF, CHD, RA | Mechanical ventilation |
Tracheal secretion |
Pneumonia | Moxifloxacin | Death unrelated to CPE |
10/KPN5 | M/neonatal | NICU | Premature infant, NRF, RDS, HIE |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | Meropenem | Alive |
11/KPN6 | M/neonatal | NICU | Premature infant, NRF | Mechanical ventilation |
Tracheal secretion |
Pneumonia | Imipenem, cefepime | Alive |
12/KPN7 | M/neonatal | NICU | Premature infant, MODS, asphyxia, NRF, RDS, HIE |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | Cefoperazone/sulbactam | Alive |
13/KPN8 | F/neonatal | NICU | Premature infant, MODS, NRF, RDS, HIE |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | Cefoperazone/sulbactam, cefepime |
Alive |
14/KPN9 | M/neonatal | NICU | Premature infant, MODS, CHD, NRF, RDS, HIE |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | Imipenem, cefepime, cefoperazone/sulbactam |
Alive |
15/KPN10 | M/neonatal | NICU | Asphyxia, NRF, RDS, HIE |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | None | Alive |
16/KPN11 | M/neonatal | NICU | Premature infant, MODS, RDS, HIE, IVH |
None | Tracheal secretion |
Pneumonia | Piperacillin/tazobactam, ceftriaxone |
Alive |
17/KPN12 | M/neonatal | NICU | Premature infant, NRF, RDS |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | Amoxicillin/sulbactam, ceftriaxone |
Alive |
18/KPN13 | M/neonatal | NICU | Premature infant, RDS, HIE |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | Amoxicillin/sulbactam | Death unrelated to CPE |
19/KPN14 | M/neonatal | NICU | Premature infant, MODS, RDS |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | Amoxicillin/sulbactam | Alive |
20/ECL4 | F/2 years |
PICU | CPR, NRF, convulsion | Mechanical ventilation |
Tracheal secretion |
Pneumonia | Amikacin, ceftazidime, cotrimoxazole |
Transferred to other hospitals |
21/KPN15 | M/neonatal | Neonatology department(1) |
NRF, MODS | None | Tracheal secretion |
Pneumonia | Meropenem, piperacillin/tazobactam |
Alive |
22/KPN16 | F/neonatal | NICU | Fetal macrosomia, HIE, MODS |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | None | Alive |
23/KPN17 | F/neonatal | NICU | Premature infant, HIE, NRF, MODS, CHD |
None | Tracheal secretion |
Pneumonia | Piperacillin/tazobactam | Alive |
24/KPN18 | M/neonatal | NICU | Premature infant, HIE | None | Tracheal secretion |
Pneumonia | Meropenem, piperacillin/tazobactam |
Alive |
25/KPN19 | M/neonatal | NICU | HIE, asphyxia, NRF | Mechanical ventilation |
Tracheal secretion |
Pneumonia | Meropenem | Alive |
26/KPN20 | M/neonatal | NICU | Premature infant, HIE | Mechanical ventilation |
Tracheal secretion |
Pneumonia | Ceftriaxone | Alive |
27/KPN21 | M/neonatal | NICU | Premature infant, HIE | None | Tracheal secretion |
Pneumonia | Meropenem, Ceftriaxone | Alive |
28/KPN22 | F/neonatal | NICU | Premature infant, HIE | Mechanical ventilation |
Tracheal secretion |
Pneumonia | None | Alive |
29/KPN23 | M/neonatal | NICU | Premature infant, asphyxia, RDS |
Mechanical ventilation |
Tracheal secretion |
Pneumonia | Imipenem | Alive |
30/KPN24 | F/neonatal | Neonatology department(2) |
Premature infant, HIE | None | Tracheal secretion |
Pneumonia | Meropenem | Alive |
KPN, Klebsiella pneumoniae; ECL, Enterobacter cloacae; KOX, Klebsiella oxytoca.
M, male; F, female.
TBI, traumatic brain injury; MI, myocardial infarction; GCA, gastric cardiac adenocarcinoma; CHD, congenital heart disease; NRF, neonatal respiratory failure; RDS, respiratory distress syndrome; HIE, hypoxic-ischemic encephalopathy; ICH, intracerebral hemorrhage; RA, rheumatoid arthritis; IVH, intraventricular hemorrhage; CPR, cardiopulmonary resuscitation.
NICU, neonatal intensive care units; PICU, pediatric intensive care unit.