Table 1. Antimicrobial susceptibility and classification of P.aeruginosa strains as PDR, XDR, MDR or S.
P | ID | Y | R | S | O | ST | Antibiotics tested | RP | |||||||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | |||||||||||||
GEN | TOB | AK | IMI | MEM | CAZ | CPM | CIP | LEV | CB | P/T | AZT | FOS | CS | ||||||||
1 | HIM1 | 2007 | S | B | ↑ | 1723 | R | ND | R | R | R | R | R | R | ND | > 128 | R | R | > 128 | I | XDR |
2 | HIM2/1 | 2007 | STx | C | † | 1724 | ND | ND | R | R | R | R | R | R | ND | > 128 | I | R | > 128 | S | XDR |
HIM3 | 1725 | R | ND | ND | I | ||||||||||||||||
3 | HIM3/1 | 2007 | E | U | ↑ | 1725 | R | ND | R | R | R | R | R | R | ND | > 128 | R | R | > 128 | I | XDR |
4 | HIM3/2 | 2007 | STx | U | ↑ | 1725 | R | ND | R | R | R | R | R | R | ND | > 128 | I | R | > 128 | I | XDR |
5 | HIM3/3 | 2007 | N | C | ↑ | 1725 | ND | ND | R | ND | R | ND | R | R | ND | > 128 | R | R | > 128 | I | XDR |
HIM3/4 | |||||||||||||||||||||
6 | HIM3/5 | 2007 | PICU | U | ↑ | 1725 | R | ND | R | R | R | R | R | R | ND | > 128 | I | R | > 128 | I | XDR |
7 | HIM2 | 2008 | S | B | ↑ | 1724 | R | R | R | R | R | R | R | R | R | > 128 | I | R | > 128 | I | XDR |
8 | HIM3/6 | 2008 | P | U | ↑ | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
9 | HIM3/7 | 2008 | S | U | ↑ | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
10 | HIM3/11 | 2008 | E | U | † | 1725 | ND | ND | I | ND | R | ND | R | R | ND | > 128 | I | R | > 128 | S | MDR |
HIM3/12 | R | R | R | R | R | R | R | R | R | > 128 | I | R | > 128 | S | XDR | ||||||
11 | HIM3/13 | 2008 | Neph | U | ↑ | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
12 | HIM3/14 | 2008 | E | U | ↑ | 1725 | R | R | R | R | R | R | R | R | S | > 128 | R | R | > 128 | I | XDR |
13 | HIM3/15 | 2008 | S | U | ↑ | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
14 | HIM3/26 | 2008 | Neph | U | ↑ | 1725 | S | S | S | S | S | S | S | S | S | > 128 | I | R | > 128 | S | MDR |
15 | HIM4 | 2008 | PICU | B | † | 1726 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | S | XDR |
16 | HIM9 | 2008 | E | B | ↑ | 1731 | S | S | S | S | S | S | I | S | I | > 128 | S | S | > 128 | S | S |
17 | HIM10 | 2008 | PICU | B | † | 2226 | S | S | S | S | S | S | S | S | S | > 128 | S | S | 128 | S | S |
18 | HIM11 | 2008 | NICU | B | ? | 1733 | S | S | S | S | R | S | S | S | S | > 128 | S | S | > 128 | I | S |
19 | HIM12 | 2008 | P | B | ↑ | 1734 | S | S | S | S | S | S | S | S | S | 128 | S | S | > 128 | I | S |
20 | HIM13 | 2008 | O | B | † | 1737 | S | S | S | S | S | S | S | S | S | 64 | S | S | > 128 | I | S |
21 | HIM14 | 2008 | P | U | ↑ | 1735 | S | S | S | S | S | S | S | S | S | 64 | S | S | > 128 | I | S |
22 | HIM5 | 2008 | P | B | ? | 1727 | R | S | R | R | R | R | R | R | I | > 128 | R | R | > 128 | I | XDR |
HIM6 | 1728 | ND | ND | ND | ND | ND | I | S | |||||||||||||
23 | HIM16 | 2008 | Neph | U | ↑ | 1736 | S | S | S | S | S | S | S | S | S | 128 | S | I | > 128 | I | S |
HIM16/1 | P | I | 32 | S | |||||||||||||||||
P | ID | Y | R | S | O | ST | Antibiotics tested | RP | |||||||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | |||||||||||||
GEN | TOB | AK | IMI | MEM | CAZ | CPM | CIP | LEV | CB | P/T | AZT | FOS | CS | ||||||||
24 | HIM7 | 2009 | PICU | B | † | 1729 | R | R | R | R | R | R | R | R | R | > 128 | R | S | 64 | I | XDR |
25 | HIM3/8 | 2008 | S | U | ↑ | 1725 | ND | ND | R | ND | R | ND | R | R | ND | > 128 | R | R | > 128 | I | XDR |
HIM3/9 | Neph | ||||||||||||||||||||
HIM3/10 | 2010 | STx | 1730 | R | R | R | R | R | |||||||||||||
HIM8 | Neph | ||||||||||||||||||||
26 | HIM15 | 2008 | E | B | † | 561 | S | S | S | S | S | S | S | S | S | > 128 | S | S | > 128 | I | S |
HIM3/20 | 2010 | 0 | U | 1725 | R | R | R | R | R | R | R | R | R | R | R | XDR | |||||
27 | HIM3/18 | 2010 | STx | U | ↑ | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
HIM3/19 | ND | ND | ND | ND | ND | ||||||||||||||||
28 | HIM3/16 | 2010 | Neph | U | ↑ | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | S | XDR |
29 | HIM3/17 | 2010 | STx | U | ↑ | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | S | XDR |
30 | HIM3/21 | 2010 | Neph | C | ↑ | 1725 | R | R | R | ND | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
31 | HIM3/22 | 2010 | STx | B | ↑ | 1725 | R | R | R | R | R | I | R | S | S | > 128 | R | R | > 128 | I | S |
HIM3/23 | U | R | R | R | S | ||||||||||||||||
32 | HIM3/24 | 2010 | ITx | U | ↑ | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
HIM3/25 | |||||||||||||||||||||
33 | HIM20 | 2011 | Neph | M | ? | 2246 | R | R | R | R | R | R | R | R | R | > 128 | I | R | > 128 | I | XDR |
34 | HIM17 | 2012 | N | U | ↑ | 2243 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
35 | HIM18 | 2012 | O | U | ↑ | 2244 | R | R | S | R | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
36 | HIM19 | 2012 | ITx | U | ? | 2245 | R | R | R | R | R | R | R | R | R | > 128 | I | R | > 128 | I | XDR |
37 | HIM3/27 | 2012 | E | U | ↑ | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
38 | HIM3/28 | 2012 | Neph | U | ↑ | 1725 | R | R | R | R | R | R | R | R | R | > 128 | I | R | > 128 | R | XDR |
39 | HIM3/29 | 2013 | E | U | ↑ | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | R | PDR |
40 | HIM3/30 | 2013 | Neph | U | ? | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
41 | HIM3/31 | 2013 | Neph | U | ? | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | I | XDR |
42 | HIM3/32 | 2013 | C | U | ? | 1725 | R | R | R | R | R | R | R | R | R | > 128 | R | R | > 128 | R | PDR |
43 | HIM22 | 2013 | C | M | † | 2248 | R | R | S | R | R | R | R | S | R | > 128 | I | R | > 128 | S | MDR |
44 | 233 | 2013 | E | U | ? | 233 | R | R | R | R | R | R | R | R | R | > 128 | R | S | 64 | R | XDR |
45 | 233/1 | 2013 | Neph | U | ? | 233 | R | R | R | R | R | R | R | R | R | > 128 | R | S | > 128 | I | XDR |
46 | 112 | 2013 | Imed | U | ? | 112 | R | R | R | I | R | R | R | S | S | > 128 | S | S | > 128 | R | MDR |
P: Patient; ID: Assigned in the MLST P. aeruginosa database; Y: Year; R: Room; S: Source; O: Outcome; ↑: Discharged; †: Dead;?: Unknown; ST: Sequence Type; B: Blood; C: Catheter; U: Urine; M: Miscellaneous; S: Surgery; STx: Surgical Therapy; E: Emergency Room; N: Neurology; PICU: Pediatric Intensive Care Unit; P: Pediatrics; Neph: Nephrology; ITx: Internal Therapy; O: Oncology; C: Cardiology; NICU: Neonatal Intensive Care Unit; IMed: Internal Medicine; Antibiotics tested: Aminoglycosides: Gentamicin (GEN), Tobramycin (TOB), Amikacin (AK); Carbapenems: Imipenem (IMI), Meropenem (MEM); Cephalosporins: Ceftazidime (CAZ), Cefepime (CPM); Fluoroquinolones: Ciprofloxacin (CIP), Levofloxacin (LEV); Penicillins: Carbenicilin (CB); Penicillins + β-lactamase inhibitors: Piperacillin/Tazobactam (P/T); Monobactams: Aztreonam (AZT); Phosphonic acids: Fosfomycin (FOS); Polymyxins: Colistin (CS). (CLSI, 2016) [18]
PDR: Pan Drug Resistant. XDR: Extensively Drug Resistant. MDR: Multi Drug Resistant. S: Sensitive. Reference strains: P. aeruginosa ATCC® 27853 and Escherichia coli ATCC® 25922.
Discharge/d patients: 60.87%. Mortality rate: 17.39%. Unknown patient outcome: 21.74%.