Table 2.
Resistance | Organism | Detection Method |
||||||||
---|---|---|---|---|---|---|---|---|---|---|
CARBA-R |
MIC OR MIC RANGE (µg/mL)a |
EPI-CRE |
||||||||
Mechanismb | ||||||||||
Designation | N | N | % POS | Doripenem | Ertapenem | Imipenem | Meropenem | N | % POS | |
IMI | 3 | Enterobacter cloacae | 3 | NA | 2–>8 | 2.0–16.0 | >8–>32 | 2–16 | 3 | 100 |
IMP 1 | 2 | Enterobacter aerogenes | 1 | 100 | 2 | 2 | 2 | 2 | 1 | 100 |
Klebsiella pneumoniae | 1 | 100 | >2 | >4 | >8 | >8 | 1 | 100 | ||
IMP 4 | 1 | Klebsiella pneumoniae | 1 | NA | 1 | ≤1 | ≤1 | ≤1 | 1 | 100 |
KPC | 23 | Klebsiella pneumoniae | 12 | 100 | 0.5–<2 | 2–>4 | ≤1.0–>8 | ≤1.0–<8 | 12 | 100 |
Escherichia coli | 2 | 100 | 2–>2 | 4 | 4–8 | 4–8 | 2 | 100 | ||
Enterobacter cloacae | 3 | 100 | 2–8 | 4–>8 | 4–8 | 4–>8 | 3 | 100 | ||
Proteus mirabilis | 2 | 100 | 2–4 | 1–2 | 16 | 0.5–2 | 2 | 100 | ||
Klebsiella oxytoca | 1 | 100 | 0.5 | 0.5 | 4 | 1 | 1 | 100 | ||
Kluyvera ascorbata | 1 | 100 | 4 | 8 | 4 | 8 | 1 | 100 | ||
Morganella morganii | 1 | 100 | 4 | 8 | 8 | 4 | 1 | 100 | ||
Raoultella ornithinolytica | 1 | 100 | 2 | 1 | 4 | 1 | 1 | 100 | ||
KPC 2 | 4 | Klebsiella pneumoniae | 4 | 100 | >2 | >4–>16 | 4–16 | 4–>16 | 4 | 100 |
KPC 3 | 15 | Escherichia coli | 2 | 100 | 4 | 2–8 | 4 | 4 | 2 | 100 |
Klebsiella pneumoniae | 13 | 84.6 (2)c | ≤0.12–>8 | ≤0.25–>16 | ≤1.0–>64 | ≤1.0–>16 | 13 | 100 | ||
KPC 4 | 1 | Klebsiella pneumoniae | 1 | 100 | ≤0.12 | ≤0.25 | ≤1.0 | ≤1.0 | 1 | 100 |
KPC+CTX-M-1 | 1 | Enterobacter cloacae | 1 | 100 | 4 | >8 | 8 | 8 | 1 | 100 |
NDM+CTX-M-1 | 1 | Escherichia coli | 1 | 100 | >8 | >8 | 8 | >8 | 1 | 100 |
NDM+OXA 232 | 1 | Klebsiella pneumoniae | 1 | 100 | >8 | >8 | 64 | >8 | 1 | 100 |
NDM | 19 | Citrobacter freundii | 1 | 100 | >8 | >8 | 16 | >8 | 1 | 100 |
Escherichia coli | 7 | 100 | >2–>8 | >4–>16 | 8–32 | 8–>16 | 7 | 100 | ||
Klebsiella pneumoniae | 9 | 100 | >2–>8 | >4–>8 | 4–>64 | 8–>8 | 9 | 100 | ||
Proteus mirabilis | 1 | 100 | >8 | 4 | 32 | 4 | 1 | 0 | ||
Salmonella sv. Seftenberg | 1 | 100 | 8 | >8 | 4 | 8 | 1 | 100 | ||
NDM 1 | 2 | Klebsiella pneumoniae | 2 | 100 | >8 | >8 | ≤0.5–32 | >8 | 2 | 100 |
NDM 5 | 2 | Escherichia coli | 2 | 100 | >8 | >8 | 16 | >8 | 2 | 100 |
NDM 6 | 2 | Escherichia coli | 2 | 100 | >2–>8 | >4–>8 | >8–16 | >8 | 2 | 100 |
OXA 48 | 6 | Klebsiella pneumoniae | 6 | 83.3 | >2–8 | >4–>8 | 4–>8 | 8–>8 | 6 | 100 |
OXA 181 | 3 | Klebsiella pneumoniae | 3 | 100 | 2–4 | 8–>8 | 2–4 | 2–4 | 3 | 100 |
SME | 7 | Serratia marcescens | 7 | NA | >2 | >4–>16 | >8–>32 | 8–>16 | 7 | 0 |
VIM | 2 | Enterobacter cloacae | 1 | 100 | 4 | 2 | 4 | 2 | 1 | 100 |
Klebsiella pneumoniae | 1 | 100 | >8 | >4 | 8 | 8 | 1 | 100 | ||
VIM 27 | 1 | Klebsiella pneumoniae | 1 | 100 | >2 | >4 | >8 | >8 | 1 | 100 |
Initial % + | 96.5 | 91.7 | ||||||||
Post DAd % + | 100 | 91.7 |
Organisms resistant (CLSI standards) to imipenem, meropenem, doripenem, ertapenem.
Determined by routine PCR.
Not 100% sensitivity because organisms cured plasmid.
DA, discrepant analysis.