Table 1.
Warda | Isolate | Time of isolation (m / y)b | Sample | Resistance patternc | Resistance genes | Virulence genes | MLVA type (MT) |
---|---|---|---|---|---|---|---|
Out patient | 1 | 1/2012 | Urine | GM, AP, CIP, E, CD | vanA | acm, esp | 1 |
2 | 1/2012 | Urine | AP, E, CD | – | acm | 10 | |
3 | 6/2012 | Urine | GM, AP, CIP, E, CD | aac(6′)-Ie-aph(2″)-Ia | acm ،ace | 1 | |
4 | 6/2012 | Urine | GM, AP, CIP, E, CD | aac(6′)-Ie-aph(2″)-Ia | acm | 1 | |
5 | 6/2012 | Urine | AP, CIP, E, CDd | – | acm | 1 | |
6 | 6/2012 | Urine | GM, AP, CIP, E, CD | – | acm | 13 | |
7 | 9/2012 | Urine | GM, AP, CIP, E, CD | vanA | acm | 11 | |
8 | 10/2012 | Urine | AP, CIP, E, CD | – | – | 9 | |
9 | 6/2013 | Urine | GM, AP, CIP, E, CDd | – | – | 17 | |
10 | 7/2013 | Urine | AP, CIP, E, CD | vanA | acm | 1 | |
11 | 9/2013 | Urine | AP, CIP, E, CD | vanA | acm | 1 | |
12 | 9/2013 | Blood | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 1 | |
13 | 11/2013 | Urine | GM, AP, CIP, E, CD | vanA | acm | 1 | |
14 | 4/2014 | Urine | GM, AP, CIP, E, CD | vanA | acm | 1 | |
Urology | 15 | 5/2012 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 20 |
16 | 5/2012 | Urine | GM, AP, CIP, E, CDd | vanA | acm، ace | 25 | |
17 | 5/2012 | Urine | AP, CIP, E, CDd | – | acm، ace | 6 | |
18 | 6/2012 | Urine | GM, AP, CIP, E, CD | aac(6′)-Ie-aph(2″)-Ia | acm | 7 | |
19 | 6/2012 | Urine | AP, CIP, E, CD | – | – | 11 | |
20 | 6/2012 | Urine | GM, AP, CIP, E, CD | – | acm | 8 | |
21 | 7/2012 | Urine | AP, CIP, E, CD | – | – | 23 | |
22 | 8/2012 | Urine | AP, CIP, E, CD | – | – | 4 | |
23 | 9/2012 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, esp | 3 | |
24 | 10/2012 | Urine | GM, AP, CIP, E, CD | – | acm, esp | 2 | |
25 | 6/2013 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, gelE | 1 | |
26 | 11/2013 | Urine | GM, AP, CIP, E, CD | vanA | acm, esp | 3 | |
27 | 2/2015 | Blood | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 2 | |
28 | 5/2015 | Urine | GM, AP, CIP, E, CD | vanA | acm | 3 | |
29 | 5/2015 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, esp | 1 | |
Surgery | 30 | 5/2012 | CSF | AP, CIP, E, CD | vanA | acm | 1 |
31 | 5/2012 | CSF | AP, CIP, E, CD | vanA | acm, esp | 1 | |
32 | 8/2012 | Urine | AP, CIP, E, CD | vanA | acm, esp | 1 | |
33 | 5/2013 | Urine | CIP, E | – | acm | 27 | |
34 | 6/2013 | Urine | GM, AP, CIP, E, CD | vanA | acm | 1 | |
35 | 11/2013 | Urine | GM, CIP, E, CD | aac(6′)-Ie-aph(2″)-Ia | asa1, gelE، ace | 5 | |
36 | 4/2014 | Blood | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, esp, gelE | 3 | |
37 | 1/2015 | Urine | GM, AP, CIP, E, CD | vanA | acm, esp | 2 | |
38 | 4/2015 | Urine | AP, CIP, E, CD | vanA | acm, gelE | 1 | |
39 | 12/2015 | Urine | GM, AP, CIP, E, CD | vanA | acm | 1 | |
NICU | 40 | 10/2012 | Urine | GM, AP, CIP, E, CD | – | – | 10 |
41 | 8/2013 | Tracheal aspirate | GM, AP, CIP, E, CD | vanA | acm | 1 | |
42 | 1/2015 | Urine | GM, AP, CIP, E, CD | vanA | acm | 4 | |
43 | 1/2015 | Urine | GM, AP, CIP, E, CDd | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 1 | |
44 | 1/2015 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 2 | |
45 | 2/2015 | Urine | GM, AP, CIP, E, CD | vanA aac(6′)-Ie-aph(2″)-Ia | acm, esp | 2 | |
46 | 3/2015 | Blood | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, esp | 1 | |
47 | 8/2015 | Blood | GM, AP, CIP, E, CD | aac(6′)-Ie-aph(2″)-Ia | acm، ace | 1 | |
48 | 10/2015 | Ascites | GM, AP, CIP, E, CD | vanA | – | 2 | |
49 | 10/2015 | Ascites | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 2 | |
CICU | 50 | 1/2012 | Ascites | GM, AP, CIP, E, CD | vanA | acm | 1 |
51 | 9/2013 | Urine | GM, AP, CIP, E, CD | vanA | – | 1 | |
52 | 6/2013 | Urine | CIP, E, CD | vanA | acm,esp, gelE | 2 | |
53 | 1/2015 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 2 | |
54 | 3/2015 | Ascites | GM, AP, CIP, E, CD | – | – | 1 | |
55 | 5/2015 | Urine | GM, AP, CIP, E, CD | vanA | acm | 14 | |
56 | 6/2015 | Blood | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm، ace | 3 | |
57 | 6/2015 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm، ace | 1 | |
PICU | 58 | 12/2012 | Wound | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, esp, gelE | 3 |
59 | 4/2013 | Tracheal aspirate | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 1 | |
60 | 1/2014 | Wound | GM, AP, CIP, E, CD | vanA | acm | 22 | |
61 | 3/2014 | Blood | GM, AP, CIP, E, CD | vanA | acm, esp | 2 | |
62 | 11/2014 | Ascites | GM, AP, CIP, E, CD | vanA | acm | 2 | |
63 | 2/2015 | Urine | GM, AP, CIP, E, CD | vanA | acm | 1 | |
64 | 3/2015 | Blood | GM, AP, CIP, E, CDd | vanA | acm | 2 | |
65 | 6/2015 | Dialysis fluid | GM, AP, CIP, E | vanA | acm | 1 | |
Dialysis center | 66 | 5/2012 | Urine | AP, CIP, E, CDd | – | acm | 1 |
67 | 5/2012 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 1 | |
68 | 10/2012 | Urine | E, CD | – | asa1 | 5 | |
69 | 1/2013 | Catheter | GM, AP, CIP, E, CD | vanA | acm, esp | 3 | |
70 | 1/2013 | Urine | CIP, E, CDd | – | – | 6 | |
71 | 6/2013 | Urine | AP, CIP, E, CD | – | acm | 1 | |
72 | 3/2014 | Urine | GM, AP, CIP, E, CD | vanA | acm, gelE | 4 | |
Neonatal | 73 | 12/2011 | Urine | GM, AP, CIP, E, CD | vanA | acm | 7 |
74 | 5/2012 | GM, AP, CIP, E, CD | vanA | acm | 1 | ||
75 | 6/2012 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 3 | |
76 | 9/2012 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 3 | |
77 | 9/2012 | Urine | GM, AP, CIP, E, CD | vanA | acm | 13 | |
78 | 12/2013 | Urine | GM, AP, CIP, E, CD | vanA | gelE | 18 | |
Emeregency | 79 | 1/2012 | Urine | E, CD | – | acm | 1 |
80 | 1/2012 | CSF | GM, AP, CIP, E | aac(6′)-Ie-aph(2″)-Ia | acm | 1 | |
81 | 1/2012 | Urine | GM, AP, CIP, E, CD | – | acm | 19 | |
82 | 2/2013 | Blood | GM, AP, CIP, E, CD | vanA | acm, gelE | 1 | |
83 | 2/2013 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, gelE | 1 | |
84 | 2/2013 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, gelE | 2 | |
Digestive | 85 | 12/2011 | Urine | GM, AP, CIP, E, CD | – | – | 5 |
86 | 10/2012 | Urine | AP, CIP, E, CD | – | – | 9 | |
87 | 1/2013 | Blood | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 2 | |
88 | 2/2013 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, gelE | 2 | |
Rheumatology | 89 | 2/2013 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, esp, gelE | 3 |
90 | 6/2013 | Blood | GM, AP, CIP, E, CD | – | acm | 1 | |
91 | 11/2015 | sputum | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, esp | 3 | |
Neurology | 92 | 3/2012 | Urine | GM, AP, CIP, E, CD | vanA | – | 21 |
Oncology | 93 | 9/2015 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 1 |
Unknown | 94 | 12/2011 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, esp | 3 |
95 | 3/2012 | Urine | GM, AP, CIP, E, CD | vanA | acm | 1 | |
96 | 5/2012 | Urine | GM, AP, CIP, E, CD | – | acm | 8 | |
97 | 5/2012 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 1 | |
98 | 7/2012 | Urine | E, CD | – | – | 12 | |
99 | 7/2012 | Blood | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 1 | |
100 | 8/2012 | Urine | AP, CIP, E | – | – | 1 | |
101 | 8/2012 | Urine | CIP, E, CD | – | acm | 12 | |
102 | 8/2012 | Urine | AP, CIP, E, CD | – | acm | 15 | |
103 | 8/2012 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm | 3 | |
104 | 9/2012 | Urine | GM, AP, CIP, E, CD | vanA | acm | 16 | |
105 | 12/2012 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, esp, gelE | 3 | |
106 | 1/2012 | Urine | GM, AP, CIP, E, CD | vanA, aac(6′)-Ie-aph(2″)-Ia | acm, gelE | 1 | |
107 | 1/2013 | Urine | GM, AP, CIP, E, CD | – | acm, gelE | 24 | |
108 | 1/2013 | Urine | AP, CIP, E, CD | – | – | 26 |
aNICU Neonatal Intensive Care Unit, CICU Coronary Intensive Care Unit; PICU Paediatric Intensive Care Unit
bm/y month/year, CSF Cerebrospinal fluid
cGM Gentamicin, AP Ampicillin, CIP Ciprofloxacin, E Erythromycin, CD Clindamycin
dInducible resistance to clindamycin