Table 5.
Group | Carbapenem-resistance genes | Sample | Isolate source | Hospital | ESBL production | blaCTXM15 | Resistance pattern | |||
---|---|---|---|---|---|---|---|---|---|---|
blaIMP | blaVIM | blaGIM | blaSPM | |||||||
A | + | – | + | – | PA1 PA2 PA8 |
ICU Wound swab ICU |
Minia University | –,+_ | –,–
|
CAZ, CN, AK, PB, MEM CAZ, CEP, TGC, MEM CAZ, CN, CT, CIP, IPM |
B | + | + | – | + | PA7 | Stool | Minia University | _ | _ | CAZ, CEP, AK, CT, PB, MEM |
C | + | – | – | – | PA9 | Wound swab | Minia University | + | + | CAZ, CN, TGC, CIP, IPM |
D | + | – | – | + | PA11 PA33 |
Ear discharge Wound swab |
Minia University | –,+ |
–,+ |
CAZ, CEP, AK, PB, CIP, IPM, CAZ, CEP, CN, CT, MEM |
E | + | – | + | + | PA13 | ICU | Minia University | + | + | CAZ, CN, AK, TGC, PB, MEM |
F | + | + | – | – | PA16 | Stool | Minia University | _ | _ | CAZ, CEP, AK, TGC, CIP, MEM |
G | – | + | + | + | PA19 | Wound swab | Minia University | _ | _ | CAZ, CN, AK, CT, PB, IPM |
H | – | + | + | – | PA27 | Sputum | Chest Hospital | + | _ | CAZ, CEP, CN, AK, TGC, PB, MEM |
Notes: A, MBL-producing P. aeruginosa isolates positive for blaIMP and blaGIM; B, MBL-producing P. aeruginosa isolates positive for blaIMP, blaVIM, and blaSPM; C, MBL- producing P. aeruginosa isolates positive for blaIMP; D, MBL-producing P. aeruginosa isolates positive for blaIMPand blaSPM; E, MBL-producing P. aeruginosa isolates positive for blaIMP, blaGIM, and blaSPM; F, MBL-producing P. aeruginosa isolates positive for blaIMP and blaVIM; G, MBL-producing P. aeruginosa isolates positive for blaVIM, blaGIM, and blaSPM; H, MB-producing P. aeruginosa isolates positive for blaVIM and blaGIM.
Abbreviations: ESBL, extended-spectrum β-lactamase; MBL, metallo-β-lactamase; ICU, intensive-care unit; CAZ, Ceftazibime, CN, Gentamicin, AK, Amikacin, PB, ploymxin B, MEM, meropenem, TGC, Tigecycline , CEP, cefeperazone, CT, colistin, CIP, ciprofloxacin, IPM, imipenem; IMP, imipenemase; VIM, Verona integron–encoded MBL; GIM, German imipenemase MBL; SPM, S>o Paulo MBL.