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. 2019 Oct 30;69(Suppl 6):S449–S458. doi: 10.1093/cid/ciz450

Table 4.

Proportion of Gram-negative Bloodstream Isolates Susceptible to Antimicrobials by Ambler Classification of β-Lactamases

Ampicillin Amoxicillin/Clavulanate Ampicillin/Sulbactam Chloram-phenicol Gentamicin Amikacin Ciprofloxacin Naldixic acid Levofloxacin Cefazolin Cefepime Ceftriaxone Ceftazidime Ertapenem Imipenem Nitro-furantoin Piperacillin/Tazobactam
Enterobacteriaceae
Enterobacter spp.
Class A (TEM, SHV, CTX) n = 5 0 0 n/a 20 20 100 40 27 100 0 25 20 0 100 100 50 50
CTX-M n = 4 0 0 n/a 25 25 100 50 33 100 0 33 25 0 100 100 67 67
TEM, SHV only n = 1 0 0 n/a 0 0 100 0 0 100 0 0 0 n/a 100 100 0 0
Class C (AmpC) n = 2a 0 0 n/a 50 100 100 50 100 n/a n/a n/a 50 n/a n/a 100 n/a n/a
Class D (OXA) n = 2b 0 0 n/a 0 0 100 50 0 100 0 50 0 0 100 100 100 100
Non β-Lactamase n = 22 10 17 n/a 30 29 95 60 25 95 0 58 26 12.5 100 95 21 47
Escherichia coli
Class A (TEM, SHV, CTX) n = 34 0 36 6 55 84 100 67 67 78 41 88 82 81 100 100 89 59
CTX-M n = 5 0 0 0 60 0 100 20 0 50 0 0 0 0 100 100 0 50
TEM, SHV only n = 29 0 43 6 54 94 100 75 79 81 47 100 96 96 100 100 100 60
Class C (AmpC) n = 0
Class D (OXA) n = 4c 0 0 0 25 50 100 50 25 50 100 100 100 75 100 100 100 0
Non β-Lactamase n = 86 14 46 29 49 82 93 84 72 94 66 92 87 89 98 100 83 77
Klebsiella spp.
Class A (TEM, SHV, CTX) n = 37 8 30 0 30 13 97 68 51 100 0 3 24 8 97 100 3 31
CTX-M n = 36 8 28 0 28 10 97 68 51 100 0 3 22 6 97 100 3 29
TEM, SHV only n = 1 0 100 0 100 100 100 100 100 100 0 0 100 100 100 100 0 100
Class C (AmpC) n = 1 0 0 0 0 0 100 0 0 100 0 0 0 0 100 100 0 0
Class D (OXA) n = 12d 17 33 0 58 18 100 33 0 100 0 0 33 0 100 100 9 45
Non β-Lactamase n = 51 12 39 19 33 41 97 61 52 90 16 35 47 36 97 100 14 49
iNTS
Class A (TEM, SHV, CTX) n = 70 3 59 5 13 10 9 95 90 98 5 98 92 97 100 100 18 93
CTX-M n = 2 0 0 0 0 0 0 100 100 100 0 50 50 0 100 100 50 50
TEM, SHV only n = 68 3 61 5 13 10 9 95 90 98 5 100 94 100 100 100 17 95
Class C (AmpC) n = 0
Class D (OXA) n = 4e 25 75 0 25 0 0 100 100 100 0 0 75 0 100 n/a 0 0
Non β-Lactamase n = 87 76 91 68 76 18 16 91 79 98 3 100 96 96 98 100 16 98
Serratia spp.
Class A (TEM, SHV, CTX) n = 0
CTX-M n = 0
TEM, SHV only n = 0
Class C (AmpC) n = 0
Class D (OXA) n = 0
Non β-Lactamase n = 12 36 91 n/a 91 100 100 64 100 100 0 100 80 100 67 100 0 100
Non-Enterobacteriaceae
Pseudomonas spp.
Class A (TEM, SHV, CTX) n = 1 0 0 n/a 100 n/a n/a 100 n/a n/a n/a n/a 100 n/a n/a n/a n/a n/a
CTX-M n = 0
TEM, SHV only n = 1 0 0 n/a 100 n/a n/a 100 n/a n/a n/a n/a 100 n/a n/a n/a n/a n/a
Class C (AmpC) n = 0
Class D (OXA) n = 0
Non β-Lactamase n = 28 10 25 35 5 100 100 95 17 86 10 85 35 83 100 100 9 70
Otherf
Class A (TEM, SHV, CTX) n = 0
CTX-M n = 0
TEM, SHV only n = 0
Class C (AmpC) n = 0
Class D (OXA) n = 0
Non β-Lactamase n = 11 9 27 25 40 27 36 82 57 75 20 40 55 75 100 27 40 40

Abbreviations: CTX, cefotaxime hydrolytic activity; n/a, not tested; OXA, oxacillin hydrolytic activity; SHV, sulhydryl variable; TEM, “Temoneira” derivative.

aOne AmpC strain also had CTX-M1 gene.

bBoth OXA strains also had TEM and CTX-M1 genes.

cTwo OXA strains also had TEM gene.

dAll OXA had at least one other of TEM, SHV, or CTX-M genes.

eTwo OXA strains also had TEM gene, and one of these also had CTX-M gene.

fOther non-Enterobacteriaceae includes Achromobacter spp., Wautersiella spp., Stenotrophomonas spp., Pasteurella spp., Comamonas spp.