Table.
Investigation of carbapenem susceptibility by different methods in blaIMP-1 metallo-beta-lactamase positive Klebsiella pneumoniae isolates
| Strains |
||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Klb-21 | Klb-62 | Klb-73 | Klb-85 | Klb-200 | Klb-201 | Klb-202 | Klb-223 | Klb-232 | Klb-234 | Klb-266 | Klb-275 | |
| MIC by broth dilution (ug/ml) | ||||||||||||
| Imipenem | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 4 | 2 | 4 | 4 | 4 |
| Meropenem | 8 | 16 | 16 | 16 | 16 | 16 | 16 | 16 | 16 | 8 | 16 | 16 |
| MIC by Etest (ug/ml) | ||||||||||||
| Imipenem | 1 | 0.5 | 0.5 | 0.5 | 0.38 | 0.75 | 0.38 | 0.75 | 0.5 | 1 | 0.75 | 1 |
| Meropenem | 2 | 0.5 | 0.5 | 0.5 | 0.75 | 1 | 0.5 | 0.75 | 1 | 2 | 1.5 | 1.5 |
| Ertapenem | 3 | 4 | 4 | 12 | 3 | ≥32 | 0.19 | 2 | 6 | 3 | 6 | 2 |
| Doripenem | 0.5 | 0.5 | 0.75 | 2 | 0.5 | 4 | 0.016 | 0.75 | 0.75 | 0.5 | 1 | 1 |
| Disc diffusion zone diameter (mm) | ||||||||||||
| Imipenem | 18 | 19 | 20 | 17 | 21 | 19 | 22 | 19 | 20 | 18 | 19 | 18 |
| Meropenem | 19 | 18 | 19 | 19 | 18 | 19 | 20 | 19 | 18 | 18 | 17 | 19 |
| Ertapenem | 15 | 14 | 14 | 13 | 15 | 17 | 19 | 13 | 13 | 12 | 14 | 14 |
| AST-GN09 card, Vitek 2 ver. AIX 4.01 | ||||||||||||
| Imipenem | 8 | 8 | ≥16 | ≥16 | ≥16 | ≥16 | ≥16 | ≥16 | ≥16 | ≥16 | ≥16 | 8 |
| Meropenem | 1 | 1 | 2 | 2 | 2 | 2 | ≥16 | 2 | 8 | 2 | 2 | 2 |
| Carbapenemase* | No | No | No | No | No | No | No | No | No | No | No | No |
| AST-GN09 card, Vitek 2 ver. AIX 4.03 | ||||||||||||
| Imipenem | 8 | 4 | 2 | 8 | 4 | 4 | 2 | 8 | 8 | 4 | 4 | 8 |
| Meropenem | 2 | 2 | 1 | 4 | 2 | 1 | 1 | 4 | 4 | 4 | 2 | 2 |
| Carbapenemase | No | Yes | No | Yes | Yes | No | No | Yes | Yes | No | Yes | Yes |
| AST-GN13 card, Vitek 2 ver. AIX 4.03 | ||||||||||||
| Imipenem | 8 | 4 | 2 | 8 | 4 | 4 | 2 | 4 | 4 | 4 | 4 | 4 |
| Ertapenem 4 | ≥8 | ≥ | 8 | ≥8 | ≥8 | ≥8 | 4 | ≥8 | ≥8 | ≥8 | ≥8 | ≥8 |
| Carbapenemase | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| AST-GN09 card, Vitek 2 ver. PC 3.01 | ||||||||||||
| Imipenem | 8 | 8 | 4 | 4 | 2 | 4 | 2 | 4 | 4 | 4 | 8 | 8 |
| Meropenem | 1 | 2 | 1 | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
| Carbapenemase | No | Yes | No | Yes | No | No | No | No | No | No | No | Yes |
| AST N091 card, Vitek 2 ver. PC 3.01 | ||||||||||||
| Imipenem | 4 | 4 | 2 | 4 | 4 | 4 | ≤1 | 4 | 8 | 2 | 4 | 8 |
| Meropenem | 1 | 1 | 2 | 2 | 1 | 1 | 1 | 2 | 4 | 1 | 1 | 2 |
| Ertapenem | 4 | ≥8 | ≥8 | ≥8 | ≥8 | ≥8 | 4 | ≥8 | ≥8 | ≥8 | ≥8 | ≥8 |
| Carbapenemase | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| AST-N092 card, Vitek 2 ver. PC 3.01 | ||||||||||||
| Imipenem | 4 | 4 | 4 | 8 | 8 | 8 | ≤1 | 8 | ≥16 | 4 | 8 | ≥16 |
| Meropenem | 1 | 1 | 2 | 1 | 2 | 1 | 1 | 1 | 4 | 1 | 1 | 2 |
| Ertapenem | ≥8 | ≥8 | ≥8 | ≥8 | ≥8 | ≥8 | 4 | ≥8 | ≥8 | 4 | ≥8 | ≥8 |
| Carbapenemase | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Vitek 2 expert system warning for carbapenemase production as recognized by the phenotype.