Table 1.
Antimicrobial susceptibility and resistance profiles of wild-type and multidrug-resistant strains of K. pneumoniae.
Strain ID | Carbapenemase Gene | MIC (μg/mL) for Antibiotic/Interpretative Categories | Carba NP Result | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SAM 1 | TZP 1 | FOX 2 | CAZ 3 | CRO 3 | FEP 3 | DOR 4 | ETP 4 | IPM 4 | MEM 4 | AMK 5 | GEN 5 | CIP 6 | |||
Kp 01 | blaNDM, and blaVIM and/or blaIMP | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≥64/R | ≥8/R | ≥8/R | ≥16/R | ≥16/R | 32/I | ≥16/R | =4/R | POS |
Kp 02 | blaNDM | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | 8/I | ≥8/R | ≥8/R | ≥16/R | ≥16/R | 16/S | 8/I | 2/R | POS |
Kp 03 | blaKPC and blaNDM | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | 4/I | ≥8/R | ≥8/R | ≥16/R | ≥16/R | 4/S | ≥16/R | 2/R | POS |
Kp 04 | blaNDM | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≥64/R | ≥8/R | ≥8/R | ≥16/R | ≥16/R | ≤2/S | ≥16/R | 1/R | POS |
Kp 05 | blaKPC | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≥64/R | ≥8/R | ≥8/R | ≥16/R | ≥16/R | ≥64/R | 4/S | ≥4/R | POS |
Kp 06 | blaKPC | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≤1/S | ≥8/R | 1/I | 8/I | 8/R | ≤2/S | ≤1/S | ≤0.25/S | POS |
Kp 07 | blaKPC and blaNDM | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≥64/R | ≥8/R | ≥8/R | ≥16/R | ≥16/R | 32/I | ≥16/R | ≥4/R | POS |
Kp 08 | blaNDM | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≥64/R | ≥8/R | ≥8/R | ≥16/R | ≥16/R | 16/S | 8/I | ≥4/R | POS |
Kp 09 | blaNDM, and blaVIM and/or blaIMP | ≥32/R | ≥128/R | 8/S | 8/I | ≥64/R | 32/R | 0.25/S | ≤0.5/S | ≥16/R | 0.5/S | 16/S | 4/S | ≤0.25/S | POS |
Kp 10 | blaKPC and blaNDM | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≥64/R | ≥8/R | ≥8/R | ≥16/R | ≥16/R | 16/S | 8/I | ≥4/R | POS |
Kp 11 | blaKPC and blaNDM | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≥64/R | ≥8/R | ≥8/R | ≥16/R | ≥16/R | 8/S | ≥16/R | 2/R | POS |
Kp 12 | blaKPC, blaNDM, and blaVIM and/or blaIMP | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≥64/R | ≥8/R | ≥8/R | 8/I | ≥16/R | 16/S | ≤1/S | ≤0.25/S | POS |
Kp 13 | blaKPC and blaNDM | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≥64/R | ≥8/R | ≥8/R | ≥16/R | ≥16/R | 8/S | ≤1/S | ≤0.25/S | POS |
Kp 14 | blaNDM | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≥64/R | ≥8/R | ≥8/R | 8/I | ≥16/R | 16/S | ≥16/R | ≥4/R | POS |
Kp 15 | blaKPC and blaNDM | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | 32/R | ≥8/R | ≥8/R | ≥16/R | 8/R | 32/I | ≥16/R | ≥4/R | POS |
Kp 16 | NEG | 4/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 17 | NEG | 8/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 18 | NEG | 4/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 19 | NEG | 4/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 20 | NEG | 4/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 21 | NEG | 8/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 22 | NEG | 8/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 23 | NEG | 4/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | 0.5/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 24 | NEG | 8/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 25 | NEG | 4/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 26 | NEG | 4/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 27 | NEG | 4/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 28 | NEG | 4/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 29 | NEG | 4/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp 30 | NEG | 4/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Kp ATCC 2146 | blaNDM | ≥32/R | ≥128/R | ≥64/R | ≥64/R | ≥64/R | ≥64/R | ≥8/R | ≥8/R | ≥16/R | ≥16/R | ≥64/R | ≥16/R | ≥4/R | NEG |
Ec ATCC 25922 | NEG | ≤2/S | ≤4/S | ≤4/S | ≤1/S | ≤1/S | ≤1/S | ≤0.12/S | ≤0.5/S | ≤0.25/S | ≤0.25/S | ≤2/S | ≤1/S | ≤0.25/S | NEG |
Abbreviations: MIC, minimal inhibitory concentration; SAM, ampicillin/sulbactam; TZP, piperacillin/tazobactam; FOX, cefoxitin; CAZ, ceftazidime; CRO, ceftriaxone; FEP, cefepime; DOR, doripenem; ETP, ertapenem; IPM, imipenem; MEM, meropenem; AMK, amikacin; GEN, gentamicin; CIP, ciprofloxacin; Kp, K. pneumoniae; R, resistant; I, intermediate; S, susceptible; NEG, negative; POS, positive. 1 Penicillin + β-lactamase inhibitors; 2 Cephamycins; 3 Extended-spectrum cephalosporins; 4 Carbapenems; 5 Aminoglycosides; 6 Fluoroquinolones.