TABLE 2.
Antibiotic susceptibility interpretation of initial screening and validation of nonsusceptible B. pseudomallei isolates
| Hospital and B. pseudomallei isolatea | Isolate | Clinical specimen | Antibioticb | Susceptibility interpretationc |
||
|---|---|---|---|---|---|---|
| Initial screend |
Validation at FTMe (BMD) | |||||
| Hospital | FTM (DD) | |||||
| Hospital A | ||||||
| DR10212A | Primary | Pleural fluid | CAZ | R | R | R |
| MEM | R | R | LS | |||
| DR10118A | Primary | Blood | AMC | I | S | S |
| DR10120A | Primary | Blood | AMC | I | S | S |
| Hospital C | ||||||
| DR30013A | Primary | Blood | CAZ | NA | R | R |
| Hospital D | ||||||
| DR40031A | Primary | Blood | CAZ | I | S | S |
| AMC | ND | S | I | |||
| Hospital E | ||||||
| DR50054E | Relapse | Sputum | AMC | ND | R | R |
| CAZ | S | R | R | |||
| MEM | S | S | LS | |||
| Hospital H | ||||||
| DR80176A | Primary | Sputum | MEM | R | S | S |
| DR80177A | Primary | Blood | MEM | R | S | S |
| DR80109A | Primary | Sputum | AMC | ND | I | I |
| DR80110A | Primary | Urine | AMC | ND | R | R |
| CAZ | S | S | I | |||
| Hospital I | ||||||
| DR90087A | Primary | Blood | CAZ | R | S | S |
| MEM | R | S | S | |||
| IPM | R | S | S | |||
| DR90049A | Primary | Blood | MEM | I | S | LS |
| DR90003A | Primary | Blood | IPM | R | S | S |
| DR90026A | Primary | Sputum | IPM | R | S | S |
| DR90036A | Primary | Blood | IPM | R | S | S |
| DR90045A | Primary | Sputum | IPM | R | S | S |
| DR90076A | Primary | Body fluid | IPM | R | S | S |
| DR90031E | Relapse | Pus | MEM | NA | I | LS |
A, primary isolate; E, relapse isolate.
CAZ, ceftazidime; IPM, imipenem; MEM, meropenem; AMC, amoxicillin-clavulanic acid.
S, susceptible; I, intermediate; R, resistant; LS, less susceptible for meropenem; ND, not done; NA, not available; FTM, Faculty of Tropical Medicine, Mahidol University; DD, disk diffusion test.
Antibiotic susceptibility testing screening by hospitals and FTM as described in Fig. 1.
Validation by broth microdilution method (BMD) by FTM. Boldface indicates antibiotic-resistant or intermediate isolates.