TABLE 1.
Antibiotic susceptibility profile and resistance mechanisms of the 21 XDR P. aeruginosa isolatesa
Isolate | ST | Acquired β- lactamase(s) | AmpC hyperproduction | OprD deficiency | MIC (mg/liter) |
||||
---|---|---|---|---|---|---|---|---|---|
AMK | ATM | MEM | CST | CZA | |||||
04-017 | 111 | OXA-46 | Yes | No | 4 | 64 | 32 | 2 | 8 |
04-025 | 175 | Yes | Yes | 4 | 16 | 16 | 1 | 4 | |
10-023 | 175 | Yes | Yes | 4 | 16 | 16 | 2 | 4 | |
06-014 | 179 | OXA-10 | Yes | Yes | 8 | 16 | 32 | 2 | 4 |
12-003 | 244 | Yes | Yes | 8 | 32 | 32 | 2 | 4 | |
09-011 | 274 | Yes | Yes | 128 | 64 | 32 | 1 | 4 | |
09-007 | 313 | Yes | Yes | 8 | 32 | 16 | 2 | 4 | |
10-017 | 395 | Yes | No | 4 | 32 | 8 | 2 | 4 | |
06-035 | 455 | Yes | No | <2 | 64 | >32 | 0.5 | 8 | |
10-019 | 2221 | Yes | Yes | <2 | 64 | 32 | 2 | 8 | |
06-025 | 2534 | Yes | Yes | <2 | 64 | 8 | 2 | 8 | |
06-027 | 2535 | Yes | No | 8 | 32 | 8 | 2 | 4 | |
06-001 | 2536 | Yes | Yes | 8 | 64 | 32 | 2 | 8 | |
09-012 | 175 | Yes | Yes | 8 | 64 | 16 | 2 | 8 | |
10-009 | 111 | VIM-2 | Yes | Yes | 32 | >128 | >32 | 4 | >32 |
07-016 | 175 | GES-5 | No | Yes | 16 | 16 | >32 | 2 | 32 |
12-012 | 175 | VIM-20, OXA-2 | No | Yes | 16 | 8 | >32 | 2 | 32 |
07-004 | 235 | GES-19, OXA-2 | No | Yes | 128 | 128 | >32 | 2 | >32 |
06-042 | 235 | VIM-47 | No | No | 64 | 32 | >32 | 2 | 32 |
01-008 | 253 | VIM-1 | No | Yes | 8 | 4 | >32 | 2 | >32 |
10-021 | 2533 | Yes | Yes | <2 | 64 | 32 | 1 | 16 |
MICs (mg/liter) of the following antibiotics tested in this study are shown: amikacin (AMK), aztreonam (ATM), meropenem (MEM),colistin (CST), and ceftazidime-avibactam (CZA). CZA-resistant isolates are highlighted in gray.