TABLE 2.
Antibacterial activity of IMR and other agents against preserved imipenem-nonsusceptible isolates
| Species | No. of isolates | Antibacterial agenta | MIC range (μg/mL) | No. (%) with MIC interpretationb: |
||
|---|---|---|---|---|---|---|
| Susceptible | Intermediate | Resistant | ||||
| Escherichia coli | 4 | IMR | 0.2 to 0.5 | 4 (100.0) | 0 | 0 |
| Imipenem | 2 to 8 | 0 | 2 (50.0) | 2 (50.0) | ||
| MEM | 4 to 8 | 0 | 0 | 4 (100.0) | ||
| TZP | 128 to >128 | 0 | 0 | 4 (100.0) | ||
| CAZ | 128 to >128 | 0 | 0 | 4 (100.0) | ||
| FEP | 8 to >128 | 0 | 1 (25.0)c | 3 (75.0) | ||
| LVX | 16 to 32 | 0 | 0 | 4 (100.0) | ||
| AMK | 2 to 4 | 4 (100.0) | 0 | 0 | ||
| CST | 1 | —d | 4 (100.0) | 0 | ||
| TGC | 0.25 to 0.5 | 4 (100.0) | — | 0 | ||
| Enterobacter cloacae complex | 1 | IMR | 0.5 | 1 (100.0) | 0 | 0 |
| Imipenem | 8 | 0 | 0 | 1 (100.0) | ||
| MEM | 8 | 0 | 0 | 1 (100.0) | ||
| TZP | >128 | 0 | 0 | 1 (100.0) | ||
| CAZ | >128 | 0 | 0 | 1 (100.0) | ||
| FEP | >128 | 0 | 0c | 1 (100.0) | ||
| LVX | 2 | 0 | 0 | 1 (100.0) | ||
| AMK | 1 | 1 (100.0) | 0 | 0 | ||
| CST | 1 | — | 1 (100.0) | 0 | ||
| TGC | 1 | 0 | — | 1 (100.0) | ||
| Klebsiella pneumoniae | 3 | IMR | 0.5 to 16 | 1 (33.3) | 1 (33.3) | 1 (33.3) |
| Imipenem | 2 to 32 | 0 | 1 (33.3) | 2 (66.7) | ||
| MEM | 16 | 0 | 0 | 3 (100.0) | ||
| TZP | 16 to >128 | 1 (33.3) | 0 | 2 (66.7) | ||
| CAZ | 4 to >128 | 1 (33.3) | 0 | 2 (66.7) | ||
| FEP | 1 to >128 | 1 (33.3) | 0c | 2 (66.7) | ||
| LVX | 0.12 to >128 | 1 (33.3) | 0 | 2 (66.7) | ||
| AMK | 2 to >128 | 2 (66.7) | 0 | 1 (33.3) | ||
| CST | 0.5 to 1 | — | 3 (100.0) | 0 | ||
| TGC | 0.25 to 1 | 2 (66.6) | — | 1 (33.3) | ||
AMK, amikacin; FEP, cefepime; CAZ, ceftazidime; CST, colistin; IMR, imipenem/relebactam; LVX, levofloxacin; MEM, meropenem; TZP, tazobactam/piperacillin; TGC, tigecycline.
For TGC against Enterobacterales, EUCAST breakpoints in 2021 were applied because CLSI breakpoints were not defined.
Susceptible, dose-dependent.
—, Not applicable.