Jmcgh and Other sites: Non-Urine Sites Only

Numbers are percent susceptible

Gram Negative Organisms	No. of isolates	amk	am/s	cz	fep	caz	cx	esbl (+)	etp	gm	le	mer	pip/ taz	tmp/ smx
Acinetobacter baumannii	68	-	84	-	46	29	-	-	-	74	38	93	-	41
Citrobacter freundii	11*	100	-	0	100	91	91	-	100	82	82	100	-	73
Citrobacter koseri	13*	100	-	92	100	92	100	-	100	100	77	100	-	77
Enterobacter aerogenes	17*	100	-	0	100	100	100	-	100	100	100	100	94	100
Enterobacter cloacae	77	100	-	0	95	74	77	-	91	90	86	100	79	90
Escherichia coli	285	100	43	84	92	90	90	8	100	81	51	100	94	63
Klebsiella oxytoca	27*	100	85	70	100	100	100	0	100	100	100	100	100	100
Klebsiella pneumoniae	104	100	84	92	92	92	92	8	100	98	91	100	98	96
Morganella morganii	29*	100	0	0	97	79	100	-	100	86	59	100	90	52
Proteus mirabilis	245	100	65	92	97	96	96	-	99	81	38	100	99	39
Providencia stuartii	25*	100	0	0	96	100	100	-	-	52	20	100	88	56
Pseudomonas aeruginosa	311	98	-	-	77	81	-	-	-	83	58	82	85	-
Serratia marcescens	37	100	-	0	100	100	100	-	100	100	97	100	100	97
Stenotrophomonas maltophilia	43/24(le)*	-	-	-	-	-	-	-	-		75	-	-	91

*NO. of isolates-“Percent susceptible for each organism/antimicrobial combination was generated by including the first isolate of that organism recovered from a given patient.” When fewer that 30 isolates are reported it should be noted that less than statistical validity of the estimates of percent susceptibility exist.

Abbreviation Key: amk- amikacin, am/s-ampicillin/sulbactam, cz-cefazolin, fep- cefepime, caz-ceftazidime,

cx-ceftriaxone, esbl-Extended Spectrum Beta Lactamase, etp-ertapenem, gm-gentamicin, le-levofloxacin,

mer-Meropenem nit-nitrofurantoin, pip/taz-piperacillin/tazobactam, tmp/smx-trimethoprim/sulfa

- antibiotics not tested or not recommended due to lack of correlation between in vitro results and in vivo activity.

Comments:

· 71% of Haemophilus infuenzae isolates were beta lactamase negative (95 isolates tested). Beta Lactamase negative indicates probable susceptibility to penicillin, ampicillin and 1^st generation cephalosporins. Beta lactamase positive indicates probable resistance to ampicillin, amoxicillin and first generation cephalosporins. Recommended therapy is combination therapy or a third generation cephalosporin.

· 88% of Moraxella (Branhamella) catarrhalis were beta lactamase positive (26 isolates tested). Beta lactamase positive indicates resistance to penicillin, ampicillin and first generation cephalosporins. Several beta-lactams are effective including beta lactam/Beta Lactamase inhibitory combinations, 3^rd generation cephalosporins, macrolides, quinolones and trimethoprim/sulfamethoxazole.

· 38 isolates of Salmonella species and 5 Shigella species were recovered. Susceptibility testing is not routinely performed on intestinal sites. Extraintestinal sites are tested against ampicillin, trimethoprim/sulfa and a third generation cephalosporin. Intestinal source isolates will be tested per telephone request.

· 5 Campylobacter species were isolated in 2009.

· 3 Giardia lamblia positive rapid antigens were confirmed in 2009.

· 1 Cryptosporidium positive rapid antigens were confirmed in 2009.