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	tmp/ smx
Acinetobacter baumannii	79	-	82	-	39	25	-	-	-	62	33	85	41
Citrobacter freundii	9*	100	-	0	100	78	89	-	100	89	89	100	78
Citrobacter koseri	19*	100	-	100	100	100	100	-	100	100	84	100	79
Enterobacter aerogenes	18*	100	-	0	100	94	94	-	100	100	100	100	100
Enterobacter cloacae	52	100	-	0	94	74	70	-	92	91	89	100	81
Escherichia coli	349	99	46	83	90	89	90	10	100	79	49	100	61
Klebsiella oxytoca	22*	100	96	87	100	100	100	0	100	91	91	100	91
Klebsiella pneumoniae	129	98	85	90	92	92	92	7	99	95	92	99	85
Morganella morganii	49	100	0	0	94	63	94	-	100	78	57	100	49
Proteus mirabilis	265	100	59	91	98	98	98	-	100	79	35	100	37
Providencia stuartii	28*	100	0	0	100	93	100	-	-	36	21	100	29
Pseudomonas aeruginosa	323	99	-	-	75	77	-	-	-	72	55	76	-
Serratia marcescens	34	100	-	0	100	100	100	-	100	97	85	100	94
Stenotrophomonas maltophilia	37	-	-	-	-	-	-	-	-		81	-	95

*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:

· 66% of Haemophilus infuenzae isolates were beta lactamase negative (97 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.

· 97% of Moraxella (Branhamella) catarrhalis were beta lactamase positive (34 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.

· 59 isolates of Salmonella species and 4 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.

· 14 Campylobacter species were isolated in 2010.

· 7 Giardia lamblia positive rapid antigens were confirmed in 2010.

· 1 Cryptosporidium positive rapid antigens were confirmed in 2010.