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Table 2 Antibiogram of implicated pathogens in the super-infections of the study patients with adult bacterial meningitis (n = 21)

From: Clinical characteristics and therapeutic outcomes of nosocomial super-infection in adult bacterial meningitis

Case

Pathogens

ROC

CAZ

MAX

MEP

CIP

TIG

TMP-SMX

AMP- SBM

1

ESBL-Escherichia coli

R

R

R

S

 

S

  

2

Stenotrophomonas maltophilia

    

S

 

R

 
      

R

 

R

 

3

Acinetobacter baumannii

 

I

S

S

R

  

S

   

S

S

R

R

  

S

4

Enterobacter cloacae

 

S

 

S

S

   
 

Pseudomonas aeruginosa

 

S

S

S

S

   

5

Enterobacter cloacae

S

S

 

S

S

   

6

Acinetobacter baumannii

 

S

S

S

S

   
   

I

S

S

S

   

7

Acinetobacter spp

I

S

S

S

S

  

S

8

Acinetobacter spp

S

S

S

S

S

  

S

9

Pseudomonas aeruginosa

 

S

S

S

S

   
   

R

S

S

    

10

Acinetobacter baumannii

 

S

S

S

S

   

11A

Serratia marcescens

I

R

R

S

    
 

Stenotrophomonas maltophilia

    

S

 

S

 

11C

Stenotrophomonas maltophilia

    

R

 

S

 

12

Pseudomonas aeruginosa

 

S

S

S

S

   
   

R

S

S

R

   
 

ESBL-Proteus mirabilis

R

R

S

S

R

   

13

Pseudomonas putida

 

S

S

R

S

   
 

Acinetobacter spp

R

R

R

I

R

S

 

I

14

Serratia marcescens

S

S

S

S

S

   
 

Acinetobacter baumannii

 

R

R

R

R

S

 

R

15A

Morganella morganii

R

S

S

S

S

   
 

Proteus mirabilis

R

R

R

S

R

   

15B

Glucose non-fermenting bacilli

R

R

R

R

I

   

16

Stenotrophomonas maltophilia

    

S

 

S

 
 

Pseudomonas aeruginosa

 

R

R

S

S

   

17

Acinetobacter lwoffii

 

S

 

S

S

   
 

Pseudomonas aeruginosa

 

S

 

S

S

   

18A

Escherichia coli

 

R

S

S

    

18B

Acinetobacter baumannii

 

R

I

S

R

  

R

18D

Stenotrophomonas maltophilia

    

S

   

19

Escherichia coli

S

S

S

S

    
 

Enterobacter cloacae

S

S

S

S

   

R

21

Enterobacter aerogenes

I

I

S

S

S

   
  

R

R

S

S

S

   
  1. Abbreviations: ROC, ceftriaxone; CAZ, ceftazidime; MAX, cefepime; MEP, meropenem; CIP, ciprofloxacin; AMP-SBM, ampicillin-subactam; TIG, tigecycline; TMP-SMX, trimethoprime-sulfamethoxazole; LEV, levofloxacin; ESBL, extended spectrum β-lactamase; R, resistant; I, intermediate; S, susceptible
  2. Note: ESBL-producing Escherichia coli was suspected by the disk-diffusion susceptibility test [10].
  3. Non-Cephalosporin-susceptible Gram-negative bacteria (GNB) were used to describe isolates that were non-susceptible to ceftriaxone, ceftazidime, and cefepime. Intermediate and resistant isolates were considered non-susceptible [11]. Multi-drugs resistant (MDR) GNB was used to describe isolates that were non-susceptible to all antibiotics routinely tested including amikacin, (ampicillin-sulbactam in A. baumannii), ceftriaxone, ceftazidime, cefepime, ciprofloxacin, imepenem, and meropenem [12, 13]. The antimicrobial susceptibilities TMP-SMX, ciprofloxacin, levofloxacin, and moxifloaxcin of the Stenotrophomonas maltophilia strains isolated from the cerebrospinal fluid were determined concomitantly by the broth dilution method as described in the Clinical and Laboratory Standards (CLSI) guidelines.