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Table 1 Antimicrobial susceptibility profile and detection of carbapenemase genes and its expression in K. pneumoniae VA585-22 and E. coli K12 transconjugants that acquired pVA585-22_54

From: Carbapenem-resistant hypervirulent ST23 Klebsiella pneumoniae with a highly transmissible dual-carbapenemase plasmid in Chile

 

VA585-22

K12(GenR)

K12-1

K12-2

Antibiotic class Antibiotic

MIC

(µg/mL)

MIC

(µg/mL)

MIC

(µg/mL)

MIC

(µg/mL)

AminopenicillinAmpicillin

> 16R

8S

> 16R

> 16R

Ampicillin/Sulbactam

> 16/8R

≤ 4/2S

> 16/8R

> 16/8R

Piperacillin/Tazobactam

> 32/4R

≤ 4/4S

> 64/4R

> 64/4R

Cephalosporin 1st Cephazolin

> 16R

≤ 2S

> 16R

> 16R

Cephalosporin 2nd Cefoxitin Ceftriaxone

Cephalosporin 3rd Ceftazidime

> 16R

> 4R

> 16R

≤ 4S

≤ 0.5S

≤ 0.5S

> 16R

> 4R

> 16R

> 16R

> 4R

> 16R

Ceftazidime/Avibactam

Cephalosporin 4th Cefepime

> 16/4R

> 16R

≤ 0.25/4S

2S

> 16/4R

> 16R

> 16/4R

> 16R

Cephalosporin 5th Ceftolozane/Tazobactam

> 32/4R

≤ 1/4S

> 32/4R

> 32/4R

MonobactamAztreonam Ertapenem

CarbapenemMeropenem

16R

> 2R

8R

≤ 1S

≤ 0.25S

≤ 0.5S

16R

2R

2I

16R

2R

4R

Imipenem

16R

1S

8R

8R

TetracyclineMinocycline

2S

4S

2S

2S

GlicilcyclineTigecycline

≤ 0.25NI

≤ 1NI

≤ 1NI

≤ 1NI

AminoglycosideAmikacin

16R

32R

> 32R

> 32R

Gentamicin

≤ 0.5S

8R

> 8R

> 8R

Fluoroquinolone 2nd Ciprofloxacin

≤ 0.064S

≤ 0.125S

≤ 0.125S

≤ 0.125S

Norfloxacin

Fluoroquinolone 3rd Levofloxacin

≤ 2S

≤ 1I

≤ 2S

≤ 1I

≤ 2S

≤ 1I

≤ 2S

≤ 1I

Other Fosfomycin

Colistin

≤ 16S

0.5I

≤ 16S

≤ 1I

≤ 16S

0.5I

≤ 16S

0.5I

1Carbapenemase gene

blaKPC

+

-

+

+

blaVIM

+

-

+

+

2Carbapenemase expression

    

VIM-1

+

-

+

+

KPC-2

+

-

+

+

  1. 1The carbapenemase genes were detected by PCR using specific primers. (+): present; (-): absent
  2. 2The carbapenemase expression was assessed by immunochromatography. (+): detected; (-): not detected