First national surveillance of susceptibility of extended-spectrum β-lactamase-producing Escherichia coli and Klebsiella spp. to antimicrobials in Israel

  • Raul Colodner
  • , Zmira Samra
  • , Nathan Keller
  • , Hanna Sprecher
  • , Colin Block
  • , Nehama Peled
  • , Tzilia Lazarovitch
  • , Rita Bardenstein
  • , Orna Schwartz-Harari
  • , Yehuda Carmeli

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

In this 1st national surveillance study, the susceptibility pattern of 1011 consecutive isolates of extended-spectrum β-lactamase (ESBL)-producing Escherichia coli and Klebsiella spp. isolated from patients hospitalized in Israel hospitals, covering 62.3% of all general hospital beds in the country, was investigated. Proportion of susceptibilities (range among institutions, MIC50/MIC90 in micrograms per milliliter) were to ertapenem 95.0% (88.8-100%, 0.19/0.75), imipenem 98.8% (88.8-100%, 0.25/0.38), meropenem 98.2% (90.0-100%, 0.06/0.19), piperacillin-tazobactam 59.1% (42.6-77.0%, 16/256), ciprofloxacin 17.2% (9.0-24.6%, 32/32), levofloxacin 17.8% (9.0-24.6%, 32/32), amikacin 74.5% (63.8-98.0%, 6/32), and gentamicin 19.3% (12.3-28.5%, 96/256). Coresistance, cross-resistance, and variability between institutions were high. Only carbapenems retain predicted activity against ESBL-producing E. coli and Klebsiella spp. across Israeli hospitals.

Original languageEnglish
Pages (from-to)201-205
Number of pages5
JournalDiagnostic Microbiology and Infectious Disease
Volume57
Issue number2
DOIs
StatePublished - Feb 2007
Externally publishedYes

Keywords

  • Escherichia coli
  • Israel
  • β-Lactamase

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