All Hospitals Antibiogram Report - snp.com.au · Urine Antibiogram All SNP Hospiltals Jan - Dec...
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All Hospitals Antibiogram Jan - Dec 2017
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All Hospitals Antibiogram Jan - Dec 2017
Cumulative antibiograms specific for individual health care facilities can be a useful resource for local antimicrobial stewardship groups to inform empirical therapy recommendations and formulary management. The provision of yearly antibiograms by health care facilities is now required in the National Safety and Quality Health Service (NS&QHS) Standard 3 (3.14.3).¹
This document contains the yearly cumulative antibiogram for all hospitals combined serviced by Sullivan Nicolaides Pathology. It is divided into three parts
1. Urinary Antibiogram2. Non Urinary Antibiogram3. Blood Culture Antibiogram
Organisms are listed in descending order of frequency.Organisms are colour coded according to whether they are Gram Positive or Gram Negative organisms. Only the first isolate of a given species per patient per year per subtype (e.g urine, non urine, blood cultures) is included.Screening isolates collected for infection control purposes have been removed.Since 2012, susceptibility testing to produce these antibiograms is performed using EUCAST microbroth dilution and disc diffusion methods.² Expert EUCAST rules in Antimicrobial Susceptibility testing have been applied.³ Where the total number of isolates tested is < 30, results are considered statistically invalid in accordance with CLSI M39-A4. ⁴Where only a subset (< 95%) of isolates from a particular organism group have been tested, reported susceptibilities are usually not indicative of the true susceptibility
because of the selective nature of testing only more resistant isolates. These occasions are marked with an * and susceptibility results should be interpreted with caution.
Signal resistances:At the end of each antibiogram, signal resistances are summarised even if the organism occurs at a frequency too low (< 30) to appear in either the urinary, non-urinary or blood
culture antibiograms. These organisms includeEnterobacteriaceae resistant to third or fourth generation cephalosporins due to the presence of Extended Spectrum Beta Lactamases (ESBLs)Enterobacteriaceae resistant to third or fourth generation cephalosporins due to the presence of Plasmid mediated AMPC production (PAMPs)Enterobacteriaceae resistant to carbapenems due to the presence of a plasmid mediated carbapenamase (CPE)Non Enterobacteriaceae (e.g Acinetobacter spp; Pseudomonas aeruginosa) resistant to carbapenems due to the presence of a plasmid mediated carbapenamase (CPNE)Vancomycin resistant Enterococci (VRE)Methicillin resistant Staphylococcus aureus (MRSA)Vancomycin heteroresistant, intermediate and resistant Staphylococcus aureus (hVISA, VISA, VRSA)Penicillin intermediate and resistant Streptococcus pneumoniae noting that breakpoints differ according to clinical condition (meningitis, pneumonia, other) and mode of administrationPenicillin intermediate and resistant viridans Streptococci
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All Hospitals Antibiogram Jan - Dec 2017
Colour coding for all antibiograms tables is shown below.
Gram Positive Organism ≥90% of isolates susceptible ≥90% of isolates susceptible (where sample size <95% of total isolates tested)
Gram Negative Organism 70-89% of isolates susceptible 70-89% of isolates susceptible (where sample size <95% of total isolates tested)
Antibiotic Not recommended to be used in children without specialist advice <70% of isolates susceptible <70% of isolates susceptible (where sample size <95% of total
isolates tested)
Restricted or 2nd Line Antibiotics R Intrinsic Resistance is present with this organism-antibiotic combination * Sample size <95% of the total isolates tested
Restricted or 2nd Line Antibiotics and Antibiotic Not recommended to be used in children without specialist advice % Percentage of isolates sensitive to this particular antibiotic n Number of isolates tested with this antibiotic
References:1. http://www.safetyandquality.gov.au/our-work/safety-in-e-health/national-safety-and-quality-health-service-standard-3-14-3/2. http://www.eucast.org/clinical_breakpoints/3. http://www.eucast.org/expert_rules_and_intrinsic_resistance/4. Clinical and Laboratory Standards Institute (CLSI). Guideline for Analysis and Presentation of Cumulative Antimicrobial Susceptibility (M39-A4). 3rd ed. Pennsylvania: CLSI, 2014
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All Hospitals Antibiogram Jan - Dec 2017
Urine Antibiogram All SNP HospiltalsJan - Dec 2017
Organism GroupN
o. O
rgan
ism
s
%T
ota
l
Am
oxic
illin
Am
oxic
illin
-cla
vula
nate
Tic
arci
llin-
clav
ulan
ate
Pip
eric
illin
-taz
obac
tam
Cef
alex
in
Cef
tria
xone
Cef
tazi
dim
e
Mer
open
em
Gen
tam
icin
Am
ikac
in
Trim
etho
prim
Nitr
ofur
anto
in
Nor
floxa
cin
Cip
roflo
xaci
n
Fus
idic
Aci
d
Rifa
mpi
cin
Gen
tam
icin
(H
igh
Leve
l)
Fos
fom
ycin
Qui
nupr
istin
-dal
fopr
istin
Van
com
ycin
All isolates 8027 100
Escherichia spp 3852 48.0% 55 85 63 94 88 92 100 94 98 74 99 88 100
n 3850 *3392 *2433 3701 3842 3719 *2517 3721 *2528 3850 3849 3852 *295
Enterococcus spp 1220 15.2% 89 R 91 81 34 77 25 97
n 1218 1219 1211 *1097 *1110 *1112 *1137
Klebsiella spp 871 10.9% R 93 83 90 91 95 100 97 100 85 85 90
n *754 *497 834 867 839 *511 840 *512 871 871 871
Pseudomonas aeruginosa 688 8.6
% R R 46 94 R R 95 96 96 94 R R 96 94
n *463 687 688 *474 688 *478 *632 680
Proteus mirabilis 310 3.9% 88 93 99 100 94 99 100 98 97 86 R 98
n 309 *278 *191 301 310 301 *191 302 *191 310 310
Enterobacter cloacae complex 242 3.0
% R R 48 68 R 67 97 92 99 78 83 89
n *170 238 239 *182 239 *185 242 242 241
ß haemolytic Streptococci Group B 114 1.4
% 100 83 99 63
n 114 114 114 *90
Enterobacter aerogenes 111 1.4% R R 65 71 R 76 99 99 100 96 77 96
n *82 111 111 *85 111 *85 111 111 111
Citrobacter koseri, amalonaticus 99 1.2
% R 92 82 96 92 98 100 100 100 94 92 99
n *87 *60 *93 99 *93 *60 *93 *60 99 99 99
Morganella spp 88 1.1% R R 84 98 R 94 100 92 98 85 R 91
n *51 88 88 *53 88 *54 88 88
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All Hospitals Antibiogram Jan - Dec 2017
Urine Antibiogram All SNP HospiltalsJan - Dec 2017
Organism GroupN
o. O
rgan
ism
s
%T
ota
l
Am
oxic
illin
Am
oxic
illin
-cla
vula
nate
Tic
arci
llin-
clav
ulan
ate
Pip
eric
illin
-taz
obac
tam
Cef
alex
in
Cef
tria
xone
Cef
tazi
dim
e
Mer
open
em
Gen
tam
icin
Am
ikac
in
Trim
etho
prim
Nitr
ofur
anto
in
Nor
floxa
cin
Cip
roflo
xaci
n
Fus
idic
Aci
d
Rifa
mpi
cin
Gen
tam
icin
(H
igh
Leve
l)
Fos
fom
ycin
Qui
nupr
istin
-dal
fopr
istin
Van
com
ycin
All isolates 8027 100
Coagulase negative Staphylococci 87 1.1
% 11 36 31 99 69 68 95 100
n 87 87 83 86 *81 *38 *38 *38
Staphylococcus aureus (ALL) 69 0.9
% 13 77 91 100 83 96 100 100
n 69 69 68 69 *63 *25 *25 *25
Serratia spp 67 0.8% R R 97 97 R 99 100 99 90 97 R 99
n *39 67 67 *40 67 *39 67 67
Citrobacter freundii complex 65 0.8
% R R 52 75 R 67 96 92 100 85 97 95
n *46 63 63 *47 63 *47 65 65 65
Proteus spp other 34 0.4% R 52 88 100 R 74 100 97 100 74 R 100
n *31 *24 34 34 *24 34 *24 34 34
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All Hospitals Antibiogram Jan - Dec 2017
Organism Group Organism NameNo.
Positive% of Strain
Citrobacter freundii complex n = 65 Citrobacter freundii 1 1.5
Enterobacter aerogenes n = 111 Enterobacter aerogenes 1 0.9
Enterobacter cloacae complex n = 242 Enterobacter cloacae 12 5.0
Escherichia spp n = 3852 Escherichia coli 240 6.2
Klebsiella spp n = 871 Klebsiella oxytoca 1 0.1
Klebsiella pneumoniae 39 4.5
Proteus mirabilis n = 310 Proteus mirabilis 4 1.3
Organism Group Organism NameNo.
Positive% of Strain
Escherichia spp n = 3852 Escherichia coli 121 3.1
Klebsiella spp n = 871 Klebsiella pneumoniae 6 0.7
Proteus spp other n = 34 Proteus penneri 1 2.9
Proteus vulgaris / penneri group 1 2.9
Organism Group Organism NameNo.
Positive% of Strain
Enterobacter cloacae complex n = 242 Enterobacter cloacae 2 0.8
Escherichia spp n = 3852 Escherichia coli 1 0.0
Organism Group Organism Name No. Positive % of Strain
Signal Resistances: Where the tables below contain no data no multiresistant organisms have been detected.
Urine: Extended spectrum beta lactamase producing Enterobacteriaceae (ESBL)
Urine: Plasmid mediated AMPC producing Enterobacteriaceae (PAMP)
Urine: Plasmid mediated Carbapenemase producing Enterobacteriaceae (CPE)
Urine: Plasmid mediated Carbapenemase producing Non Enterobacteriaceae (CPNE)
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All Hospitals Antibiogram Jan - Dec 2017
Organism Group Organism NameNo.
Positive% of Strain
Enterococcus spp n = 1220
Enterococcus faecalis(VRE) - VAN-A 1 0.1
Enterococcus faecalis(VRE) - VAN-B 2 0.2
Enterococcus faecium (VRE) - VAN-A 4 0.3
Enterococcus faecium (VRE) - VAN-B 18 1.5
Organism Group Organism NameNo.
Positive% of Strain
Staphylococcus aureus (ALL) n = 69
S.aureus (non-multiresistant MRSA) 10 14.5
Staphylococcus aureus (MRSA) 1 1.4
Staphylococcus aureus (UK EMRSA-15) 5 7.2
Urine: Methicillin Resistant Staphylococcus aureus (MRSA)
Urine: Vancomycin Resistant Enterococci (VRE)
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All Hospitals Antibiogram Jan - Dec 2017
Non-urine Antibiogram All SNP HospiltalsJan - Dec 2017
Organism Group
No
. Org
anis
ms
%T
ota
l
Pen
icill
in
Am
oxic
illin
Flu
clox
acill
in
Am
oxic
illin
-cla
vula
nate
Tic
arci
llin-
clav
ulan
ate
Pip
eric
illin
-taz
obac
tam
Cef
alot
in
Cef
azol
in
Cef
tria
xone
Cef
tazi
dim
e
Cef
epim
e
Mer
open
em
Gen
tam
icin
Am
ikac
in
Sul
pha-
trim
etho
prim
Nor
floxa
cin
Cip
roflo
xaci
n
Fus
idic
Aci
d
Rifa
mpi
cin
Gen
tam
icin
(H
igh
Leve
l)
Ery
thro
myc
in/C
larit
hrom
ycin
Azi
thro
myc
in
Clin
dam
ycin
Tet
racy
clin
e
Mup
iroci
n
Qui
nupr
istin
-dal
fopr
istin
Van
com
ycin
All isolates 10806 100
Staphylococcus aureus (ALL) 3430 31.7
% 18 87 87 87 97 93 94 100 82 84 95 99 100
n 3430 3430 3430 3430 3430 *3215 *3223 *3222 3430 3430 3430 *3049 *3220
Pseudomonas aeruginosa 2039 18.9
% R R 49 92 R R 94 96 97 96 95 R 93
n *1544 2035 2036 1961 2037 2039 *1575 2039
Coagulase negative Staphylococci 1064 9.8
% 15 46 45 46 71 81 83 97 50 71 65 100
n 1055 1049 1055 1055 1054 1024 1035 1036 1051 1056 1048 1041
Escherichia spp 764 7.1% 41 70 48 90 69 82 87 100 90 97 70 84
n 762 764 *632 764 764 764 762 764 764 *659 764 764
Haemophilus influenzae 459 4.2% 63 83 100 67 100
n 459 459 *18 459 459
Enterococcus spp 322 3.0% 86 R R 29 86 R R 33 41 92
n 321 *136 *204 320 *173 321
viridans Streptococci 286 2.6% 92 98 89 84 99 71 87 74 99
n 284 *109 *167 *138 *76 286 284 286 *174
Klebsiella spp 274 2.5% R 88 80 86 73 87 92 99 96 99 86 93
n 274 *231 274 274 274 272 274 274 *237 274 274
Enterobacter cloacae complex 236 2.2
% R R 64 70 R 69 85 98 91 97 83 93
n *201 231 236 234 236 235 *204 236 236
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All Hospitals Antibiogram Jan - Dec 2017
Non-urine Antibiogram All SNP HospiltalsJan - Dec 2017
Organism Group
No
. Org
anis
ms
%T
ota
l
Pen
icill
in
Am
oxic
illin
Flu
clox
acill
in
Am
oxic
illin
-cla
vula
nate
Tic
arci
llin-
clav
ulan
ate
Pip
eric
illin
-taz
obac
tam
Cef
alot
in
Cef
azol
in
Cef
tria
xone
Cef
tazi
dim
e
Cef
epim
e
Mer
open
em
Gen
tam
icin
Am
ikac
in
Sul
pha-
trim
etho
prim
Nor
floxa
cin
Cip
roflo
xaci
n
Fus
idic
Aci
d
Rifa
mpi
cin
Gen
tam
icin
(H
igh
Leve
l)
Ery
thro
myc
in/C
larit
hrom
ycin
Azi
thro
myc
in
Clin
dam
ycin
Tet
racy
clin
e
Mup
iroci
n
Qui
nupr
istin
-dal
fopr
istin
Van
com
ycin
All isolates 10806 100
Stenotrophomonas maltophilia 157 1.5
% R R R 69 R 97
n *13 157
Aeromonas spp 122 1.1% R 63 77 95 0 96 99 60 99 100 97 98 100
n *115 *100 *20 *51 *111 *109 *108 116 *26 122 *111 *111
Moraxella catarrhalis 121 1.1% 1 100 96 100 100
n 121 121 121 121 121
ß haemolytic Streptococci Group A 121 1.1
% 100 100 100 100 93 95 90 100
n 121 121 *78 121 121 121 120 *77
Campylobacter spp 120 1.1% 82 97 97 86
n 120 120 120 118
Serratia spp 112 1.0% R R 99 100 R 99 100 100 99 96 100 96
n *97 112 112 110 112 112 *97 112 112
Streptococcus pneumoniae 111 1.0
% 52 79 76 61 68 66 100
n 111 *76 111 110 *103 111 *74
ß haemolytic Streptococci Other (nonA nonB)
107 1.0% 100 100 98 100 98 84 83 74 100
n107 105 *56 *15 107 107 107 107 *57
Non fermenting GNB† 82 0.8% 6 79 96 94 5 33 32 95 17 21 93 33 60
n 78 *77 *48 *72 *76 *42 *77 *76 78 *57 80 78 *10
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All Hospitals Antibiogram Jan - Dec 2017
Non-urine Antibiogram All SNP HospiltalsJan - Dec 2017
Organism Group
No
. Org
anis
ms
%T
ota
l
Pen
icill
in
Am
oxic
illin
Flu
clox
acill
in
Am
oxic
illin
-cla
vula
nate
Tic
arci
llin-
clav
ulan
ate
Pip
eric
illin
-taz
obac
tam
Cef
alot
in
Cef
azol
in
Cef
tria
xone
Cef
tazi
dim
e
Cef
epim
e
Mer
open
em
Gen
tam
icin
Am
ikac
in
Sul
pha-
trim
etho
prim
Nor
floxa
cin
Cip
roflo
xaci
n
Fus
idic
Aci
d
Rifa
mpi
cin
Gen
tam
icin
(H
igh
Leve
l)
Ery
thro
myc
in/C
larit
hrom
ycin
Azi
thro
myc
in
Clin
dam
ycin
Tet
racy
clin
e
Mup
iroci
n
Qui
nupr
istin
-dal
fopr
istin
Van
com
ycin
All isolates 10806 100
Salmonella spp 82 0.8% 87 100 100 100 98 98 96 100 90
n 82 81 81 80 82 81 81 *10 *10
Proteus mirabilis 73 0.7% 86 93 97 100 79 93 100 100 96 97 92 97
n 73 73 *66 73 73 73 72 73 73 *66 73 73
Spore forming GPB 69 0.6% 7 43 83 97 81 52 80 97
n 67 *14 *36 *38 *31 66 66 67
Corynebacterium spp 61 0.6% 66 84 44 59 88 45 34 90 100
n 61 *25 *50 *17 *16 *47 61 61 58
ß haemolytic Streptococci Group B 58 0.5
% 100 100 100 100 100 71 74 28 100
n 58 57 *41 *22 58 58 58 58 *43
Helicobacter spp 54 0.5% 89 68 100
n 53 53 53
Miscellaneous GPC† 51 0.5% 75 97 97 97 95 100 94 100 83 93 95 98
n *48 *33 *33 *39 *41 *33 *31 *33 *42 *41 *42 *43
Fastidious GNB† 50 0.5% 86 98 100 100 93 100 100 100 83 94 100 100
n *21 48 48 *11 *14 *34 *14 *16 *12 49 *34 *37
Acinetobacter spp 44 0.4% R R 68 74 R R 43 67 95 93 94 91 89
n *31 *34 *40 42 44 44 *32 44 44
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All Hospitals Antibiogram Jan - Dec 2017
Non-urine Antibiogram All SNP HospiltalsJan - Dec 2017
Organism Group
No
. Org
anis
ms
%T
ota
l
Pen
icill
in
Am
oxic
illin
Flu
clox
acill
in
Am
oxic
illin
-cla
vula
nate
Tic
arci
llin-
clav
ulan
ate
Pip
eric
illin
-taz
obac
tam
Cef
alot
in
Cef
azol
in
Cef
tria
xone
Cef
tazi
dim
e
Cef
epim
e
Mer
open
em
Gen
tam
icin
Am
ikac
in
Sul
pha-
trim
etho
prim
Nor
floxa
cin
Cip
roflo
xaci
n
Fus
idic
Aci
d
Rifa
mpi
cin
Gen
tam
icin
(H
igh
Leve
l)
Ery
thro
myc
in/C
larit
hrom
ycin
Azi
thro
myc
in
Clin
dam
ycin
Tet
racy
clin
e
Mup
iroci
n
Qui
nupr
istin
-dal
fopr
istin
Van
com
ycin
All isolates 10806 100
Morganella spp 44 0.4% R R 84 98 R 86 91 100 91 95 93 91
n *38 44 44 44 44 44 *40 44 44
Enterobacter aerogenes 43 0.4% R R 59 65 R 65 98 100 100 100 100 100
n *37 43 43 43 43 43 *37 43 43
Citrobacter koseri, amalonaticus 36 0.3
% R 89 85 100 86 92 97 100 97 97 97 100
n 36 *33 36 36 36 35 36 36 *33 36 36
Pseudomonas spp 34 0.3% R 15 25 88 R 97 68 94 100 18 94
n 34 *24 34 33 34 34 *25 34 34
Citrobacter freundii complex 33 0.3
% R R 58 69 R 67 91 94 91 100 88 91
n *31 32 33 33 33 33 *31 33 33
Page: 11
All Hospitals Antibiogram Jan - Dec 2017
Organism Group Organism NameNo.
Positive% of Strain
Citrobacter freundii complex n = 33 Citrobacter freundii 1 3.0
Citrobacter koseri, amalonaticus n = 38 Citrobacter koseri 1 2.6
Enterobacter aerogenes n = 43 Enterobacter aerogenes 1 2.3
Enterobacter cloacae complex n = 236 Enterobacter cloacae 28 11.9
Escherichia spp n = 768 Escherichia coli 108 14.1
Escherichia hermannii 1 0.1
Klebsiella spp n = 276 Klebsiella oxytoca 3 1.1
Klebsiella pneumoniae 27 9.8
Morganella spp n = 44 Morganella morganii 2 4.5
Shigella spp n = 4 Shigella sonnei 1 25.0
Organism Group Organism NameNo.
Positive% of Strain
Citrobacter koseri, amalonaticus n = 38 Citrobacter amalonaticus 1 2.6
Escherichia spp n = 768 Escherichia coli 63 8.2
Klebsiella spp n = 276 Klebsiella oxytoca 2 0.7
Klebsiella pneumoniae 7 2.5
Proteus mirabilis n = 75 Proteus mirabilis 3 4.0
Signal Resistances: Where the tables below contain no data no multiresistant organisms have been detected.
NonUrine: Extended spectrum beta lactamase producing Enterobacteriaceae (ESBL)
NonUrine: Plasmid mediated AMPC producing Enterobacteriaceae (PAMP)
NonUrine: Plasmid mediated Carbapenemase producing Enterobacteriaceae (CPE)
Page: 12
All Hospitals Antibiogram Jan - Dec 2017
Organism Group Organism NameNo.
Positive% of Strain
Citrobacter freundii complex n = 33 Citrobacter freundii 2 6.1
Enterobacter cloacae complex n = 236 Enterobacter cloacae 4 1.7
Klebsiella spp n = 276 Klebsiella pneumoniae 1 0.4
Escherichia spp n = 768 Escherichia hermannii 1 0.1
Organism Group Organism NameNo.
Positive% of Strain
Organism Group MIC categoryNo. % of
Strain
Streptococcus pneumoniae n = 111 Sensitive ≤ 0.06 mg/L 58 52.3
Intermediate 0.12 - 1 mg/L 48 43.2
Resistant ≥ 2 mg/L 5 4.5
Organism Group Organism NameNo.
Positive% of Strain
Enterococcus spp n = 324Enterococcus faecium (VRE) - VAN-A 3 0.9
Enterococcus faecium (VRE) - VAN-B 9 2.8
Organism Group Organism NameNo.
Positive% of Strain
Staphylococcus aureus (ALL) n = 3431
S.aureus (non-multiresistant MRSA) 294 8.6
Staphylococcus aureus (MRSA) 34 1.0
Staphylococcus aureus (UK EMRSA-15) 113 3.3
NonUrine: Methicillin Resistant Staphylococcus aureus (MRSA)
NonUrine: Vancomycin Resistant Enterococci (VRE)
NonUrine: Plasmid mediated Carbapenemase producing Non Enterobacteriaceae (CPNE)
NonUrine: Streptococcus pneumoniae Penicillin Susceptibility ** (Oral penicillin V breakpoints)
Page: 13
All Hospitals Antibiogram Jan - Dec 2017
Organism Group MIC categoryNo. % of
Strain
viridans Streptococci n = 280 Sensitive ≤ 0.06 mg/L 259 92.5
Intermediate 0.12 - 1 mg/L 16 5.7
Resistant ≥ 2 mg/L 5 1.8
NonUrine: Streptococcus alpha haem (viridans Streptococci)
Page: 14
All Hospitals Antibiogram Jan - Dec 2017
Blood Culture AntibiogramAll SNP Hospiltals
Jan - Dec 2017
Organism Group
No
. Org
anis
ms
%T
ota
l
Pen
icill
in
Am
oxic
illin
Flu
clox
acill
in
Am
oxic
illin
-cla
vula
nate
Tic
arci
llin-
clav
ulan
ate
Pip
eric
illin
-taz
obac
tam
Cef
alot
in
Cef
azol
in
Cef
tria
xone
Cef
tazi
dim
e
Cef
epim
e
Mer
open
em
Gen
tam
icin
Am
ikac
in
Sul
pha-
trim
etho
prim
Cip
roflo
xaci
n
Fus
idic
Aci
d
Rifa
mpi
cin
Gen
tam
icin
(H
igh
Leve
l)
Ery
thro
myc
in/C
larit
hrom
ycin
Clin
dam
ycin
Tet
racy
clin
e
Qui
nupr
istin
-dal
fopr
istin
Van
com
ycin
All isolates 1918 100.0
Coagulase negative Staphylococci 592 30.9
% 13 41 40 41 66 81 82 98 46 69 69 100
n 585 578 584 583 582 571 579 580 579 584 577 584
Escherichia spp 396 20.6% 45 75 51 91 81 90 93 100 91 97 68 86
n 395 396 *292 396 396 396 396 396 396 *307 396 396
Staphylococcus aureus (ALL) 199 10.4
% 20 90 90 90 99 96 95 100 88 89 97 100
n 199 199 199 199 199 *187 *188 *188 199 199 199 198
Klebsiella spp 108 5.6% R 94 88 89 81 95 97 100 99 100 88 95
n 108 *86 108 108 108 108 108 108 *88 108 108
Pseudomonas aeruginosa 98 5.1
% R R 44 94 R 96 96 97 98 95 R 96
n *84 98 97 98 98 98 *84 98
Enterococcus spp 96 5.0% 84 76 R R 26 86 R R 36 49 85
n 96 *58 *42 *91 95 *51 96
viridans Streptococci 81 4.2% 88 97 95 62 99 56 83 70 100
n 80 *32 79 *34 *70 81 81 81 80
Enterobacter cloacae complex 40 2.1
% R R 54 71 R 70 90 100 97 100 78 98
n *28 38 40 40 40 39 *30 40 40
Miscellaneous GPC† 36 1.9% 74 96 96 96 100 100 100 100 86 96 96 97
n *34 *27 *27 *28 *27 *25 *24 *26 *28 *27 *28 *33
Page: 15
All Hospitals Antibiogram Jan - Dec 2017
Blood Culture AntibiogramAll SNP Hospiltals
Jan - Dec 2017
Organism Group
No
. Org
anis
ms
%T
ota
l
Pen
icill
in
Am
oxic
illin
Flu
clox
acill
in
Am
oxic
illin
-cla
vula
nate
Tic
arci
llin-
clav
ulan
ate
Pip
eric
illin
-taz
obac
tam
Cef
alot
in
Cef
azol
in
Cef
tria
xone
Cef
tazi
dim
e
Cef
epim
e
Mer
open
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All isolates 1918 100.0
Spore forming GPB 36 1.9% 9 81 95 85 48 85 94
n 35 *16 *22 *13 *33 *34 36
Organism Group Organism NameNo.
Positive% of Strain
Enterobacter cloacae complex n = 40 Enterobacter cloacae 1 2.5
Escherichia spp n = 396 Escherichia coli 35 8.8
Klebsiella spp n = 108 Klebsiella pneumoniae 3 2.8
Organism Group Organism NameNo.
Positive% of Strain
Citrobacter koseri, amalonaticus n = 7 Citrobacter amalonaticus 1 14.3
Escherichia spp n = 396 Escherichia coli 12 3.0
Signal Resistances: Where the tables below contain no data no multiresistant organisms have been detected.
Blood Culture: Extended spectrum beta lactamase producing Enterobacteriaceae (ESBL)
Blood Culture: Plasmid mediated AMPC producing Enterobacteriaceae (PAMP)
Blood Culture: Plasmid mediated Carbapenemase producing Enterobacteriaceae (CPE)
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All Hospitals Antibiogram Jan - Dec 2017
Organism Group Organism NameNo.
Positive% of Strain
Organism Group Organism NameNo.
Positive% of Strain
Organism Group Organism NameNo.
Positive% of Strain
Enterococcus spp n = 96Enterococcus faecium (VRE) - VAN-A 1 1.0
Enterococcus faecium (VRE) - VAN-B 4 4.2
Organism Group Organism NameNo.
Positive% of Strain
Staphylococcus aureus (ALL) n = 199S.aureus (non-multiresistant MRSA) 16 8.0
Staphylococcus aureus (UK EMRSA-15) 3 1.5
Blood Culture: Methicillin Resistant Staphylococcus aureus (MRSA)
Blood Culture: Vancomycin Resistant Enterococci (VRE)
Blood Culture: Plasmid mediated Carbapenemase producing Non Enterobacteriaceae (CPNE)
Organism Group MIC categoryNo. % of
Strain
Streptococcus pneumoniae n = 17 Sensitive ≤ 0.06 mg/L 10 58.8
Intermediate 0.12 - 1 mg/L 7 41.2
Blood Culture: Streptococcus pneumoniae Penicillin Susceptibility ** (Oral penicillin V breakpoints)
Organism Group MIC categoryNo. % of
Strain
viridans Streptococci n = 77 Sensitive ≤ 0.06 mg/L 69 89.6
Intermediate 0.12 - 1 mg/L 8 10.4
Blood Culture: Streptococcus alpha haem (viridans Streptococci)
† Miscellaneous organism groupings detail report.
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