Dutch guideline for preventing nosocomial transmission of highly-resistant micro-organisms (HRMO) in long-term care facilities (LTCFs)

Table 2 Definition of highly resistant gram-negative nonfermenters

Gram-negative nonfermenters	Carbapenemase	Aminoglycosides	Quinolones	Ceftazidime	Piperacillin	Co-trimoxazole
Acinetobacter spp.	A	B	B^a	n/a	n/a	n/a
Stenotrophomonas maltophilia	n/a	n/a	n/a	n/a	n/a	A
Pseudomonas aeruginosa	C	C	C	C	C	n/a

^aonly Ciprofloxacin and/or Levofloxacin, due to the intrinsic resistance of Acinetobacter species for norfloxacin; A: Carbapenemase or resistance against an antibacterial agent from the indicated group is sufficient to define the microorganism as highly resistant; B: resistance against antibacterial agents from at least two indicated groups is required to define the microorganism as highly resistant; C: resistance against antibacterial agents from at least three of the indicated groups is required to define the microorganism as highly resistant; n/a: not applicable

ISSN: 2047-2994