Skip to main content

Table 1 Definition criteria and antibiotic panel for Enterobacterales (Escherichia coli, Klebsiella pneumoniae and Enterobacter sp.)

From: The effect of varying multidrug-resistence (MDR) definitions on rates of MDR gram-negative rods

Antimicrobial category

ECDC-MDR

KRINKO-3MRGN

KRINKO-4MRGN

UHZ-MDR

Antipseudomonal penicillins

Piperacillin/ tazobactam or ticarcillin/ clavulanic acid

Piperacillin a)

Piperacillin a)

Piperacillin/ tazobactam

Extended spectrum cephalosporins

Cefotaxime or ceftriaxone or ceftazidime or cefepime

Cefotaxime b) or ceftazidime

Cefotaxime b) or ceftazidime

Ceftriaxone and ceftazidime and cefepime

Carbapenems

Ertapenem or imipenem or meropenem or doripenem

Imipenem or meropenem

Imipenem or meropenem

≥ 2 of: Ertapenem, imipenem, meropenem

Quinolones

Ciprofloxacin

Ciprofloxacin

Ciprofloxacin

Ciprofloxacin and levofloxacin

Aminoglycosides

Amikacin or gentamicin or tobramycin or netilmicin

  

≥2 of: Amikacin, gentamicin, tobramycin

Monobactams

Aztreonam

   

Phosphonic acids

Fosfomycin

   

non-extended spectrum cepholosporins

Cefazolin c) or cefuroxime

   

anti-MRSA cephalosporins e)

Ceftaroline

   

Cephamycins

Cefoxitin c) or Cefotetan c)

   

Folate pathway inhibitors

Trimethoprim/ sulphamethoxazol

   

Glycylcyclines

Tigecycline

   

Penicillins

Ampicillin c) d)

   

Penicillins plus beta-lactamase-inhibitors

Amoxicillin/ clavulanic acid c) or ampicillin/ sulbactam c)

   

Phenicols

Chloramphenicol

   

Polymyxins

Colistin or polymyxin B

   

Tetracyclines

Tetracycline or doxycycline or minocycline

   

Definition of MDR

Resistant to ≥3 categories

Resistant to antipseudomonal penicillin and cephalosporin-group and quinolone and susceptible to carbapenems

Resistant to all 4 categories or if a carbapenem is resistant all Enterobacterales are interpreted as 4MRGN or Enterobacterales with carbapenemase production

Resistant to 3 out of 5 categories or ESBL-producing Enterobacterales (except E.coli) or Enterobacterales with carbapenemase production

  1. Abbreviations: ECDC-MDR Multidrug resistance according to the European Centre for Disease Prevention and Control, KRINKO-3MRGN Multidrug resistance to three antibiotic categories according to the German Commission of Hospital Hygiene and Infection Prevention, KRINKO-4MRGN Multidrug resistance to four antibiotic categories according to the German Commission of Hospital Hygiene and Infection Prevention, MDR Multidrug resistant, UHZ-MDR Multidrug resistance according to University Hospital Zurich guidelines
  2. a) as piperacillin/tazobactam and not piperacillin was tested: Resistance to ceftriaxone and/or ceftazidime was interpreted as resistance to Piperacillin [21]
  3. b) as cefotaxime was not tested, ceftriaxone replaces cefotaxime
  4. c) intrinsic resistance of Enterobacter claocae and Enterobacter aerogenes
  5. d) intrinsic resistance of Klebsiella
  6. e) only approved for E. coli, K. pneumoniae and K. oxytoca
  7. Italic font: not tested in UHZ or only tested by MIC under special circumstances