Reading
Dr Koh Tse Hsien
Department of Pathology
Singapore General Hospital
• Staphylococcus aurues-BORSA, MRSA,
CA-MRSA
• MLS Resistance
• VRE, Van A, Van B, Van C
• Gram negatives-inhibitor resistance,
Klebsiella oxytoca, ESBLs, CTX-M, SHV,
TEM, AmpC, KPC, MBL, PAE including
D2 porin
• Aminoglycoiside resistance in GNB
Staphylococcus aureus
ANTIBIOTIC CATEGORY
PENICILLIN R
CLOXACILLIN R
CEPHALOTHIN R
GENTAMICIN R
CIPROFLOXACIN R
COTRIMOXAZOLE R
CLINDAMYCIN R
ERYTHROMYCIN R
TETRACYCLINE R
Staphylococcus aureus
ANTIBIOTIC CATEGORY
PENICILLIN R
CLOXACILLIN R
CEPHALOTHIN R
GENTAMICIN S
CIPROFLOXACIN R
COTRIMOXAZOLE S
CLINDAMYCIN S
ERYTHROMYCIN R
TETRACYCLINE S
Staphylococcus aureus
ANTIBIOTIC CATEGORY
PENICILLIN R
CLOXACILLIN R
CEPHALOTHIN R
GENTAMICIN S
CIPROFLOXACIN S
COTRIMOXAZOLE S
CLINDAMYCIN S
ERYTHROMYCIN S
TETRACYCLINE S
MRSA ST239
MRSA ST22 (EMRSA15)
CA-MRSA
Staphylococcus aureus
Staphylococcus aureus
Staphylococcus aureus
Staphylococcus aureus
Staphylococcus aureus
Staphylococcus aureus
Group B Streptococcus
Enterococcus faecium-was the
PCR positive for vanA or vanB?
Escherichia coli
Antibiotic Category
Ampicillin R
Amoxicillin-clavulanate R
Piperacillin-tazobactam S
Cephalothin R
Ceftriaxone S
Aztreonam
Imipenem
Ertapenem
Amikacin
Gentamicin S
Naladixic acid S
Ciprofloxacin R
Trimethoprim-sulfamethoxazole S
Nitrofurantoin
Inhibitor-resistant phenotype