St. Mary's Hospital 1601 W. St. Mary's Rd. Tucson, Az

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1 URINE sulbactam Cefotetan Ceftazidime Cefuroxime Gentamicin Meropenem Piperacillin Tazobactam GRAM NEGATIVE Escherichia coli Klebsiella pneumoniae Pseudomonas aeruginosa Proteus mirabilis Enterobacter cloacae Klebsiella oxytoca Citrobacter freundii Serratia marcescens Steno. maltophilia 20* 85 Acinetobacter baumanii 20* Morganella morganii 20* Citrobacter koseri 17* Escherichia coli Klebsiella pneumoniae Pseudomonas aeruginosa Proteus mirabilis Enterobacter cloacae 28* Citrobacter freundii 22* Klebsiella oxytoca 14* Escherichia coli Klebsiella pneumoniae Pseudomonas aeruginosa 13* * LESS THAN 30 ISOLATES MAY NOT BE STATISTICY VALID 1601 W. St. Mary's Rd. Tucson, Az

2 TISSUE,FLUID,WOUND AND OTHERS sulbactam Cefotetan Ceftazidime Cefuroxime Gentamicin Meropenem Piperacillin Tazobactam sulfamethoxazole GRAM NEGATIVE Pseudomonas aeruginosa Klebsiella pneumoniae 21* Escherichia coli 16* Steno. maltophilia 10* 80 Escherichia coli Pseudomonas aeruginosa Enterobacter cloacae Klebsiella pneumoniae Proteus mirabilis Klebsiella oxytoca 23* Serratia marcescens 19* Acinetobacter baumanii 12* Morganella morganii 13* Citrobacter freundii 11* * LESS THAN 30 ISOLATES MAY NOT BE STATISTICY VALID 1601 W. St. Mary's Rd. Tucson, Az

3 URINE Clindamycin Erythromycin Levofloxacin Oxacillin Penicillin Tretracycline Vancomycin GRAM POSITIVE Staphylococcus aureus Staphylococcus aureus(mrsa) Enterococcus faecalis Staphylococcus epidermidis (menigitis interpretation) (other diagnosis interpretation) Enterococcus faecium Streptococcus viridans group 43* Streptococcus agalactiae 21* Streptococcus pyogenes 7* Enterococcus faecalis Staphylococcus epidermidis Staphylococcus aureus Staphylococcus aureus(mrsa) Enterococcus faecium * LESS THAN 30 ISOLATES MAY NOT BE STATISTICY VALID 1601 W. St. Mary's Rd. Tucson, Az

4 Clindamycin Erythromycin Levofloxacin Oxacillin Penicillin Tretracycline Vancomycin GRAM POSITIVE Staphylococcus aureus Staphylococcus aureus (MRSA) Staphylococcus epidermidis 23* * (menigitis interpretation) 21* 100 (other diagnosis interpretation) 21* 100 Enterococcus faecalis 16* Streptococcus agalactiae 12* Staphylococcus aureus Staphylococcus aureus(mrsa) Staphylococcus aureus (MSSA) (oxacillin-susceptible) (menigitis interpretation) (other diagnosis interpretation) * LESS THAN 30 ISOLATES MAY NOT BE STATISTICY VALID 1601 W. St. Mary's Rd. Tucson, Az

5 TISSUE,FLUID,WOUND AND OTHERS Clindamycin Erythromycin Levofloxacin Oxacillin Penicillin Tretracycline Vancomycin GRAM POSITIVE Staphylococcus aureus Staphylococcus aureus (MRSA) Enterococcus faecalis Staphylococcus epidermidis Enterococcus faecium 20* * LESS THAN 30 ISOLATES MAY NOT BE STATISTICY VALID breakpoint interpretation CEFTRIAXONE MENINGITIS CEFTRIAXONE OTHER DIAGNOSIS PENICILLIN *S *I *R *S *I *R *S *I *R *S=Susceptible, I=Intermediate, R=Resistant 1601 W. St. Mary's Rd. Tucson, Az

6 MULTIDRUG RESISTANCE ESBL E. coli K. pneumo CPE MRSA VRE 5.8% 2.7% 3 ISOLATES 42% 12% URINE 5.6% 3.3% 0 47% 11% 3.5% 5.7% % 0.0% 0 40% N/A 2 KLPNE (wound and TISSUE, FLUID, WOUND AND OTHERS 7.8% 4.7% fluid culture) 1 SERMAR (wound 43% culture) 10% ESBL = Extended spectrum beta-lactamase producer CPE = Carbapenemase producing Enterobacteriaceae MRSA =Methicillin resistant Staphylococcus aureus VRE= Vancomycin resistant Enterococcus sp W. St. Mary's Rd. Tucson, Az

St. Mary's Hospital 1601 W. St. Mary's Rd. Tucson, Az

St. Mary's Hospital 1601 W. St. Mary's Rd. Tucson, Az BLOOD URINE sulbactam Cefotetan Ceftazidime Cefuroxime Gentamicin Meropenem Piperacillin Tazobactam GRAM NEGATIVE Escherichia coli 1460 46 56 87 100 94 94 77 91 100 94 65 Klebsiella pneumoniae 351 88 97

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