CUMULATIVE ANTIBIOGRAM
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1 BC Children s Hospital and BC Women s Hospital & Health Centre CUMULATIVE ANTIBIOGRAM 2017 Division of Medical Microbiology Department of Pathology and Laboratory Medicine Page 1 of 5
2 GRAM-POSITIVE BACTERIA Total Number of Isolates (N)* Ampicillin Amox/Clav Penicillin PERCENTAGE (%) OF SUSCEPTIBLE CLINICAL ISOLATES Cloxacillin Cefazolin Cephalexin Ceftriaxone (CNS) Ceftriaxone Vancomyci n Erythromy cin Clindamyci n Trimeth/Sulfa Doxycycline Nitrofurant oin# Linezolid Enterococcus faecalis R R Enterococcus faecium** R R S. aureus -all isolates MRSA isolates only 307 R R R R R R R Coagulase Negative Staphylococcus Streptococcus pneumoniae ** α Viridans Streptococci ** Streptococcus pyogenes (Group A) Legend R This organism is inherently resistant to this antibiotic * Not all isolates had susceptibility testing for all antibiotics ** 2016 and 2017 numbers combined due to small number of annual isolates # Tested on urine isolates only, should only be used for treatment of simple cystitis Susceptibilities reflect non-cns infection breakpoints (except ceftriaxone) α Based on 31 isolates Page 2 of 5
3 PERCENTAGE (%) OF SUSCEPTIBLE CLINICAL ISOLATES GRAM-NEGATIVE BACTERIA Total Number of Isolates (N)* Ampicillin Amox/Clav Pip/Tazobacta m Cefazolin Cephalexin Cefotaxime Ceftazidime Meropenem Gentamicin Tobramycin Trimeth/Sulfa Ciprofloxacin Nitrofurantoin # Escherichia coli (all sites) Escherichia coli (urine only) Klebsiella pneumoniae 72 R Enterobacter cloacae complex (asburiae, kobei, cloacae) 41 R R Proteus mirabilis Pseudomonas aeruginosa 174 R R 69 R R R R 92 R Haemophilus influenzae Legend R This organism is inherently resistant to this antibiotic * Not all isolates had susceptibility testing for all antibiotics # Tested on urine isolates only, should only be used for treatment of simple cystitis Isolates from Cystic Fibrosis patients are included Page 3 of 5
4 Infection Prevention & Control Additional Precautions Contact Contact Plus Droplet HCW: gloves and gowns for direct care HCW: gloves and gowns for direct care Use sporicidal disinfectant HCW: surgical / procedure mask and eye protection Patient: mask when outside room if possible Droplet & Contact Combine all elements of both Airborne Negative pressure room with door closed HCW: N95 Respirator on entry Patient: surgical / procedure mask when outside room Airborne & Contact Combine all elements of both Routine practices are used with ALL patients at ALL times in ALL health care settings. Your 4 moments for Hand Hygiene: 1. Before patient / patient environment contact 2. Before aseptic procedure 3. After body fluid exposure risk 4. After patient / patient environment contact Page 4 of 5
5 REVISION LOG Version Description of Change Revision Date Implementation Date 1.1 Initial document upload into QMS Nov 21, 2018 Nov 21, 2018 Page 5 of 5
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