SPICE organisms: Difference between revisions

Revision as of 20:33, 28 September 2019

Gram-negative bacteria with inducible or derepressable beta-lactamases, primarily chromosomal AmpC

Also:

Not penicillins or cephalosporins, as resistance will develop within a few days
Carbapenems still work, as do aminoglycosides

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 == Organisms ==
-* ''Serratia'' spp.
+* [[Serratia species]]
-* ''Providencia''
+* [[Providencia]]
-* Indole-positive ''Proteae'' (e.g. ''Proteus vulgaris'', but not ''Proteus mirabilis'')
+* Indole-positive [[Proteus species]] (e.g. [[Proteus vulgaris]], but not [[Proteus mirabilis]])
-* ''Citrobacter'' spp.
+* [[Citrobacter species]]
-** ''C. koseri'' does ''not'' have an AmpC
+** [[C. koseri]] does ''not'' have an AmpC
-* ''Enterobacter cloacae''
+* [[Enterobacter cloacae]]
 Also:
-* ''Hafnia alvei''
+* [[Hafnia alvei]]
-* ''Acinetobacter'', though not inducible or AmpC (merely very resistant_
+* [[Acinetobacter]], though not inducible or AmpC (merely very resistant_
-* ''Morganella morganii''
+* [[Morganella morganii]]
-* ''Cronobacter''
+* [[Cronobacter]]
-* ''Edwardsiella''
+* [[Edwardsiella]]
 == Treatment ==