Spectrum: Local Antimicrobial Stewardship, for UCLA Health

AmpC - Organisms that produce AmpC beta-lactamase

Precautions

See 'Additional Information'
See 'Additional Information'

Susceptibilities

Susceptibilities

General Susceptibilities

General Information

First Line Treatment

First Line Treatment

Ertapenem

Alternate Treatment

Alternate Treatment

If susceptible

  • Cefepime

  • Meropenem

  • Fluoroquinlones

Pathogen information

Pathogen information

SPICEM stands for:

  • Serratia

  • Pseudomonas and Providencia

  • (Indole positive) Proteus vulgaris

  • Citrobacter

  • Enterobacter

  • Morganella

Epidemiology

Epidemiology

Most AmpC organisms are nosocomially encountered, are GI flora and are part of the Enterobacteriaceae family

Associated syndromes

Associated syndromes

Cause syndromes by the organism that possesses AmpC (see individual organism)

Additional Information

Additional Information

Standard precautions unless meropenem resistant

May require contact precautions if meropenem resistant.