Spectrum: Local Antimicrobial Stewardship, for Fraser Health

Microbiology

Most Common

E. coli

Less Common

Klebsiella pneumoniae

Rare

Enterococcus faecalis

Staphylococcus saprophyticus

Proteus

Other gram-negative coliforms

Catheter-associated UTI

Increased risk for:

Staphylococcus aureus

Pseudomonas

ESBL

ESBL-producing organisms are resistant to ceftriaxone.

ESBL risk factors

Consider ESBL coverage in:

  • Severely ill patients

  • Known prior ESBL colonization

  • Recent broad-spectrum antimicrobial use, or

  • Recent travel to endemic areas (Central America, Sub-Saharan Africa, Mediterranean, Middle East, South Asia)