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Table 4 Antibiotics for treating patients with IAIs based upon susceptibility [253]

From: The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections

Antibiotic Enterococci Ampicillin-resistant enterococci Vancomycin-resistantenterococci Enterobacteriaceae ESBL-producing Enterobactericeae Pseudomonas aeruginosa Anaerobic gram-negative bacilli
Penicillins/beta-lactamase inhibitors
Amoxicillin/clavulanate + + +
Ampicillin/sulbactam + + +/−
Piperacillin/tazobactam + + +/− + +
Carbapenems
Ertapenem + + +
Imipenem/cilastatin +/−a + + + +
Meropenem + + + +
Doripenem + + + +
Fluoroquinolones
Ciprofloxacin + +b
−−Levofloxacin +/− + +/−
Moxifloxacin +/− + +/−
Cephalosporins
Ceftriaxone +
Ceftazidime + +
Cefepime + +/− +
Ceftozolane/tazobactam + + +
Ceftazidime/avibactam + + +
Aminoglycosides
Amikacin     + + +
Gentamicin     + + +
Glycylcyclines
Tigecycline + + + +c + +
5-Nitroimidazole
Metronidazole        +
Polymixyn
Colistimethate
(Colistin)
+d + +
Glycopeptides
Teicoplanin + +
Vancomycin + +
Oxazolidines
Linezolid + + +
  1. aImipenem/cilastatin is more active against ampicillin-susceptible enterococci than ertapenem, meropen and doripenem
  2. bCiprofloxacin is more active against P. aeruginosa than levofloxacin
  3. cNot active against Proteus, Morganella, and Providencia
  4. dNot active against Morganella, Proteus, Providencia, Salmonella, Serratia, Shigella, and Yersina (Y. enterocolitica)