First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review

Figure 1

Susceptibility of Achromobacter spp. to various antimicrobials. Seven cases reported Achromobacter spp. sensitivity to piperacillin/tazobactam and all 7 isolates were susceptible to P/T. Similarly, 9 cases reported carbapenem sensitivity; 8 of 9 (88.89%) isolates were susceptible. SMZ/TMP and ceftazidime sensitivities were reported by 9 cases, of which 6 isolates (66.67%) were susceptible to each agent. On the other hand, 13 cases reported fluoroquinolones, of which, only 5 Achromobacter isolates (38.46%) were susceptible. Only 1 of 10 isolates (10%) were susceptible to aminoglycosides. None (0 out of 6) of the isolates were susceptible to first generation cephalosporins; and solely 1 out of 7 (14.29%) Achromobacter isolates were sensitive to third generation cephalosporins. Although Achromobacter susceptibility to other agents were also reported by most of the patient cases, sensitivity trends were not reported in this figure if data for at least five isolates could not be attained.