Case Report

A Case of a Persistent Postoperative Infection Caused by Multidrug-Resistant Kluyvera ascorbata in the Oral and Maxillofacial Region

Table 1

Results of antimicrobial susceptibility testing (AST).

NameGroupMIC (μg/ml)AST

CefazolinA≥8Resistant
AmpicillinA≥32Resistant
GentamicinA≤2Sensitive
PIZB≥128/4Resistant
PiperacillinB≥128Resistant
CefuroximeB≤4Resistant
CefotaximeB≥64Resistant
CefepimeB≤4Sensitive
ImipenemB≤1Sensitive
AmikacinB≤8Sensitive
CiprofloxacinB≤0.25Sensitive
LevofloxacinB≤1Sensitive
SXTB≤0.5/9.5Sensitive
AztreonamC≥16Resistant
CeftazidimeC≤4Resistant
ChloramphenicolC≤4Sensitive
CefoperazoneO≤8Sensitive
MinocyclineO≤2Sensitive
CPSO≥64/64Resistant
NitrofurantoinU≥128Resistant
OfloxacinU≤1Sensitive

Dose and usage are for adults. Group A (drug of first choice): priority selection; Group B (drug of first choice): selection of drug resistance or nonuse in Group A; Group C: selection of drug resistance or nonuse in Group A and B; A supplement to the urethra; Group O: other drugs. Kluyvera ascorbata with the ability to produce extended spectrum beta-lactamases is resistant to penicillins, first-generation to third-generation cephalosporins, and most beta-lactams, even with a sensitive result in vitro.