ESCAPPM

ESCAPPM or ESCHAAPPM is a mnemonic for the organisms with inducible beta-lactamase activity that is chromosomally mediated.


 * E: Enterobacter spp.
 * S: Serratia spp.
 * C: Citrobacter freundii
 * H: Hafnia spp.
 * A: ''Acinetobacter spp.
 * A: Aeromonas spp.
 * P: Proteus spp. (excluding P. mirabilis)
 * P: Providencia spp.
 * M: Morganella morganii

In vitro sensitivities are not applicable in vivo.

In general, treatment with cephalosporins results in induction of AmpC beta-lactamase. Treatment with an aminoglycoside or carbapenem is usually indicated. Carbapenems are a class of beta-lactam antibiotics with a broad spectrum of antibacterial activity. They have a structure that renders them highly resistant to beta-lactamases. Examples of carbapenems include meropenem and imipenem.