TABLE 1.
Antibiotics | No. of isolates at an MIC (mg/L)a of: |
Breakpoint(s)b | MIC (mg/L) |
R (%) | Genetic resistance determinant(s) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MIC50 | MIC90 | |||||||||||||||
0.12 | 0.25 | 0.5 | 1 | 2 | 4 | 8 | 16 | 32 | 64 | 128 | ||||||
Imipenem | 3* | 9 | 26 | 6 | 34 | 337† | ≤2/≥8 | ≥16 | ≥16 | 89.40 | Inactivation of oprD | |||||
Meropenem | 4 | 19 | 17 | 67 | 54 | 254† | ≤2/≥8 | ≥16 | ≥16 | 73.98 | MexAB-OprM, mexCD-OprJ, blaGES, blaKPC, blaAIM, blaGIM, blaIMP, blaSPM, blaVIM, and blaOXA-198 | |||||
Ceftazidime | 1 | 2 | 129 | 15 | 61 | 46 | 53 | 108† | ≤8/≥32 | 2 | ≥64 | 38.80 | bla AmpC | |||
Cefepime | 8* | 43 | 18 | 155 | 106 | 85† | ≤8/≥32 | 8 | ≥32 | 25.54 | Overexpression of MexCD-OprJ | |||||
Piperacillin-tazobactam | 30* | 57 | 36 | 107 | 50 | 135† | (≤16/4)/ (≥128/4) | 32 | ≥128 | 32.53 | bla AmpC | |||||
Colistin | 390* | 10 | 11 | 4 | ≤2/≥4 | ≤0.5 | ≤0.5 | 0.96 | ||||||||
Ciprofloxacin | 69* | 59 | 95 | 76 | 116† | ≤0.5/≥2 | 1 | ≥4 | 46.27 | gyrAT83I, gyrAD87N, parEA473V, qnrVC, ampC | ||||||
Levofloxacin | 2 | 2* | 11 | 62 | 55 | 130 | 153† | ≤1/≥4 | 4 | ≥8 | 68.19 | MexXY-OprM (mexZ), MexVW-OprM | ||||
Tobramycin | 315* | 14 | 8 | 5 | 73† | ≤4/≥16 | ≤1 | ≥16 | 17.59 | MexXY-OprM | ||||||
Amikacin | 229* | 67 | 29 | 32 | 14 | 44† | ≤16/≥64 | ≤2 | ≥64 | 10.60 | aac | |||||
Aztreonam | 7 | 55 | 56 | 85 | 61 | 151† | ≤8/≥32 | 32 | ≥64 | 51.08 | MexAB-OprM |
Boldfacing indicates data for resistant strains. *, MIC ≤ the indicated value; †, MIC ≥ the indicated value.
Breakpoint concentrations—expressed as “susceptibility (mg/L)/resistance (mg/L)”—are presented according to CLSI2022.