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. 2023 Jun 13;11:1110903. doi: 10.3389/fpubh.2023.1110903

Table 5.

MIC breakpoints according to CLSI in 2021 and MIC50; MIC90 of antibiotics for isolated Streptococcus pneumoniae.

Antibiotics MIC breakpoints according to CLSI in 2021 (mg/L) MIC50 (mg/L) MIC90 (mg/L)
S I R
Trimethoprim/sulfamethoxazole ≤ 0.5/9.5 1/19–2/38 ≥4/76 4/76 4/76
Clindamycin ≤ 0.25 0,5 ≥1 1 1
Erythromycin ≤ 0.25 0,5 ≥1 1 1
Clarithromycin ≤ 0.25 0,5 ≥1 1 1
Penicillin (non-meningitis) ≤ 2 4 ≥8 64 64
Ceftriaxone (non-meningitis) ≤ 1 2 ≥4 2 6
Chloramphenicol ≤ 4 ≥8 4 8
Ciprofloxacin NT NT NT 1.5 12
Levofloxacin ≤ 2 4 ≥8 0.75 8
Vancomycin ≤ 1 1 1
Linezolid ≤ 2 2 2

MIC, Minimal Inhibitory Concentration; MIC50, concentration at which 50% of bacterial strains were inhibited; MIC90, concentration at which 90% of bacterial strains were inhibited; CLSI, clinical and laboratory standards institute; S, susceptible; I, intermediate; R, resistant; NT, not tested.