TABLE 1.
MICs and percentages of resistance of 14 antimicrobial agents in 222 S. flexneri and 111 S. sonnei isolatesa
| Antimicrobial agent, species, and yr isolated | n | GMb (μg/ml) | MIC50 (μg/ml) | MIC90 (μg/ml) | R%c |
|---|---|---|---|---|---|
| Ampicillin | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 17.61 | ≥64 | ≥64 | 56.9 |
| 1988–1990 | 25 | 29.45 | ≥64 | ≥64 | 68.0 |
| 1991–1993 | 38 | 32.00 | ≥64 | ≥64 | 81.6 |
| 1994–1995 | 94 | 44.90 | ≥64 | ≥64 | 89.4 |
| S. sonnei | |||||
| 1986–1987 | 34 | 14.50 | 8 | ≥64 | 35.3 |
| 1988–1990 | 21 | 16.50 | 16 | ≥64 | 52.4 |
| 1991–1993 | 23 | 14.60 | 16 | ≥64 | 60.9 |
| 1994–1995 | 38 | 13.00 | 8 | ≥64 | 36.4 |
| Amoxicillin-clavulanic acid | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 8.71 | 16 | ≥32 | 50.8 |
| 1988–1990 | 25 | 12.13 | 16 | ≥32 | 68.0 |
| 1991–1993 | 38 | 9.73 | 16 | 16 | 68.4 |
| 1994–1995 | 94 | 19.10 | 16 | ≥32 | 88.3 |
| S. sonnei | |||||
| 1986–1987 | 34 | 8.3 | 8 | 16 | 23.5 |
| 1988–1990 | 21 | 8.5 | 8 | 16 | 23.8 |
| 1991–1993 | 23 | 8.5 | 8 | ≥32 | 21.7 |
| 1994–1995 | 38 | 8.7 | 8 | ≥32 | 30.3 |
| Piperacillin | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 4.04 | 8 | 32 | 12.31 |
| 1988–1990 | 25 | 5.90 | 16 | 32 | 16.00 |
| 1991–1993 | 38 | 7.72 | 16 | 16 | 21.05 |
| 1994–1995 | 94 | 12.40 | 16 | 32 | 13.80 |
| S. sonnei | |||||
| 1986–1987 | 34 | 4.10 | 2 | 32 | 17.60 |
| 1988–1990 | 21 | 4.30 | 2 | 32 | 14.29 |
| 1991–1993 | 23 | 5.57 | 2 | ≥256 | 17.40 |
| 1994–1995 | 38 | 8.30 | 2 | ≥256 | 33.30 |
| Cefuroxime | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 2.16 | 2 | 4 | 1.5 |
| 1988–1990 | 25 | 2.71 | 2 | 4 | 0 |
| 1991–1993 | 38 | 2.35 | 2 | 4 | 0 |
| 1994–1995 | 94 | 2.60 | 2 | 4 | 0 |
| S. sonnei | |||||
| 1986–1987 | 34 | 3.51 | 4 | 4 | 2.9 |
| 1988–1990 | 21 | 4.27 | 4 | 8 | 0 |
| 1991–1993 | 23 | 4.51 | 4 | 8 | 0 |
| 1994–1995 | 38 | 3.80 | 4 | 8 | 0 |
| Gentamicin | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 1.42 | 1 | 2 | 9.2 |
| 1988–1990 | 25 | 2.06 | 1 | ≥64 | 12.0 |
| 1991–1993 | 38 | 1.31 | 1 | 2 | 2.6 |
| 1994–1995 | 94 | 1.50 | 2 | 2 | 2.1 |
| S. sonnei | |||||
| 1986–1987 | 34 | 1.50 | 0.5 | ≥64 | 1.50 |
| 1988–1990 | 21 | 0.67 | 0.5 | 1 | 0.67 |
| 1991–1993 | 23 | 0.86 | 1.0 | 1 | 0.86 |
| 1994–1995 | 38 | 0.77 | 0.5 | 8 | 0.77 |
| Netilmicin | |||||
| S. flexneri | |||||
| 1986–1987 | 64d | 1.15 | 1 | 1 | 7.7 |
| 1988–1990 | 25 | 2.06 | 1 | ≥64 | 12 |
| 1991–1993 | 38 | 1.31 | 1 | 2 | 5.3 |
| 1994–1995 | 94 | 1.3 | 1 | 2 | 0 |
| S. sonnei | |||||
| 1986–1987 | 34 | 1.3 | 0.5 | 16 | 14.7 |
| 1988–1990 | 21 | 0.7 | 0.5 | 2 | 0 |
| 1991–1993 | 23 | 0.7 | 0.5 | 1 | 4.4 |
| 1994–1995 | 38 | 0.57 | 0.5 | 2 | 0 |
| Nalidixic acid | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 2.11 | 2 | 2 | 0 |
| 1988–1990 | 25 | 1.69 | 2 | 2 | 0 |
| 1991–1993 | 38 | 2.11 | 2 | 2 | 2.6 |
| 1994–1995 | 94 | 22.5 | ≥128 | ≥128 | 59.6 |
| S. sonnei | |||||
| 1986–1987 | 34 | 2.78 | 2 | 4 | 0 |
| 1988–1990 | 21 | 2.97 | 2 | 2 | 9.5 |
| 1991–1993 | 23 | 1.70 | 2 | 2 | 0 |
| 1994–1995 | 38 | 1.96 | 2 | 2 | 3.0 |
| Ciprofloxacin | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 0.008 | 0.01 | 0.01 | 0 |
| 1988–1990 | 25 | 0.012 | 0.02 | 0.02 | 0 |
| 1991–1993 | 38 | 0.015 | 0.02 | 0.02 | 0 |
| 1994–1995 | 94 | 0.128 | 0.50 | 1.00 | 2.1 |
| S. sonnei | |||||
| 1986–1987 | 34 | 0.01 | 0.01 | 0.02 | 0 |
| 1988–1990 | 21 | 0.02 | 0.01 | 0.25 | 0 |
| 1991–1993 | 23 | 0.01 | 0.02 | 0.02 | 0 |
| 1994–1995 | 38 | 0.01 | 0.01 | 0.02 | 0 |
| Ofloxacin | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 0.03 | 0.03 | 0.03 | 0 |
| 1988–1990 | 25 | 0.05 | 0.06 | 0.06 | 0 |
| 1991–1993 | 38 | 0.06 | 0.06 | 0.06 | 0 |
| 1994–1995 | 94 | 0.35 | 1.00 | 2.00 | 0 |
| S. sonnei | |||||
| 1986–1987 | 34 | 0.029 | 0.03 | 0.03 | 0 |
| 1988–1990 | 21 | 0.062 | 0.06 | 0.06 | 0 |
| 1991–1993 | 23 | 0.050 | 0.06 | 0.06 | 0 |
| 1994–1995 | 38 | 0.037 | 0.03 | 0.06 | 0 |
| Sparfloxacin | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 0.007 | 0.01 | 0.01 | NAe |
| 1988–1990 | 25 | 0.014 | 0.02 | 0.03 | NA |
| 1991–1993 | 38 | 0.016 | 0.02 | 0.03 | NA |
| 1994–1995 | 93d | 0.120 | 0.50 | 1.00 | NA |
| S. sonnei | |||||
| 1986–1987 | 34 | 0.008 | 0.01 | 0.0075 | NA |
| 1988–1990 | 21 | 0.016 | 0.02 | 0.03 | NA |
| 1991–1993 | 23 | 0.016 | 0.02 | 0.03 | NA |
| 1994–1995 | 38 | 0.010 | 0.01 | 0.03 | NA |
| Tetracycline | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 85.35 | 128 | ≥256 | 90.8 |
| 1988–1990 | 25 | 84.45 | 128 | ≥256 | 88.0 |
| 1991–1993 | 38 | 56.30 | 128 | ≥256 | 81.6 |
| 1994–1995 | 94 | 129.90 | ≥256 | ≥256 | 96.8 |
| S. sonnei | |||||
| 1986–1987 | 34 | 58.00 | 128 | ≥256 | 88.2 |
| 1988–1990 | 21 | 80.60 | ≥256 | ≥256 | 81.0 |
| 1991–1993 | 23 | 23.70 | 128 | ≥256 | 56.5 |
| 1994–1995 | 38 | 63.49 | 128 | ≥256 | 78.8 |
| Trimethoprim | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 0.70 | 0.25 | ≥256 | 16.9 |
| 1988–1990 | 25 | 5.89 | 1 | ≥256 | 28.0 |
| 1991–1993 | 38 | 58.30 | ≥256 | ≥256 | 76.3 |
| 1994–1995 | 94 | 129.90 | ≥256 | ≥256 | 90.4 |
| S. sonnei | |||||
| 1986–1987 | 34 | 4.60 | 0.25 | ≥256 | 35.3 |
| 1988–1990 | 21 | 2.80 | 0.50 | ≥256 | 33.3 |
| 1991–1993 | 23 | 53.30 | ≥256 | ≥256 | 78.3 |
| 1994–1995 | 38 | 16.76 | ≥256 | ≥256 | 60.6 |
| Sulfamethoxazole | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 327.2 | ≥2,048 | ≥2,048 | 69.2 |
| 1988–1990 | 25 | 347.3 | ≥2,048 | ≥2,048 | 64.0 |
| 1991–1993 | 38 | 382.0 | ≥2,048 | ≥2,048 | 68.4 |
| 1994–1995 | 94 | 378.0 | 1,024 | ≥2,048 | 74.7 |
| S. sonnei | |||||
| 1986–1987 | 34 | 868.2 | ≥2,048 | ≥2,048 | 82.4 |
| 1988–1990 | 21 | 603.9 | 1,024 | ≥2,048 | 85.7 |
| 1991–1993 | 23 | 713.2 | ≥2,048 | ≥2,048 | 87.0 |
| 1994–1995 | 38 | 446.4 | 1,024 | ≥2,048 | 78.8 |
| Chloramphenicol | |||||
| S. flexneri | |||||
| 1986–1987 | 65 | 49.02 | 64 | 256 | 84.6 |
| 1988–1990 | 25 | 26.35 | 64 | 128 | 64.0 |
| 1991–1993 | 38 | 19.00 | 64 | 128 | 68.4 |
| 1994–1995 | 94 | 49.80 | 64 | 128 | 90.4 |
| S. sonnei | |||||
| 1986–1987 | 34 | 30.0 | 4 | ≥512 | 35.3 |
| 1988–1990 | 21 | 11.9 | 4 | ≥512 | 28.6 |
| 1991–1993 | 23 | 6.5 | 4 | 64 | 13.0 |
| 1994–1995 | 38 | 6.7 | 4 | 64 | 15.2 |
Of the 19 antimicrobial agents examined, the results of imipenem, ceftazidime, cefotaxime, cefepime, and amikacin are not shown here (see Results).
GM, geometric-mean MIC.
R%, percentages of resistance for antimicrobial agents with the following breakpoints of the National Committee for Clinical Laboratory Standards (10): ciprofloxacin, ≥2 μg/ml; ofloxacin, ≥4 μg/ml; gentamicin, nalidixic acid, tetracycline, and trimethoprim, ≥8 μg/ml; ampicillin, amoxicillin-clavulanic acid (2:1), cefuroxime, netilmicin, and chloramphenicol, ≥16 μg/ml; piperacillin, >32 μg/ml; and sulfamethoxazole, >64 μg/ml.
Result of one isolate not available.
NA, no breakpoint available for sparfloxacin.