TABLE 2.
MIC ranges (including MIC50 and MIC90) and categorization of susceptibility results of the isolatese,f
Antibiotic |
Method | MIC distribution | Categorical distribution | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
OXA-48-like | Controls | OXA-48-like | Controls | ||||||||||||||||
MIC50 | MIC90 | Pb | MIC50 | MIC90 | P b | S | I | R | %R | Totald | P c | S | I | R | %R | Totald | Pc | ||
Ertapenem | Broth microdilution | 2 | 16 | – | 2 | 16 | – | 14 | – | 93 | 86.9 | 107 | – | 37 | – | 105 | 73.9 | 142 | – |
Disk diffusion | – | – | – | – | – | – | 7 | – | 100 | 93.5 | 107 | 0.168 | 24 | – | 118 | 83.1 | 142 | 0.082 | |
Gradient test (ETEST) | 2 | ≥32 | 0.974 | 2 | ≥32 | 0.625 | 16 | – | 91 | 85.0 | 107 | 0.843 | 35 | – | 107 | 75.4 | 142 | 0.891 | |
VITEK 2 AST-N223 | 4 | ≥8 | <0.001 | 4 | ≥8 | 0.006 | 10 | – | 94 | 90.4 | 104 | 0.658 | 23 | – | 101 | 81.5 | 124 | 0.352 | |
VITEK 2 AST-N428 | 2 | ≥8 | 0.024 | 4 | ≥8 | 0.091 | 12 | – | 94 | 88.7 | 106 | 0.834 | 36 | – | 106 | 74.6 | 142 | 1.00 | |
VITEK 2 AST-N432 | 2 | ≥8 | 0.006 | 4 | ≥8 | 0.021 | 13 | – | 94 | 87.9 | 107 | 1.00 | 31 | – | 111 | 78.2 | 142 | 0.486 | |
Imipenema | Broth microdilution | 2 | 8 | – | 0.5 | 4 | – | 83 | 11 | 13 | 12.1 | 107 | – | 125 | 7 | 10 | 7.0 | 142 | – |
Disk diffusion | – | – | – | – | – | – | 52 | 30 | 25 | 23.4 | 107 | 0.049 | 118 | 10 | 14 | 9.9 | 142 | 0.522 | |
Gradient test (ETEST) | 1 | 16 | 0.924 | 1 | 8 | 0.062 | 73 | 13 | 21 | 19.6 | 107 | 0.190 | 115 | 9 | 18 | 12.7 | 142 | 0.163 | |
VITEK 2 AST-N223 | 2 | ≥16 | 0.065 | 1 | 8 | 0.448 | 74 | 9 | 19 | 18.6 | 102 | 0.108 | 103 | 3 | 13 | 10.9 | 119 | 0.660 | |
VITEK 2 AST-N428 | 1 | 4 | 0.813 | 1 | 4 | 0.785 | 75 | 22 | 8 | 7.6 | 105 | 0.357 | 125 | 7 | 8 | 5.7 | 140 | 0.807 | |
Meropenem | Broth microdilution | 1 | 16 | – | 0.5 | 8 | – | 84 | 12 | 11 | 10.3 | 107 | – | 112 | 26 | 4 | 2.8 | 142 | – |
Disk diffusion | – | – | – | – | – | – | 67 | 28 | 12 | 11.2 | 107 | 1.00 | 99 | 32 | 11 | 7.7 | 142 | 0.111 | |
Gradient test (ETEST) | 1 | ≥32 | 0.216 | 0.5 | 8 | 0.589 | 86 | 9 | 12 | 11.2 | 107 | 1.00 | 111 | 18 | 13 | 9.2 | 142 | 0.045 | |
VITEK 2 AST-N223 | 2 | ≥16 | 0.007 | 1 | 4 | 0.240 | 71 | 20 | 13 | 12.5 | 104 | 0.828 | 96 | 23 | 5 | 4.0 | 124 | 1.00 | |
VITEK 2 AST-N428 | 2 | ≥16 | 0.009 | 1 | 4 | 0.813 | 74 | 20 | 13 | 12.1 | 107 | 0.828 | 116 | 21 | 5 | 3.5 | 142 | 1.00 | |
VITEK 2 AST-N432 | 2 | ≥16 | 0.004 | 1 | 4 | 0.531 | 67 | 29 | 11 | 10.3 | 107 | 1.00 | 114 | 23 | 5 | 3.5 | 142 | 1.00 |
Imipenem is not available on the AST-N432 card.
Comparison with MIC distribution of BMD (Mann-Whitney U test).
Comparison with R frequency of BMD (Pearson’s χ2 test).
Numbers are given based on the determined MIC from the respective test. While results were obtained for all isolates by BMD, ETEST, and DD, VITEK 2 MICs for some isolates could not be determined by N223/N428 cards.
EUCAST clinical breakpoints: ertapenem, MIC: ≤0.5 and >0.5, zone diameter: ≥23 and <23; imipenem, MIC: ≤2 and >4, zone diameter: ≥22 and <19; meropenem, MIC: ≤2 and >8, zone diameter: ≥22 and <16 (22).
S, susceptible; I, susceptible, increased exposure; R, resistant. "-" represents not applicable (N/A). Bolded when P<0.05.