TABLE 3.
Tentative CLSI M45 4th Edition breakpoints for Pseudomonas species other than P. aeruginosa
| Antimicrobial agent | MIC breakpointsa | Disk diffusion breakpoints | ||||
|---|---|---|---|---|---|---|
| S | I | R | S | I | R | |
| Piperacillin-tazobactam | ≤16/4 | 32/4 | ≥64/4 | ≥22 | 17–21 | ≤16 |
| Ceftazidime | ≤8 | 16 | ≥32 | ≥19 | 15–18 | ≤14 |
| Cefepime | ≤8 | 16 | ≥32 | ≥19 | 14–18 | ≤13 |
| Imipenem | ≤2 | 4 | ≥8 | ≥20 | 15–19 | ≤14 |
| Meropenem | ≤2 | 4 | ≥8 | ≥18 | 14–17 | ≤13 |
| Tobramycin | ≤1 | 2 | ≥4 | ≥21 | 15–20 | ≤14 |
| Ciprofloxacin | ≤0.5 | 1 | ≥2 | ≥25 | 19–24 | ≤18 |
| Levofloxacin | ≤1 | 2 | ≥4 | ≥22 | 15–21 | ≤14 |
| Amikacin | ≤4 | 8 | ≥16 | ≥23 | 19–22 | ≤18 |
Interpretive criteria are adapted from those for Pseudomonas aeruginosa, as published in CLSI M100 in conjunction with evaluation of MIC distributions from surveillance data/clinical laboratories and PK/PD properties of the individual agent, with the exception of amikacin. For amikacin, Enterobacterales systemic breakpoints were considered and deemed appropriate based on the amikacin MIC distribution of non-aeruginosa Pseudomonas.