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. 2025 Jun 30;63(8):e00368-25. doi: 10.1128/jcm.00368-25

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
a

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.