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. 2006 Aug;50(8):2700–2706. doi: 10.1128/AAC.00068-06

TABLE 4.

MICs of cefotaxime and ceftazidime and inhibitory-zone diameters of expanded-spectrum cephalosporins and aztreonam for CTX-M-producing isolates

Species Enzyme (no. of isolates) MIC (μg/ml)a
Inhibitory zone diam (mm)a,b
CTX
CAZ
CTX
CAZ
ATM
FEP range
Range Median MIC90 Range Median MIC90 Range % Idd Range % Id Range % Id
E. coli CTX-M-1 (35) 32->256 64 > 256 2-8 2 4 6-14 100 16-24 82 10-18 100 14-22
CTX-M-15 (64) 64->256 256 > 256 4->256 32 128 6-14 100 6-20 100 6-18 100 10-22
CTX-M-32 (4) 128->256 256 16-48 32 6-10 100 14-16 100 6-12 100 16
K. pneumoniae CTX-M-1 (3) 24->256 32-64 6-10 100 14-20 100 6-14 100 10-18
CTX-M-15 (5) 64->256 128 24-64 32 6-10 100 10-14 100 6-10 100 10-20
CTX-M-32 (2) >256 >256 6 100 6 100 6 100 14-16
a

CTX, cefotaxime; CAZ, ceftaxidime.

b

ATM, aztreonam; FEP, cefepime.

c

A 6-mm value means no zone of inhibition. The breakpoints for suspicion of ESBL production were as follows: CTX, ≤27 mm; CAZ, ≤22 mm; ATM, ≤27 mm (10).

d

% Id, percentage of isolates categorized as putative ESBL producers by disk diffusion testing, based on the CLSI breakpoint for suspicion of ESBL production, with the corresponding drug (10).