TABLE 2.
Antimicrobial susceptibilities of S. pneumoniae, H. influenzae, and M. catarrhalis collected during the 2005-2006 respiratory season in the United States
Organism, antimicrobial, and phenotype | MIC (μg/ml)
|
% of isolates that werea:
|
|||||
---|---|---|---|---|---|---|---|
Range | Modef | 50% | 90% | S | I | R | |
S. pneumoniaeb | |||||||
Faropenem | |||||||
All | ≤0.004-2 | 0.008 | 0.015 | 0.5 | |||
Penicillin susceptible | ≤0.004-0.06 | 0.008 | 0.008 | 0.015 | |||
Penicillin intermediate | 0.008-0.5 | 0.03 | 0.06 | 0.25 | |||
Penicillin resistant | 0.12-2 | 1 | 1 | 2 | |||
Amoxicillin-clavulanate | |||||||
All | ≤0.12-16 | ≤0.12 | ≤0.12 | 2 | 92.2 | 1.4 | 6.4 |
Penicillin susceptible | ≤0.12-0.25 | ≤0.12 | ≤0.12 | ≤0.12 | 100 | 0 | 0 |
Penicillin intermediate | ≤0.12-2 | ≤0.12 | ≤0.12 | 1 | 100 | 0 | 0 |
Penicillin resistant | 0.5-16 | 8 | 2 | 8 | 51.4 | 8.5 | 40.1 |
Cefdinir | |||||||
All | ≤0.06->8 | ≤0.06 | 0.12 | 8 | 76.8 | 4.0 | 19.2 |
Penicillin susceptible | ≤0.06-1 | ≤0.06 | ≤0.06 | 0.12 | 99.9 | 0.1 | 0 |
Penicillin intermediate | ≤0.06->8 | 0.12 | 0.25 | 2 | 67.5 | 17.7 | 14.8 |
Penicillin resistant | 2->8 | 8 | 8 | >8 | 0 | 0 | 100 |
Cefuroxime | |||||||
All | ≤0.5-32 | ≤0.5 | ≤0.5 | 8 | 78.2 | 3.1 | 18.7 |
Penicillin susceptible | ≤0.5-2 | ≤0.5 | ≤0.5 | ≤0.5 | 99.9 | 0.1 | 0 |
Penicillin intermediate | ≤0.5-16 | ≤0.5 | ≤0.5 | 4 | 74.0 | 13.3 | 12.7 |
Penicillin resistant | 2-32 | 8 | 8 | 16 | 0 | 0.8 | 99.2 |
Meropenem | |||||||
All | ≤0.004-4 | 0.015 | 0.015 | 0.5 | 83.2 | 7.3 | 9.5 |
Penicillin susceptible | ≤0.004-0.06 | 0.015 | 0.015 | 0.015 | 100 | 0 | 0 |
Penicillin intermediate | 0.015-0.5 | 0.03 | 0.06 | 0.25 | 93.2 | 6.8 | 0 |
Penicillin resistant | 0.25-4 | 1 | 1 | 1 | 4.5 | 36.0 | 59.5 |
Penicillin | |||||||
All | ≤0.03->4 | ≤0.03 | ≤0.03 | 2 | 62.1 | 21.9 | 16.0 |
Penicillin susceptible | ≤0.03-0.06 | ≤0.03 | ≤0.03 | ≤0.03 | 100 | 0 | 0 |
Penicillin intermediate | 0.12-1 | 0.12 | 0.25 | 1 | 0 | 100 | 0 |
Penicillin resistant | 2->4 | 4 | 4 | 4 | 0 | 0 | 100 |
Azithromycin | |||||||
All | ≤0.12->16 | ≤0.12 | ≤0.12 | >16 | 65.5 | 0.5 | 34.0 |
Penicillin susceptible | ≤0.12->16 | ≤0.12 | ≤0.12 | 4 | 87.9 | 0.8 | 11.3 |
Penicillin intermediate | ≤0.12->16 | ≤0.12 | 4 | >16 | 35.5 | 0 | 64.5 |
Penicillin resistant | ≤0.12->16 | 32 | 32 | >16 | 19.4 | 0 | 80.6 |
Telithromycin | |||||||
All | ≤0.12->16 | ≤0.12 | ≤0.12 | 0.5 | 99.4 | 0.5 | 0.1 |
Penicillin susceptible | ≤0.12->16 | ≤0.12 | ≤0.12 | ≤0.12 | 99.8 | 0.1 | 0.1 |
Penicillin intermediate | ≤0.12-1 | ≤0.12 | ≤0.12 | 0.5 | 100 | 0 | 0 |
Penicillin resistant | ≤0.12-2 | ≤0.12 | 0.5 | 1 | 97.2 | 2.8 | 0 |
Levofloxacin | |||||||
All | 0.25->8 | 1 | 1 | 1 | 99.2 | 0.2 | 0.6 |
Penicillin susceptible | 0.25->8 | 1 | 1 | 1 | 99.7 | 0.1 | 0.2 |
Penicillin intermediate | 0.5->8 | 1 | 1 | 1 | 98.8 | 0.3 | 0.9 |
Penicillin resistant | 0.5->8 | 1 | 1 | 1 | 98.0 | 0.4 | 1.6 |
SXT | |||||||
All | ≤0.06->8 | 0.25 | 0.25 | 8 | 69.0 | 7.5 | 23.5 |
Penicillin susceptible | ≤0.06->8 | 0.25 | 0.25 | 1 | 89.1 | 5.8 | 5.1 |
Penicillin intermediate | ≤0.06->8 | 0.25 | 1 | 8 | 49.7 | 13.0 | 37.3 |
Penicillin resistant | 0.25->8 | 8 | 8 | >8 | 17.4 | 6.5 | 76.1 |
H. influenzaec | |||||||
Faropenem | |||||||
All | 0.008-4 | 0.25 | 0.5 | 1 | |||
β-Lactamase positive | 0.06-4 | 0.25 | 0.25 | 1 | |||
β-Lactamase negative | 0.008-4 | 0.25 | 0.5 | 1 | |||
Amoxicillin-clavulanate | |||||||
All | ≤0.12-8 | 0.5 | 0.5 | 1 | 99.6 | ||
β-Lactamase positive | 0.25-4 | 0.5 | 0.5 | 2 | 99.4 | ||
β-Lactamase negative | ≤0.12-8 | 0.5 | 0.5 | 1 | 100 | ||
Cefdinir | |||||||
All | ≤0.06-4 | 0.25 | 0.25 | 1 | 94.8 | ||
β-Lactamase positive | ≤0.06-4 | 0.25 | 0.25 | 1 | 94.4 | ||
β-Lactamase negative | ≤0.06-4 | 0.25 | 0.25 | 1 | 95.0 | ||
Cefuroxime | |||||||
All | ≤0.5-32 | ≤0.5 | 1 | 2 | 97.6 | 2.1 | 0.3 |
β-Lactamase positive | ≤0.5-16 | ≤0.5 | 1 | 2 | 96.3 | 3.0 | 0.7 |
β-Lactamase negative | ≤0.5-32 | ≤0.5 | 1 | 2 | 98.0 | 1.8 | 0.2 |
Meropenem | |||||||
All | ≤0.004-8 | 0.03 | 0.03 | 0.12 | 99.7 | ||
β-Lactamase positive | 0.008-0.25 | 0.03 | 0.03 | 0.06 | 100 | ||
β-Lactamase negative | ≤0.004-8 | 0.03 | 0.06 | 0.12 | 99.6 | ||
Ampicillin | |||||||
All | ≤0.12->16 | 0.25 | 0.25 | >16 | 71.9 | 0.5 | 27.6 |
β-Lactamase positive | 2->16 | >16 | >16 | >16 | 0 | 0.4 | 99.6 |
β-Lactamase negative | ≤0.12-4 | 0.25 | 0.25 | 0.5 | 99.0 | 0.6 | 0.4 |
Azithromycin | |||||||
All | ≤0.12->16 | 1 | 1 | 2 | 98.7 | ||
β-Lactamase positive | ≤0.12-16 | 1 | 1 | 2 | 98.1 | ||
β-Lactamase negative | ≤0.12->16 | 1 | 1 | 2 | 98.9 | ||
Telithromycin | |||||||
All | ≤0.12->16 | 2 | 2 | 4 | 96.4 | 2.9 | 0.7 |
β-Lactamase positive | ≤0.12-16 | 2 | 2 | 4 | 97.0 | 2.2 | 0.8 |
β-Lactamase negative | ≤0.12->16 | 2 | 2 | 4 | 96.1 | 3.2 | 0.7 |
Levofloxacin | |||||||
All | ≤0.06->8 | ≤0.06 | ≤0.06 | ≤0.06 | 99.9 | ||
β-Lactamase positive | ≤0.06-0.12 | ≤0.06 | ≤0.06 | ≤0.06 | 100 | ||
β-Lactamase negative | ≤0.06->8 | ≤0.06 | ≤0.06 | ≤0.06 | 99.7 | ||
SXT | |||||||
All | ≤0.06->8 | 0.25 | 0.5 | 8 | 64.9 | 16.8 | 18.3 |
β-Lactamase positive | ≤0.06->8 | 0.12 | 0.5 | 8 | 63.7 | 14.1 | 22.2 |
β-Lactamase negative | ≤0.06->8 | 0.25 | 0.5 | 8 | 65.4 | 17.9 | 16.7 |
M. catarrhalisd,e | |||||||
Faropenem | 0.03-1 | 0.5 | 0.25 | 0.5 | |||
Amoxicillin-clavulanate | ≤0.12-1 | ≤0.12 | ≤0.12 | 0.25 | |||
Cefdinir | ≤0.06-1 | 0.25 | 0.25 | 0.5 | |||
Cefuroxime | ≤0.5-8 | 2 | 1 | 2 | |||
Meropenem | ≤0.004-0.12 | ≤0.004 | ≤0.004 | 0.008 | |||
Ampicillin | 0.25->16 | 4 | 4 | 16 | |||
Azithromycin | ≤0.12-4 | ≤0.12 | ≤0.12 | ≤0.12 | |||
Telithromycin | ≤0.12-4 | ≤0.12 | ≤0.12 | ≤0.12 | |||
Levofloxacin | ≤0.06-0.25 | ≤0.06 | ≤0.06 | ≤0.06 | |||
SXT | ≤0.06-4 | 0.25 | 0.25 | 0.5 |
Percentages of isolates that were susceptible (S), intermediate (I), and resistant (R) according to CLSI breakpoints. Breakpoints are not available for faropenem.
Of the 1,543 isolates of S. pneumoniae, 958 were penicillin susceptible, 338 were penicillin intermediate, and 247 were penicillin resistant.
Of the 987 isolates of H. influenzae, 270 were β-lactamase positive, and 717 were β-lactamase negative.
CLSI breakpoints are not available for M. catarrhalis.
A total of 489 isolates of M. catarrhalis were tested.
Mode, modal MIC.