TABLE 4.
MICs of seven fluoroquinolones and penicillin G against clinical isolates of E. faecalis (EF) with defined mechanisms of resistance
Strain (no.) | Efflux | Mutant amino acida at position:
|
MIC (μg/ml)b
|
|||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ParC
|
GyrA
|
ParE
|
PEF | CIP | CIP+R | SPX | LVX | MXF | GAR | GAR+R | GEM | PEN | ||||
85 | 89 | 84 | 88 | 453 | ||||||||||||
S | E | S | E | P | ||||||||||||
JH 2.2c | − | 4 | 2 | 2 | 0.5 | 1 | 0.25 | 0.25 | 0.25 | 0.125 | 2 | |||||
EF12 | − | I | 32 | 4 | 2 | 1 | 2 | 0.5 | 0.25 | 0.25 | 0.12 | 2 | ||||
EF13 | − | K | 32 | 4 | 2 | 1 | 2 | 0.5 | 0.5 | 0.5 | 0.12 | 2 | ||||
EF14 to -15 (2) | − | I | G | 256 | 32 | 32 | 8-32 | 16 | 2-4 | 1 | 1 | 0.5 | 2-32 | |||
EF16 to -27 (12) | − | I | Y | 256 | 32-128 | 32-128 | 32-64 | 32-64 | 4-8 | 2 | 2 | 0.5-2 | 2-4 | |||
EF30 | − | I | R | 256 | 32 | 32 | 16 | 32 | 8 | 2 | 2 | 1 | 2 | |||
EF31 | − | I | K | 256 | 128 | 128 | 16 | 32 | 4 | 2 | 2 | 2 | 2 | |||
EF32 | − | I | K | 256 | 64 | 64 | 64 | 32 | 8 | 2 | 2 | 1 | 2 | |||
EF28 to -29 (2) | − | I | Y | S | 256 | 64-128 | 64-128 | 64 | 64 | 8 | 2-4 | 2-4 | 2 | 2 | ||
EF33 to -43 (11) | − | I | I | 256 | 128-256 | 64-128 | 64-128 | 64-128 | 16-32 | 4-8 | 4-8 | 4-8 | 1-4 | |||
EF-44 | + | I | I | 256 | 128 | 32 | 64 | 64 | 32 | 8 | 8 | 8 | 2 |
Nucleotide sequence accession numbers AB059406, AB059405, and AA081398. No mutation was found in the GyrB QRDR.
PEF, pefloxacin; CIP, ciprofloxacin; R, reserpine (10 μg/ml); SPX, sparfloxacin; LVX, levofloxacin; MXF, moxifloxacin; GAR, garenoxacin; GEM, gemifloxacin; PEN, penicillin G.
Wild-type susceptible strain.