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. 2009 Nov 2;54(1):230–238. doi: 10.1128/AAC.01123-09

TABLE 3.

MICs of drugs against 124 group A streptococci

Drug and type of straina MIC (μg/ml)b
Range (μg/ml) 50% 90%
CEM-101 0.008-1 0.06 0.5
    Macrolide S 0.008-0.03 0.015 0.03
    erm(B) 0.03-1 0.5 1
    mef(A) 0.06-0.25 0.125 0.25
    erm(A) 0.016-0.5 0.03 0.125
    L4 mutations 0.06
Erythromycin 0.03->64 16 >64
    Macrolide S 0.03-0.25 0.06 0.125
    erm(B) >64->64 >64 >64
    mef(A) 8-32 16 32
    erm(A) 2->64 4 >64
    L4 mutations 2
Azithromycin 0.06->64 8 >64
    Macrolide S 0.06-0.25 0.125 0.25
    erm(B) >64->64 >64 >64
    mef(A) 0.5-16 8 8
    erm(A) 2->64 16 >64
    L4 mutations 2
Clarithromycin 0.015->64 4 >64
    Macrolide S 0.015-0.06 0.03 0.06
    erm(B) 32->64 >64 >64
    mef(A) 0.5-8 4 8
    erm(A) 0.25->64 2 >64
    L4 mutations 1
Telithromycin 0.03-16 0.125 8
    Macrolide S 0.03-0.06 0.06 0.06
    erm(B) 0.03-16 8 16
    mef(A) 0.125-1 0.5 1
    erm(A) 0.03-0.25 0.06 0.125
    L4 mutations 0.06
Amoxicillin-clavulanate <0.015-0.125 0.03 0.03
    Macrolide S 0.015-0.03 0.03 0.03
    erm(B) <0.015-0.125 <0.015 0.03
    mef(A) <0.015-0.125 0.015 0.06
    erm(A) <0.015-0.03 0.03 0.03
    L4 mutations 0.03
Levofloxacin 0.5-2 0.5 1
    Macrolide S 0.5-1 0.5 0.5
    erm(B) 0.5-1 0.5 1
    mef(A) 0.5-2 0.5 1
    erm(A) 0.5-2 0.5 1
    L4 mutations 0.5
Moxifloxacin 0.0125-0.5 0.25 0.25
    Macrolide S 0.125-0.25 0.25 0.25
    erm(B) 0.125-0.25 0.25 0.25
    mef(A) 0.25-0.5 0.25 0.25
    erm(A) 0.125-0.5 0.25 0.25
    L4 mutations 0.25
Penicillin G <0.008-0.125 0.015 0.015
    Macrolide S 0.008-0.015 0.015 0.015
    erm(B) <0.008-0.125 0.015 0.015
    mef(A) <0.008-0.125 0.015 0.03
    erm(A) <0.008-0.015 0.015 0.015
    L4 mutations 0.015
Clindamycin 0.03->64 0.125 >64
    Macrolide S 0.03-0.125 0.06 0.06
    erm(B) 0.06->64 >64 >64
    mef(A) 0.03-0.125 0.06 0.125
    erm(A) 0.06-0.5 0.125 0.25
    L4 mutations 0.06
a

S, susceptible. A total of 26 macrolide-susceptible, 19 erm(B), 38 mef(A), and 40 erm(A) strains, as well as 1 strain with L4 mutations, were tested.

b

50 and 90%, MICs at which 50% and 90% of isolates, respectively, are inhibited.