Table 3.
Percent resistance of Bacteroides fragilis group isolates and other anaerobes to antimicrobial agentsa,b
| Antimicrobial | MIC breakpoint (μg/ml) | % resistance to antimicrobial | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Susceptible | Resistant | B. fragilis | B. thetaiotaomicron | P. distasonis | B. ovatus | B. vulgatus | B. fragilis group | Prevotella spp. | Fusobacterium spp. | Clostridium spp. | Anaerobic Gram-positive cocci | |
| Ampicillin-sulbactam | ≤8/4 | ≥32/16 | 2.8–11 | 4.9–15 | 15–20.6 | 2–8 | 3–25 | 0 | 0 | 0 | ||
| Amoxicillin-clavulanate | ≤4/2 | ≥16/8 | 4–37 | 12–37 | 21 | 18 | 14 | 10–20 | 0–19 | 0–11 | 0–5 | 0–6 |
| Piperacillin-tazobactam | ≤32/4 | ≥128/4 | 0–5 | 0–12 | 0–14 | 0 | 1.1–7 | 0–8 | 0–1 | 0 | 0 | 0–3 |
| Cefoxitin | ≤16 | ≥64 | 4–25 | 6.8–68 | 11–60 | 18–59 | 11–20 | 17–33 | 0–3 | 0 | 16–35 | 0–2 |
| Ertapenem | ≤4 | ≥16 | 1.4–10 | 1.3–3 | 0–6 | 2–2.2 | 0–2 | 0 | 0 | 0–4 | 0 | |
| Imipenem | ≤4 | ≥16 | 0.3–7 | 0–7 | 0–1 | 0 | 0–7 | <1–1 | 0–6 | 4 | 15 | 0 |
| Meropenem | <4 | ≥16 | 1.2–22 | 0–3 | 0–1 | 0 | 0 | 8 | 0–5 | 0 | ||
| Doripenem | ≤4 | ≥16 | 1.3–12 | 0–3 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| Clindamycin | ≤2 | ≥8 | 10–42 | 39.8–60 | 14.3–64 | 36–45.5 | 40–54 | 32–52 | 13–33 | 8–31 | 16–25 | 5–27 |
| Moxifloxacin | ≤2 | ≥8 | 10–41 | 13–75 | 12.5–52 | 8–87 | 21–74 | 14–57 | 11–42 | 10–25 | 7–53 | 4–36 |
| Tigecycline | ≤4 | ≥16 | 2–11 | 0–5.8 | 0–3.2 | 2–5.2 | 0–5 | 2–13 | 0 | 0 | 14 | 0 |
Including intermediate-resistant strains. Metronidazole is not included since >99% of Gram-negative strains are susceptible.
Adapted from reference 78 with permission from Elsevier.