Table 1.
Pathogen | Antibacterial class | Antibacterial agents that may be used for ASTa,b |
---|---|---|
| ||
Escherichia coli | Sulfonamides and trimethoprim | Co-trimoxazole |
Fluoroquinolones | Ciprofloxacin or levofloxacin | |
Third-generation cephalosporins | Ceftriaxone or cefotaxime and ceftazidime | |
Fourth-generation cephalosporins | Cefepime | |
Carbapenemsc | Imipenem, meropenem, ertapenem or doripenem | |
Polymyxins | Colistin | |
Penicillins | Ampicillin | |
| ||
Klebsiella pneumoniae | Sulfonamides and trimethoprim | Co-trimoxazole |
Fluoroquinolones | Ciprofloxacin or levofloxacin | |
Third-generation cephalosporins | Ceftriaxone or cefotaxime and ceftazidime | |
Fourth-generation cephalosporins | Cefepime | |
Carbapenemsc | Imipenem, meropenem, ertapenem or doripenem | |
Polymyxins | Colistin | |
| ||
Acinetobacter baumannii | Tetracyclines | Tigecycline or minocycline |
Aminoglycosides | Gentamicin and amikacin | |
Carbapenemsc | Imipenem, meropenem, ertapenem or doripenem | |
Polymyxins | Colistin | |
| ||
Staphylococcus aureus | Penicillinase-stable beta-lactams | Cefoxitind |
| ||
Streptococcus pneumoniae | Penicillins | Oxacilline |
Penicillin G | ||
Sulfonamides and trimethoprim | Co-trimoxazole | |
Third-generation cephalosporins | Ceftriaxone or cefotaxime | |
| ||
Salmonella spp. | Fluoroquinolones | Ciprofloxacin or levofloxacin |
Third-generation cephalosporins | Ceftriaxone or cefotaxime and ceftazidime | |
Carbapenemsc | Imipenem, meropenem, ertapenem or doripenem | |
| ||
Shigella spp. | Fluoroquinolones | Ciprofloxacin or levofloxacin |
Third-generation cephalosporins | Ceftriaxone or cefotaxime and ceftazidime | |
Macrolides | Azithromycin | |
| ||
Neisseria gonorrhoeae | Third-generation cephalosporins | Cefixime |
Ceftriaxone | ||
Macrolides | Azithromycin | |
Aminocyclitols | Spectinomycin | |
Fluoroquinolones | Ciprofloxacin | |
Aminoglycosides | Gentamicin |
The listed substances are priorities for surveillance of resistance in each pathogen, although they may not be first-line options for treatment. One or more of the drugs listed may be tested.
One or more of the drugs listed may be tested in countries. S, I, R and nominator and denominator data for each shall be reported separately.
Imipenem or meropenem is preferred to represent the group when available.
Cefoxitin is a surrogate for testing susceptibility to oxacillin (methicillin, nafcillin); the AST report to clinicians should state susceptibility or resistance to oxacillin.
Oxacillin is a surrogate for testing reduced susceptibility or resistance to penicillin; the AST report to clinicians should state reduced susceptibility or resistance to penicillin.