TABLE 1.
ESKAPE pathogen | MICa (μg/ml) |
|||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
AMK |
GEN |
TOB |
MEM |
CIP |
LEV |
RIF |
CST |
VAN |
||||||||||
wt | hip | wt | hip | wt | hip | wt | hip | wt | hip | wt | hip | wt | hip | wt | hip | wt | hip | |
P. aeruginosa | 1 | 1 | 1 | ND | 0.5 | 0.5 | 1.024 | 0.512 | 0.032 | 0.032 | ND | ND | ND | ND | 0.5 | 0.5 | ND | ND |
S. aureus | 32 | ND | 2 | 2 | 512 | 512 | 16b | 16b | 0.5 | 2 | 0.25 | 0.5 | 0.008 | 0.008 | ND | ND | 0.5 | 0.5 |
A. baumannii | 4 | 2 | >256 | ND | 2 | 1 | 4.096 | 2.048 | >32 | >32 | 8 | 8 | ND | ND | 0.5 | 0.5 | ND | ND |
K. pneumoniae | 1 | 2 | 0.125 | ND | 0.5 | 0.5 | 0.256 | 0.256 | 0.128 | 0.128 | ND | ND | ND | ND | 2 | 2 | ND | ND |
E. aerogenes | 4 | 4 | 0.5 | ND | 2 | 1 | 1.024 | 1.024 | 0.064 | 0.032 | ND | ND | ND | ND | 1 | 1 | ND | ND |
E. faecium | 8b | ND | 8c | 8c | 64c | 64c | 2.048b | 2.048b | 8 | 8 | 2 | 2 | 0.008b | 0.008b | ND | ND | 0.5 | 0.5 |
Bold values indicate clinical resistance according to EUCAST guidelines (clinical breakpoints, version 5.0, available at http://www.eucast.org). Abbreviations: AMK, amikacin; GEN, gentamicin; TOB, tobramycin; MEM, meropenem; CIP, ciprofloxacin; LEV, levofloxacin; RIF, rifampin; CST, colistin; VAN, vancomycin; wt, wild type; hip, high-persistence clone; ND, not determined.
No breakpoints have been defined.
EUCAST defines no aminoglycoside breakpoints for enterococci but instead classifies strains as having either low- or high-level intrinsic resistance to aminoglycosides on the basis of their gentamicin MICs. The aminoglycoside MICs of the E. faecium strain used in this study fell below the upper limit for low-level resistance (MIC ≤ 128 μg/ml).