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. 2018 Nov 13;39(2):190–199. doi: 10.3343/alm.2019.39.2.190

Table 1. Antimicrobial susceptibility of 521 anaerobic bacterial isolates from 2014 to 2016.

N of isolates and antimicrobial agents Breakpoint (μg/mL) MIC (μg/mL) Susceptibility (%)*
S I R Range 50% 90% S I R
Bacteroides fragilis (60)
 Penicillin ≤ 0.5 1 ≥2 4– > 128 16 > 128 0 0 100
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 0.12– > 128 1 4 95 0 5
 Cefoxitin ≤ 16 32 ≥ 64 4–64 8 32 82 12 7
 Cefotetan ≤ 16 32 ≥ 64 2– > 128 8 64 75 13 12
 Imipenem ≤4 8 ≥ 16 ≤0.06–32 0.12 1 95 0 5
 Meropenem ≤4 8 ≥ 16 ≤ 0.06– > 128 0.12 2 92 3 5
 Clindamycin ≤2 4 ≥8 ≤ 0.06– > 128 1 > 128 60 2 38
 Moxifloxacin ≤2 4 ≥8 ≤0.06–32 0.5 8 77 3 20
 Chloramphenicol ≤8 16 ≥ 32 4–8 4 8 100 0 0
 Metronidazole ≤8 16 ≥ 32 0.25–8 4 4 100 0 0
Non-fragilis Bacteroides group I (54)
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06– > 128 128 > 128 2 0 98
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤ 0.06– > 128 8 32 93 2 6
 Cefoxitin ≤ 16 32 ≥ 64 1– > 128 16 32 57 35 7
 Cefotetan ≤ 16 32 ≥ 64 0.5– > 128 64 > 128 17 24 59
 Imipenem ≤4 8 ≥ 16 ≤0.06–32 0.5 2 94 4 2
 Meropenem ≤4 8 ≥ 16 ≤ 0.06–4 0.5 2 100 0 0
 Clindamycin ≤2 4 ≥8 ≤ 0.06– > 128 > 128 > 128 20 11 69
 Moxifloxacin ≤2 4 ≥8 ≤0.06–32 2 8 78 7 15
 Chloramphenicol ≤8 16 ≥ 32 2–8 8 8 100 0 0
 Metronidazole ≤8 16 ≥ 32 0.5–8 2 4 100 0 0
Non-fragilis Bacteroides group II (14)
 Penicillin ≤ 0.5 1 ≥2 16– > 128 16 > 128 0 0 100
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 0.5–32 8 32 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 1–64 32 32 43 50 7
 Cefotetan ≤ 16 32 ≥ 64 4– > 128 64 128 21 7 71
 Imipenem ≤4 8 ≥ 16 0.12–2 0.25 2 100 0 0
 Meropenem ≤4 8 ≥ 16 0.12–32 0.25 16 86 0 14
 Clindamycin ≤2 4 ≥8 0.5– > 128 > 128 > 128 36 0 64
 Moxifloxacin ≤2 4 ≥8 0.5–64 1 16 79 0 21
 Chloramphenicol ≤8 16 ≥ 32 4–8 8 8 100 0 0
 Metronidazole ≤8 16 ≥ 32 2–4 2 4 100 0 0
Parabacteroides distasonis (19)
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06– > 128 > 128 > 128 5 0 95
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤ 0.06– > 128 32 > 128 89 0 11
 Cefoxitin ≤ 16 32 ≥ 64 1–128 32 64 21 42 37
 Cefotetan ≤ 16 32 ≥ 64 1– > 128 128 > 128 5 0 95
 Imipenem ≤4 8 ≥ 16 ≤0.06–64 1 16 89 0 11
 Clindamycin ≤2 4 ≥8 ≤ 0.06– > 128 > 128 > 128 5 16 79
 Moxifloxacin ≤2 4 ≥8 0.12–32 0.5 16 79 0 21
 Chloramphenicol ≤8 16 ≥ 32 2–8 8 8 100 0 0
 Metronidazole ≤8 16 ≥ 32 0.5–4 2 4 100 0 0
Parabacteroides spp. (10)§
 Penicillin ≤ 0.5 1 ≥2 8– > 128 > 128 > 128 0 0 100
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 2–32 16 32 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 16–64 32 64 20 50 30
 Cefotetan ≤ 16 32 ≥ 64 64– > 128 128 > 128 0 0 100
 Imipenem ≤4 8 ≥ 16 1–4 1 4 100 0 0
 Clindamycin ≤2 4 ≥8 0.5– > 128 > 128 > 128 20 0 80
 Moxifloxacin ≤2 4 ≥8 0.25–16 0.5 16 60 10 30
 Chloramphenicol ≤8 16 ≥ 32 4–8 8 8 100 0 0
 Metronidazole ≤8 16 ≥ 32 1–4 2 4 100 0 0
Prevotella spp. (33)ǁ
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06– > 128 16 32 6 3 91
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤ 0.06–8 ≤ 0.06 ≤ 0.06 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 0.5–32 1 4 97 3 0
 Cefotetan ≤ 16 32 ≥ 64 0.5–64 2 32 88 9 3
 Imipenem ≤4 8 ≥ 16 ≤ 0.06–1 ≤ 0.06 ≤ 0.06 100 0 0
 Clindamycin ≤2 4 ≥8 ≤ 0.06– > 128 ≤ 0.06 > 128 55 0 45
 Moxifloxacin ≤2 4 ≥8 0.12–64 0.5 4 70 21 9
 Chloramphenicol ≤8 16 ≥ 32 1–16 2 8 91 9 0
 Metronidazole ≤8 16 ≥ 32 0.12–32 1 8 91 6 3
Fusobacterium spp.(19)
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06– > 128 0.25 4 79 5 16
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤ 0.06–8 2 4 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 0.12–16 4 8 100 0 0
 Cefotetan ≤ 16 32 ≥ 64 ≤0.06–32 2 4 95 5 0
 Imipenem ≤4 8 ≥ 16 ≤ 0.06–4 1 2 100 0 0
 Meropenem ≤4 8 ≥ 16 ≤ 0.06–2 ≤ 0.06 1 100 0 0
 Clindamycin ≤2 4 ≥8 ≤ 0.06–128 2 16 58 21 21
 Moxifloxacin ≤2 4 ≥8 ≤ 0.06–128 4 8 42 47 11
 Chloramphenicol ≤8 16 ≥ 32 ≤ 0.06–2 2 2 100 0 0
 Metronidazole ≤8 16 ≥ 32 0.12–1 ≤ 0.06 1 100 0 0
Other gram-negative bacilli (10)**
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06– > 128 1 16 30 30 40
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤ 0.06– > 128 1 128 80 0 20
 Cefoxitin ≤ 16 32 ≥ 64 0.25–32 2 32 80 20 0
 Cefotetan ≤ 16 32 ≥ 64 0.5–32 2 4 90 10 0
 Imipenem ≤4 8 ≥ 16 ≤ 0.06–0.5 0.25 0.25 100 0 0
 Clindamycin ≤2 4 ≥8 ≤0.06–32 ≤ 0.06 4 90 0 10
 Moxifloxacin ≤2 4 ≥8 ≤0.06–16 0.5 16 50 10 40
 Chloramphenicol ≤8 16 ≥ 32 0.25–8 4 8 100 0 0
 Metronidazole ≤8 16 ≥ 32 ≤0.06–64 NA NA NA NA NA
Veillonella spp. (11)††
 Penicillin ≤ 0.5 1 ≥2 2–16 4 16 0 0 100
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 4–128 16 32 91 0 9
 Cefoxitin ≤ 16 32 ≥ 64 2–8 4 8 100 0 0
 Cefotetan ≤ 16 32 ≥ 64 0.5–32 1 2 91 9 0
 Imipenem ≤4 8 ≥ 16 0.25–8 0.50 2 91 9 0
 Clindamycin ≤2 4 ≥8 ≤ 0.06– > 128 ≤ 0.06 2 91 0 9
 Moxifloxacin ≤2 4 ≥8 ≤0.06–64 0.25 4 82 9 9
 Chloramphenicol ≤8 16 ≥ 32 0.5–2 2 2 100 0 0
 Metronidazole ≤8 16 ≥ 32 2–32 8 32 73 0 27
Finegoldia magna (31)
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06–0.12 ≤ 0.06 ≤ 0.06 100 0 0
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤ 0.06–0.12 ≤ 0.06 ≤ 0.06 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 0.25–4 0.5 2 100 0 0
 Cefotetan ≤ 16 32 ≥ 64 0.12–4 0.25 2 100 0 0
 Imipenem ≤4 8 ≥ 16 ≤ 0.06– ≤ 0.06 ≤ 0.06 ≤ 0.06 100 0 0
 Clindamycin ≤2 4 ≥8 ≤0.06–64 ≤ 0.06 0.5 94 3 3
 Moxifloxacin ≤2 4 ≥8 0.12–8 0.25 0.5 94 0 6
 Metronidazole ≤8 16 ≥ 32 0.12–8 1 1 100 0 0
 Tetracycline ≤4 8 ≥ 16 ≤0.06–16 0.25 4 94 0 6
Parvimonas micra (29)
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06–0.25 0.12 0.25 100 0 0
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤ 0.06–2 0.12 0.25 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 0.25–4 0.5 1 100 0 0
 Cefotetan ≤ 16 32 ≥ 64 0.5–2 1 2 100 0 0
 Imipenem ≤4 8 ≥ 16 ≤ 0.06–0.25 ≤ 0.06 0.12 100 0 0
 Clindamycin ≤2 4 ≥8 ≤ 0.06–128 1 128 76 0 24
 Moxifloxacin ≤2 4 ≥8 ≤0.06–32 2 32 52 0 48
 Metronidazole ≤8 16 ≥ 32 0.5–4 1 2 100 0 0
 Tetracycline ≤4 8 ≥ 16 1–64 16 32 45 0 55
Other gram-positive cocci (14)i
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06–8 0.12 8 64 0 36
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤0.06–16 0.25 16 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 ≤0.06–16 0.5 16 100 0 0
 Cefotetan ≤ 16 32 ≥ 64 0.25–128 4 128 50 7 43
 Imipenem ≤4 8 ≥ 16 ≤ 0.06–4 0.25 4 100 0 0
 Clindamycin ≤2 4 ≥8 ≤ 0.06–128 0.25 128 50 7 43
 Moxifloxacin ≤2 4 ≥8 0.12–16 2 8 64 7 29
 Metronidazole ≤8 16 ≥ 32 0.5–8 2 2 100 0 0
 Tetracycline ≤4 8 ≥ 16 0.25–64 32 64 14 0 86
Clostridioides difficile (15)
 Penicillin ≤ 0.5 1 ≥2 2–4 2 4 0 0 100
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 4–16 16 16 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 128– > 128 128 > 128 0 0 100
 Cefotetan ≤ 16 32 ≥ 64 16–64 32 64 20 40 40
 Imipenem ≤4 8 ≥ 16 4–64 16 32 7 0 93
 Clindamycin ≤2 4 ≥8 1– > 128 16 > 128 7 27 67
 Moxifloxacin ≤2 4 ≥8 1–32 16 32 47 0 53
 Metronidazole ≤8 16 ≥ 32 0.5–4 2 2 100 0 0
 Tetracycline ≤4 8 ≥ 16 0.25–32 0.5 32 60 13 27
Clostridium spp. (27)j
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06–2 0.5 2 74 15 11
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤0.06–32 0.5 16 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 0.25–128 2 64 85 4 11
 Cefotetan ≤ 16 32 ≥ 64 0.25– > 128 4 > 128 78 4 19
 Imipenem ≤4 8 ≥ 16 0.25–8 1 4 96 4 0
 Clindamycin ≤2 4 ≥8 ≤ 0.06– > 128 1 > 128 63 4 33
 Moxifloxacin ≤2 4 ≥8 0.12–128 1 32 74 7 19
 Metronidazole ≤8 16 ≥ 32 0.25–64 2 8 93 0 7
 Tetracycline ≤4 8 ≥ 16 0.12–64 16 64 26 11 63
Actinomyces odontolyticus (34)
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06–8 0.5 8 53 18 29
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 0.5–64 4 32 91 9 0
 Cefoxitin ≤ 16 32 ≥ 64 ≤0.06–32 1 16 97 3 0
 Cefotetan ≤ 16 32 ≥ 64 0.5–128 8 128 65 12 24
 Imipenem ≤4 8 ≥ 16 ≤ 0.06–8 0.5 2 97 3 0
 Clindamycin ≤2 4 ≥8 ≤ 0.06– > 128 0.5 > 128 62 0 38
 Moxifloxacin ≤2 4 ≥8 2–32 2 2 97 0 3
 Metronidazole ≤8 16 ≥ 32 8– > 128 32 > 128 6 29 65
 Tetracycline ≤4 8 ≥ 16 2–32 2 16 79 0 21
Actinomyces spp. (23)ǁǁ
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06–0.5 0.12 0.12 100 0 0
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤ 0.06–1 0.5 1 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 0.12–1 0.25 1 100 0 0
 Cefotetan ≤ 16 32 ≥ 64 ≤ 0.06–4 0.5 4 100 0 0
 Imipenem ≤4 8 ≥ 16 ≤ 0.06–0.25 ≤ 0.06 0.25 100 0 0
 Clindamycin ≤2 4 ≥8 ≤ 0.06– > 128 0.25 > 128 78 0 22
 Moxifloxacin ≤2 4 ≥8 0.5–2 1 2 100 0 0
 Metronidazole ≤8 16 ≥ 32 32– > 128 > 128 > 128 0 0 100
 Tetracycline ≤4 8 ≥ 16 0.5–64 1 32 78 0 22
Bifidobacterium spp. (18)¶¶
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06–4 0.12 4 72 11 17
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤0.06–32 0.12 16 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 ≤0.06–64 1 64 83 0 17
 Cefotetan ≤ 16 32 ≥ 64 0.25– > 128 2 > 128 72 0 28
 Imipenem ≤4 8 ≥ 16 ≤ 0.06–1 0.12 0.5 100 0 0
 Clindamycin ≤2 4 ≥8 ≤ 0.06– > 128 0.5 > 128 72 0 28
 Moxifloxacin ≤2 4 ≥8 ≤0.06–16 1 4 89 6 6
 Metronidazole ≤8 16 ≥ 32 0.5– > 128 8 > 128 67 11 22
 Tetracycline ≤4 8 ≥ 16 2–128 2 16 83 6 11
Eggerthella lenta (38)
 Penicillin ≤ 0.5 1 ≥2 0.5–2 1 2 8 45 47
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 16–32 16 32 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 2–32 8 16 95 5 0
 Cefotetan ≤ 16 32 ≥ 64 32– > 128 128 > 128 0 5 95
 Imipenem ≤4 8 ≥ 16 0.5–0.5 0.5 1 100 0 0
 Clindamycin ≤2 4 ≥8 0.12–0.5 0.5 > 128 63 0 37
 Moxifloxacin ≤2 4 ≥8 0.12–4 4 64 47 21 32
 Metronidazole ≤8 16 ≥ 32 0.5–1 1 1 100 0 0
 Tetracycline ≤4 8 ≥ 16 0.5–32 32 64 37 3 61
Lactobacillus spp. (36)***
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06– > 128 0.5 2 56 22 22
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 0.5– > 128 4 8 94 0 6
 Cefoxitin ≤ 16 32 ≥ 64 4– > 128 > 128 > 128 17 3 81
 Cefotetan ≤ 16 32 ≥ 64 8– > 128 > 128 > 128 3 0 97
 Imipenem ≤4 8 ≥ 16 ≤0.06–16 0.25 8 86 11 3
 Clindamycin ≤2 4 ≥8 ≤ 0.06–1 0.12 0.5 100 0 0
 Moxifloxacin ≤2 4 ≥8 0.25–4 1 2 94 6 0
 Metronidazole ≤8 16 ≥ 32 32– > 128 > 128 > 128 0 0 100
 Tetracycline ≤4 8 ≥ 16 0.5– > 128 8 32 44 33 22
Other gram-positive bacilli (26)†††
 Penicillin ≤ 0.5 1 ≥2 ≤ 0.06–4 0.12 0.25 96 0 4
 Piperacillin-tazobactam ≤ 32 64 ≥ 128 ≤ 0.06–2 0.12 2 100 0 0
 Cefoxitin ≤ 16 32 ≥ 64 ≤0.06–16 1 4 100 0 0
 Cefotetan ≤ 16 32 ≥ 64 ≤0.06–32 2 8 96 4 0
 Imipenem ≤4 8 ≥ 16 ≤ 0.06–0.5 ≤ 0.06 0.12 100 0 0
 Clindamycin ≤2 4 ≥8 ≤0.06–64 ≤ 0.06 4 85 8 8
 Moxifloxacin ≤2 4 ≥8 ≤ 0.06–4 0.25 1 96 4 0
 Metronidazole ≤8 16 ≥ 32 0.25– > 128 8 > 128 60 0 40
 Tetracycline ≤4 8 ≥ 16 0.25–8 2 8 72 28 0

*Susceptibility was determined by breakpoint according to the CLSI M100 27th edition [19]; Bacteroides thetaiotaomicron (N=26), B. caccae (N=9), B. uniformis (N=7), B. vulgatus (N=7), B. ovatus (N=5); B. intestinalis (N=4), B. nordii (N =3), B. pyogenes (N=2), B. stercoris (N=2), B. salyersiae (N=2), B. cellulosilyticus (N=1); §Parabacteroides goldsteinii (N=5), P. johnsonii (N=2), P. merdae (N=2), P. faecis (N=1); Prevotella buccae (N=15), P. bivia (N=10), P. nigrescens (N=3), P. buccalis (N=1), P. disiens (N=1), P. intermedia (N=1), P. melaninogenica (N=1), P. oralis (N=1); Fusobacterium varium (N=14), F. mortiferum (N=2), F. ulcerans (N=2), F. nucleatum (N=1); **Dialister pneumosintes (N=2), Leptotrichia trevisanii (N=2), L. buccalis (N=1), Alistipes finegoldii (N=1), A. onderdonkii (N=1), Bilophila sp. (N=1), Megamonas sp. (N=1), Sutterella wadsworthensis (N=1); ††Veillonella parvula (N=9), V. atypica (N=1), V. dispar (N=1); ‡‡Peptoniphilus anaerobius (N=3), P. asaccharolyticus (N=2), P. gorbachii (N=2), P. harei (N=1), Anaerococcus vaginalis (N=2), A. murdochii (N=1), A. prevotii (N=1), Ruminococcus gnavus (N=2); §§Clostridium bifermentans (N=3), C. hathewayi (N=3), C. innocuum (N=3), C. paraputrificum (N=3), C. perfringens (N=3), C. butyricum (N=2), C. ramosum (N=2), C. sordellii (N=2), C. tertium (N=2), C. cadaveris (N=1), C. scindens (N=1), C. sporogenes (N=1), C. bolteae (N=1); ∥∥Actinomyces oris (N=7), A. turicensis (N=7), A. neuii (N=4), A. viscosus (N =2), A. europaeus (N=1), A. meyeri (N=1), A. naeslundii (N=1); ¶¶Bifidobacterium dentium (N=5), B. longum (N=5), B. breve (N=4), B. bifidum (N=2), B. pseudocatenulatum (N=1), B. thermophilum (N=1); ***Lactobacillus paracasei (N=5), L. rhamnosus (N=5), L. sakei (N=5), L. salivarius (N=4), L. fermentum (N=3), L. mucosae (N=3), L. crispatus (N=2), L. gasseri (N=2), L. plantarum (N=2), L. reuteri (N=2), L. curvatus (N=1), L. harbinensis (N=1), L. sporogenes (N=1); †††Atopobium parvulum (N=7), A. rimae (N=2), Propionibacterium acnes (N=5), P. avidum (N=1), P. lymphophilum (N=1), Actinotignum schaalii (N=2), Alloscardovia omnicolens (N=2), Bulleidia extructa (N=2), Collinsella aerofaciens (N=2), Flavonifractor plautii (N=1), Slackia exigua (N=1).

Abbreviations: S, susceptible; I, intermediate; R, resistant; MIC, minimum inhibitory concentration.