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. 2018 Nov 19;18:361. doi: 10.1186/s12887-018-1332-3

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© The Author(s). 2018

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 2 — The antimicrobial susceptibility pattern was determined in Bukavu, DR Congo for 163 pneumococcal strains isolated from healthy Congolese children. Disc diffusion tests were performed to detect reduced susceptibility to oxacillin, trimethoprim-sulfamethoxazole (TMP-SMX), tetracycline, erythromycin, clindamycin or norfloxacin (screening for fluoroquinolone resistance, i.e. levofloxacin and moxifloxacin). For oxacillin non-susceptible isolates, the minimal inhibitory concentration (MIC) was determined for penicillin G, ampicillin and ceftriaxone. ^aTMP-SMX = trimethoprim-sulfamethoxazole, ^bMDR = multi-drug resistant, i.e. non-susceptible to ≥3 classes of antibiotics including the beta-lactams