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. 2019 Mar 27;63(4):e02161-18. doi: 10.1128/AAC.02161-18

TABLE 1.

Frequency of occurrence of lefamulin MICs for all pathogens tested

Organism (no. of isolates) Cumulative % of isolates inhibited at lefamulin MIC (μg/ml) of:
MIC50 (μg/ml) MIC90 (μg/ml)
≤0.008 0.015 0.03 0.06 0.12 0.25 0.5 1 2 4 8 >8
S. pneumoniae (3,923) 0.1 1.8 11.4 55.1 93.7 99.6 99.9 100.0 0.06 0.12
    Penicillin nonsusceptible, nonmeningitis (≥4 μg/ml) (189) 0.0 1.1 7.9 64.0 98.4 100.0 0.06 0.12
    Ceftriaxone nonsusceptible (≥2 μg/ml) (155) 0.0 0.6 10.3 63.9 99.4 100.0 0.06 0.12
    Erythromycin nonsusceptible(≥0.5 μg/ml) (1,348) 0.2 2.2 12.4 52.9 93.1 99.0 99.7 100.0 0.06 0.12
    Levofloxacin nonsusceptible (≥4 μg/ml) (47) 0.0 8.5 23.4 68.1 89.4 97.9 97.9 100.0 0.06 0.25
    MDRa (821) 0.4 2.9 15.8 61.1 96.3 99.8 99.8 100.0 0.06 0.12
    XDRa (181) 0.0 0.6 7.2 64.6 98.9 100.0 0.06 0.12
S. aureus (2,919) 26.0 88.9 99.2 99.6 99.7 99.8 99.8 99.8 99.8 100.0 0.06 0.12
    Methicillin susceptible (1,981) 25.6 95.2 99.7 99.7 99.8 99.9 >99.9 >99.9 >99.9 100.0 0.06 0.06
    Methicillin resistant (938) 26.9 75.7 98.2 99.4 99.5 99.6 99.7 99.8 99.8 100.0 0.06 0.12
H. influenzae (1,086) 1.7 20.4 69.4 93.8 99.1 99.9 100.0 0.5 1
    β-lactamase negative (835) 1.9 20.0 67.5 93.2 98.9 100.0 0.5 1
    β-lactamase positive (251) 1.2 21.9 75.7 96.0 99.6 99.6 100.0 0.5 1
M. catarrhalis (667) 1.0 2.4 11.1 88.3 99.9 100.0 0.06 0.12
a

MDR and XDR status was based on nonsusceptibility to ≥3 and ≥5 classes, respectively, of the following antimicrobial agents, as described by Golden et al. (30) and applying the following breakpoints: penicillin (MIC, ≥4 μg/ml), ceftriaxone (MIC, ≥2 μg/ml), erythromycin (MIC, ≥0.5 μg/ml), clindamycin (MIC, ≥0.5 μg/ml), levofloxacin (MIC, ≥4 μg/ml), tetracycline (MIC, ≥2 μg/ml), and trimethoprim-sulfamethoxazole (MIC, ≥1 μg/ml). MDR, multidrug resistant; XDR, extensive drug resistant.