Table 1.
Isolate | PEN MIC (mg/L)a |
Disc diffusion (mm) |
Amino acid substitutionsc |
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
microdilution | Etestb | WalkAway | VITEK 2 | PEN | OXA | CTB | CTX | PBP2X | PBP1A | PBP2B | |
AC-13238-1 | 0.5 | 0.5 | 0.12 | UD | 27 | 7 | 0 | 16 | I377V, F395L, V405A, H438Y, V510I | A521V, del719–722, N723S, V726A | V80A |
AC-13238-2 | 1 | 1 | 0.5 | UD | 23 | 0 | 0 | 15 | I377V, V405A, H438Y, V510I, Q557E | T526I, del719–722, N723S, V726A | V80A |
PEN, penicillin; OXA, oxacillin; CTB, ceftibuten; CTX, cefotaxime; UD, undetermined.
Each MIC value was obtained consistently across three independent assays.
Same PEN MIC determined by Etest according to EUCAST and CLSI guidelines.
The amino acid positions are those of the corresponding genes in strain 2603V/R (GenBank accession number NC_004116). Substitutions strongly associated with PRGBS are shown in bold.