TABLE 2.
Activities of selected agents against clinical Stenotrophomonas maltophilia isolates nonsusceptible to levofloxacin and/or TMP-SMZ stratified according to infection type, acquisition setting, and geographic origina
| Parameter and drug | MIC (mg/liter) |
% susceptible | ||
|---|---|---|---|---|
| 50% | 90% | Range | ||
| Infection type | ||||
| Pneumonia (n = 32) | ||||
| Ceftazidime | 64 | >128 | 1 to >128 | 15.6 |
| Ceftazidime-avibactamb | 64 | 128 | 0.125 to >128 | 18.2 |
| Chloramphenicol | 16 | >64 | 2 to >64 | 28.1 |
| Delafloxacin | 8 | 16 | 0.5 to 16 | |
| Eravacycline | 2 | 8 | 0.5 to 8 | |
| Levofloxacin | 8 | >16 | 0.25 to >16 | 28.1 |
| Minocycline | 2 | 4 | 0.125 to 8 | 93.8 |
| Moxifloxacin | 4 | 8 | 0.125 to 16 | |
| Omadacycline | 8 | 32 | 0.5 to 64 | |
| Polymyxin Bc | 0.25 | >8 | 0.06 to >8 | 75.0 |
| Tigecyclined | 1 | 8 | 0.125 to 8 | 71.9 |
| TMP-SMZe | 8 | >8 | 0.03 to >8 | 37.5 |
| Nonpneumonia (n = 9) | ||||
| Ceftazidime | 64 | 1 to >128 | 22.2 | |
| Ceftazidime-avibactamb | 64 | 1 to >128 | 22.2 | |
| Chloramphenicol | 32 | 8 to >64 | 11.1 | |
| Delafloxacin | 8 | 1 to 32 | ||
| Eravacycline | 2 | 0.5 to 16 | ||
| Levofloxacin | 8 | 0.5 to >16 | 33.3 | |
| Minocycline | 2 | 1 to 8 | 88.8 | |
| Moxifloxacin | 4 | 0.5 to 16 | ||
| Omadacycline | 16 | 2 to >64 | ||
| Polymyxin Bc | 2 | 0.03 to >8 | 66.7 | |
| Tigecyclined | 1 | 0.125 to >8 | 77.7 | |
| TMP-SMZe | 8 | 1 to >8 | 33.3 | |
| Acquisition setting | ||||
| Community (n = 17) | ||||
| Ceftazidime | 64 | >128 | 1 to >128 | 23.5 |
| Ceftazidime-avibactamb | 64 | >128 | 0.125 to >128 | 29.4 |
| Chloramphenicol | 16 | 64 | 2 to 64 | 35.3 |
| Delafloxacin | 8 | 16 | 1 to 16 | |
| Eravacycline | 2 | 8 | 0.5 to 16 | |
| Levofloxacin | 4 | 16 | 0.5 to >16 | 35.3 |
| Minocycline | 2 | 8 | 0.5 to 8 | 82.4 |
| Moxifloxacin | 2 | 8 | 0.25 to 16 | |
| Omadacycline | 8 | 64 | 0.5 to >64 | |
| Polymyxin Bc | 0.25 | 4 | 0.03 to 8 | 82.3 |
| Tigecyclined | 1 | 8 | 0.125 to >8 | 82.3 |
| TMP-SMZe | 8 | >8 | 0.25 to >8 | 35.3 |
| Nosocomial (n = 16) | ||||
| Ceftazidime | 64 | >128 | 1 to >128 | 12.5 |
| Ceftazidime-avibactamb | 64 | 128 | 1 to >128 | 12.5 |
| Chloramphenicol | 32 | >64 | 8 to >64 | 6.3 |
| Delafloxacin | 8 | 16 | 0.5 to 32 | |
| Eravacycline | 2 | 8 | 1 to 8 | |
| Levofloxacin | 16 | >16 | 0.25 to >16 | 18.8 |
| Minocycline | 2 | 4 | 0.125 to 4 | 100 |
| Moxifloxacin | 4 | 16 | 0.125 to 16 | |
| Omadacycline | 16 | 64 | 2 to 64 | |
| Polymyxin Bc | 0.5 | >8 | 0.06 to >8 | 68.8 |
| Tigecyclined | 2 | 8 | 0.5 to 8 | 62.5 |
| TMP-SMZe | 8 | >8 | 0.5 to >8 | 37.5 |
| Geographic origin | ||||
| U.S. (n = 17) | ||||
| Ceftazidime | 128 | >128 | 1 to >128 | 17.6 |
| Ceftazidime-avibactamb | 64 | 128 | 0.125 to >128 | 23.5 |
| Chloramphenicol | 16 | 32 | 2 to 64 | 35.3 |
| Delafloxacin | 8 | 16 | 0.5 to 16 | |
| Eravacycline | 2 | 8 | 0.5 to 8 | |
| Levofloxacin | 8 | >16 | 0.25 to >16 | 35.3 |
| Minocycline | 2 | 8 | 0.5 to 8 | 88.2 |
| Moxifloxacin | 4 | 16 | 0.125 to 16 | |
| Omadacycline | 8 | 64 | 1 to 64 | |
| Polymyxin Bc | 0.5 | >8 | 0.03 to >8 | 70.6 |
| Tigecyclined | 1 | 8 | 0.25 to 8 | 76.5 |
| TMP-SMZe | 8 | >8 | 0.03 to >8 | 29.4 |
| Non-U.S. (n = 24) | ||||
| Ceftazidime | 64 | >128 | 1 to >128 | 16.7 |
| Ceftazidime-avibactamb | 64 | >128 | 1 to >128 | 16.7 |
| Chloramphenicol | 32 | >64 | 4 to >64 | 16.7 |
| Delafloxacin | 8 | 16 | 1 to 32 | |
| Eravacycline | 2 | 8 | 0.5 to 16 | |
| Levofloxacin | 8 | >16 | 0.5 to >16 | 25.0 |
| Minocycline | 2 | 4 | 0.125 to 8 | 95.8 |
| Moxifloxacin | 4 | 8 | 0.5 to 16 | |
| Omadacycline | 16 | 32 | 0.5 to >64 | |
| Polymyxin Bc | 0.5 | >8 | 0.06 to >8 | 75.0 |
| Tigecyclined | 1 | 8 | 0.125 to >8 | 70.8 |
| TMP-SMZe | 8 | >8 | 0.25 to >8 | 41.7 |
No statistically significant differences in MIC distribution were present for any agent based on infection type, acquisition setting, or location using the Mann-Whitney U test.
Susceptibility interpretations based on CLSI-approved breakpoints for ceftazidime alone.
Based on CLSI breakpoints for Pseudomonas aeruginosa.
Based on FDA breakpoints for Enterobacteriaceae.
Reflects MIC of trimethoprim component only.