Table 2.
Antimicrobial Agents | Breakpoint (mg/L) | MIC (mg/L) | Number (%) of Isolates | ||||||
---|---|---|---|---|---|---|---|---|---|
S | I | R | Range | 50% | 90% | S | I | R | |
Piperacillin | ≤16 | 32–64 | ≥128 | 8 to >128 | 32 | 64 | 24 (46.2) | 23 (44.2) | 5 (9.6) |
Piperacillin-tazobactam | ≤16/4 | 32/4–64/4 | ≥128/4 | 0.25/4 to >128/4 | 4/4 | 32/4 | 45 (86.5) | 7 (13.5) | 0 (0.0) |
Cefoperazone | ≤16 | 32 | ≥64 | 16 to >128 | 32 | >128 | 3 (5.8) | 25 (48.1) | 24 (46.2) |
Cefoperazone-sulbactam | ≤16/8 | 32/16 | ≥64/32 | 2/1–128/64 | 8/4 | 64/32 | 46 (88.5) | 1 (1.9) | 5 (9.6) |
Ceftazidime | ≤8 | 16 | ≥32 | 64 to >128 | >128 | >128 | 0 (0.0) | 0 (0.0) | 52 (100.0) |
Cefepime | ≤8 | 16 | ≥32 | 16 to >128 | 32 | >128 | 0 (0.0) | 8 (15.4) | 44 (84.6) |
Aztreonam | ≤8 | 16 | ≥32 | >128 | >128 | >128 | 0 (0.0) | 0 (0.0) | 52(100.0) |
Imipenem | ≤4 | 8 | ≥16 | 8 to >128 | 16 | 128 | 0 (0.0) | 6 (11.5) | 46 (88.5) |
Meropenem | ≤4 | 8 | ≥16 | 8 to >128 | 32 | >128 | 0 (0.0) | 4 (7.7) | 48 (92.3) |
Colistin | ≤2 | – | ≥4 | >128 | >128 | >128 | 0 (0.0) | 0 (0.0) | 52 (100.0) |
Amikacin | ≤16 | 32 | ≥64 | 16 to >128 | 64 | >128 | 4 (7.7) | 3 (5.8) | 45 (86.5) |
Gentamicin | ≤4 | 8 | ≥16 | 4 to >128 | 64 | >128 | 1 (1.9) | 1 (1.9) | 50 (96.2) |
Ciprofloxacin | ≤1 | 2 | ≥4 | 0.25 to >128 | 1 | 128 | 26 (50.0) | 6 (11.5) | 20 (38.5) |
Levofloxacin | ≤2 | 4 | ≥8 | 0.25–64 | 1 | 32 | 37 (71.2) | 1 (1.9) | 14 (26.9) |
Rifampin | ≤1 | 2 | ≥4 | 0.5–64 | 1 | 8 | 40 (76.9) | 6 (11.5) | 6 (11.5) |
Trimethoprim-sulfamethoxazole | ≤2/38 | - | ≥4/76 | 1/19–16/304 | 4/76 | 8/152 | 19 (36.5) | 0 (0.0) | 33 (63.5) |
Tigecycline | ≤2 | 4 | ≥8 | 1–32 | 4 | 8 | 41 (78.8) | 8 (15.4) | 3 (5.8) |
Doxycycline | ≤4 | 8 | ≥16 | 1–8 | 2 | 4 | 50 (96.2) | 2 (3.8) | 0 (0.00) |
Minocycline | ≤4 | 8 | ≥16 | 0.25–4 | 0.5 | 1 | 52 (100.0) | 0 (0.0) | 0 (0.0) |
Vancomycin | ≤4 | 8–16 | ≥32 | 8–32 | 16 | 16 | 0 (0.0) | 12 (23.1) | 40 (76.9) |
Linezolid | ≤4 | - | ≥8 | 4–128 | 16 | 32 | 2 (3.8) | 0 (0.0) | 50 (96.2) |
Notes: In the combinations, the concentration of tazobactam was 4 mg/L constant. The ratio of cefoperazone to sulbactam was 2:1, and the ratio of trimethoprim to sulfamethoxazole was 1:19.
Abbreviations: MIC, minimal inhibitory concentration; S, susceptible; I, intermediate; R, resistant.