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. 2020 Jun 26;13:2001–2010. doi: 10.2147/IDR.S252485

Table 1.

Antimicrobial Susceptibility of 129 Mycobacterium abscessus Complex (MABC) Isolates

Subspecies/Antimicrobial Agents MIC50 MIC90 Range Susceptibility % (n) erm(41)
Sequevars (n)
(µg/mL) R I S
Mycobacterium abscessus subsp. abscessus (n=97)
Aminoglycosides
 Amikacin 16 32 2–>64 4.1 30.9 63.9 T(28) 86;
 Tobramycin 16 >16 2–>16 91.8 6.2 2.1 C(28) 10
Cephalosporins Truncated(1)
 Cefoxitin 64 128 16–>128 34.0 56.7 9.3
 Cefepimea >32 >32 32–>32 100 0 0
 Ceftriaxonea >64 >64 32–>64 99 1 0
Carbapenem
 Imipenem 16 64 2–>64 41.2 45.4 13.4
Fluoroquinolones
 Ciprofloxacin >4 >4 2–>4 93.8 6.2 0
 Moxifloxacin >8 >8 0.5–>8 94.9 3.1 2.1
Folate pathway inhibitor
 SXT >8 >8 1–>8 94.9 5.1
Tetracyclines
 Tigecycline 1 4 0.12–>4 11.3 88.7
 Minocyclinea >8 >8 4–>8 94.9 3.1 2.1
 Doxycycline >16 >16 0.5–>16 87.6 8.3 4.1
Macrolide
 Clarithromycin - 3days 1 16 0.06–>16 14.4 0 85.6
 Clarithromycin - 14days 16 >16 0.06–>16 88.7 0 11.3
Oxazolidinone
 Linezolid >32 >32 2–>32 86.6 8.3 5.2
β-Lactam/β-lactamase inhibitor combinations
 AMCa >64 >64 32–>64 99 1 0
Mycobacterium abscessus subsp. massiliense (n=13) Truncated(13)
Aminoglycosides rrl(1)
 Amikacin 16 32 8–32 0 38.5 61.5
 Tobramycin >16 >16 4–>16 92.3 7.7 0
Cephalosporins
 Cefoxitin 64 128 32–128 46.1 53.9 0
 Cefepimea >32 >32 16–>32 92.3 7.7 0
 Ceftriaxonea >64 >64 64–>64 100 0 0
Carbapenem
 Imipenem 16 32 2–32 23.1 69.2 7.7
Fluoroquinolones
 Ciprofloxacin >4 >4 2–>4 92.3 7.7 0
 Moxifloxacin >8 >8 2–>8 84.6 15.4 0
(µg/mL) R I S
Folate pathway inhibitor
 SXT >8 >8 1–>8 84.6 - 15.4
Tetracyclines
 Tigecycline 2 4 0.5–4 15.4 - 84.6
 Minocyclinea >8 >8 8–>8 100 0 0
 Doxycycline >16 >16 4–>16 84.6 15.4 0
Macrolide
 Clarithromycin - 3days 0.5 2 0.06–>16 7.7 0 92.3
 Clarithromycin - 14days 0.5 2 0.06–>16 7.7 0 92.3
Oxazolidinones
 Linezolid >32 >32 16–>32 76.9 15.4 7.7
β-Lactam/β-lactamase inhibitor combinations
 AMCa >64 >64 16–>64 92.3 0 7.7
Mycobacterium abscessus subsp. bolletii (n=19) No mutations
Aminoglycosides
 Amikacin 16 32 2–64 5.3 21 73.7
 Tobramycin 16 >16 4–>16 89.5 10.5 0
Cephalosporins
 Cefoxitin 128 128 32–>128 63.2 36.8 0
 Cefepimea >32 >32 32–>32 100 0 0
 Ceftriaxonea >64 >64 64–>64 100 0 0
Carbapenem
 Imipenem 16 32 2–32 47.4 31.6 21
Fluoroquinolones
 Ciprofloxacin >4 >4 4–>4 100 0 0
 Moxifloxacin >8 >8 2–>8 94.8 5.2 0
Folate pathway inhibitor
 SXT >8 >8 2–>8 94.5 - 5.3
Tetracyclines
 Tigecycline 2 4 0.25–4 15.8 - 84.2
 Minocyclinea >8 >8 8–>8 100 0 0
 Doxycycline >16 >16 2–>16 89.5 10.5 0
Macrolide
 Clarithromycin - 3days 1 16 0.5–>16 26.3 0 73.7
 Clarithromycin - 14days 16 >16 2–>16 94.7 0 5.3
Oxazolidinone
 Linezolid >32 >32 8–>32 73.7 5.3 21
β-Lactam/β-lactamase inhibitor combinations
 AMCa >64 >64 64–>64 100 0 0

Note: aDrugs out of guidelines.

Abbreviations: R, resistance; I, intermediate; S, susceptible; No mutations, There were no erm or rrl mutations in the M. bolletii isolates; SXT, trimethoprim/sulfamethoxazole; AMC, amoxicillin/clavulanic acid.