Table 1.
Results of antimicrobial susceptibility tests and genetic characterization.
Antimicrobial agents | MIC (mg/L) | Interpretation a | Resistance genes | Mutations |
---|---|---|---|---|
Aminoglycoside | ||||
amikacin | >128 | R | aph(3’)-VIb | — |
gentamicin | >128 | R | aac(3)-IId | |
kanamycin | >128 | R | ||
β-lactamb | ||||
meropenem | >16 | R | bla OXA-58 | — |
imipenem | >16 | R | bla PER-1 | |
ertapenem | >16 | R | ||
cefotaxime | >16 | R | ||
ampicillin | >128 | R | ||
aztreonam | >128 | R | ||
Quinolone | ||||
ciprofloxacin | >16 | R | — | gyrA (S81L); gyrB(A414T); parC (S84L) |
Polymyxins | ||||
colistin | 4 | R | — | pmrC (Q143L, L146F, Q148K, I171V, L258S) |
Tetracycline | ||||
tetracycline | >64 | R | RND family efflux pump genes adeDE, adeN-adeIJK, adeL-adeFGH, adeRS-adeAB | |
Glycylcycline | ||||
tigecycline | 2 | NA | ||
Sulfonamide | ||||
trimethoprim-sulfamethoxazole | >76/4 | R | sul2 | — |
MLS - Macrolide, Lincosamide and Streptogramin B | ||||
azithromycin | >64 | R | msr(E); mph(E) | — |
MIC values are categorized as susceptible, intermediate, or resistant following CLSI document M100-S30 or the EUCAST breakpoints. Antimicrobial resistance genes and mutations conferring resistance phenotypes are presented.
aR, resistant; NA, no interpretive criteria are available for Acinetobacter spp. from CLSI, EUCAST or FDA.
bblaADC-25 and blaOXA-51 genes were also detected on the chromosome of the genome, but not in association with an IS.