TABLE 1.
MIC50s, MIC90s, and percent antimicrobial susceptibilities of 97 samples of P. aeruginosaa
Antimicrobial agent | Breakpointsb (μg/ml)
|
Mucoid strains (n = 40)
|
Nonmucoid strains (n = 57)
|
P (Fisher exact test) | ||||||
---|---|---|---|---|---|---|---|---|---|---|
S | I | R | MIC50 (μg/ml) | MIC90 (μg/ml) | % Susceptibility | MIC50 (μg/ml) | MIC90 (μg/ml) | % Susceptibility | ||
Ceftizoximec | ≤8 | 16–32 | ≥64 | >32 | >32 | 7.5 | 32 | >32 | 5.3 | 0.65 |
Ceftazidime | ≤8 | 16 | ≥32 | 4 | >32 | 70.0 | 2 | 16 | 89.5 | 0.096 |
Cefotaximec | ≤8 | 16–32 | ≥64 | 32 | >64 | 25.0 | 32 | >64 | 14.0 | 0.173 |
Ceftriaxonec | ≤8 | 16–32 | ≥64 | 32 | >64 | 27.5 | 64 | >64 | 21.0 | 0.464 |
Cefoperazon | ≤16 | 32 | ≥64 | 16 | >32 | 57.5 | 3 | >32 | 79.0 | 0.00086d |
Cefepime | ≤8 | 16 | ≥32 | 16 | >16 | 42.5 | 4 | 16 | 83.0 | 0.000047d |
Imipenem | ≤4 | 8 | ≥16 | 1 | 4 | 90.0 | 1 | 2 | 96.5 | 0.19 |
Ampicillin-sulbactamc | ≤8–4 | 16–8 | ≥32–16 | >32–16 | >32–16 | 5.0 | >32–16 | >32–16 | 1.7 | 0.365 |
Ciprofloxacin | ≤1 | 2 | ≥4 | 1 | >4 | 50.0 | ≤0.25 | 2 | 86.0 | 0.00012d |
Aztreonam | ≤8 | 16 | ≥32 | 8 | >32 | 50.0 | 4 | 32 | 84.0 | 0.00031d |
Amoxicillin-clavulanatec | ≤8–4 | 16–8 | ≥32–16 | >32–16 | >32–16 | 2.5 | >32–16 | >32–16 | 1.7 | 0.800 |
Ticarcillin-clavulanate | ≤64–2 | ≥128–2 | ≤16 | 128 | 87.5 | ≤16 | 128 | 80.7 | 0.376 | |
Mezlocillin | ≤64 | ≥128 | 64 | >128 | 52.5 | 32 | >128 | 70.2 | 0.077 | |
Sparfloxacin | ≤1 | 2 | ≥4 | 2 | >2 | 30.0 | 1 | >2 | 68.4 | 0.00020d |
Piperacillin-tazobactam | ≤64–4 | ≥128–4 | ≤8 | >64 | 80.0 | ≤8 | 64 | 89.5 | 0.19 | |
Netilmicin | ≤8 | 16 | ≥32 | 8 | >16 | 50.0 | 8 | >16 | 56.0 | 0.55 |
Meropenem | ≤4 | 8 | ≥16 | ≤1 | 2 | 95.0 | ≤1 | 2 | 98.0 | 0.365 |
Azlocillin | ≤64 | ≥128 | ≤64 | >65 | 62.5 | ≤64 | >64 | 84.2 | 0.015 |
All samples were resistant to cefoxitin and cefpodoxime.
Based on interpretive breakpoints as indicated in NCCLS document M100-S10 (M7) (20) S. susceptible; I, intermediate; R, resistant.
Drug not indicated for treatment of P. aeruginosa infections, even with susceptibility (19).
The difference in the susceptibility rates between the mucoid and nonmucoid groups was considered statistically significant.