TABLE 7.
Susceptibility of H. influenzae to 23 antimicrobial agents
Antimicrobial agent and phenotype (no. of isolates)a | MIC (μg/ml)
|
Percentb
|
||||
---|---|---|---|---|---|---|
Range | 50% | 90% | S | I | R | |
Amoxicillinc | ||||||
All (1,031) | ≤0.03–>16 | 0.5 | >16 | 61.0 | 5.5 | 33.5 |
β-Lactamase+ (359) | 0.5–>16 | >16 | >16 | 0.6 | 5.3 | 94.2 |
β-Lactamase− (672) | ≤0.03–8 | 0.5 | 1.0 | 93.3 | 5.7 | 1.0 |
Amoxicillin-clavulanate | ||||||
All (1,031) | ≤0.03–8 | 0.5 | 1.0 | 99.9 | 0.0 | 0.1 |
β-Lactamase+ (359) | ≤0.03–2 | 0.5 | 2.0 | 100.0 | 0.0 | 0.0 |
β-Lactamase− (672) | ≤0.03–8 | 0.25 | 0.5 | 99.9 | 0.0 | 0.1 |
Cephalothind | ||||||
All (1,029) | ≤0.03–>64 | 2.0 | 16 | |||
β-Lactamase+ (359) | 0.06–>64 | 8.0 | 32 | |||
β-Lactamase− (670) | ≤0.03–64 | 1.0 | 8.0 | |||
Cefaclor | ||||||
All (1,032) | ≤0.03–>32 | 2.0 | 8.0 | 90.1 | 3.9 | 6.0 |
β-Lactamase+ (360) | ≤0.03–>32 | 4.0 | 32 | 76.9 | 7.5 | 15.6 |
β-Lactamase− (672) | ≤0.03–32 | 2.0 | 4.0 | 97.2 | 1.9 | 0.9 |
Loracarbef | ||||||
All (1,031) | 0.03–>32 | 1.0 | 8.0 | 93.2 | 2.1 | 4.7 |
β-Lactamase+ (359) | 0.25–>32 | 4.0 | 32 | 81.3 | 5.6 | 13.1 |
β-Lactamase− (672) | 0.03–32 | 1.0 | 2.0 | 99.6 | 0.3 | 0.1 |
Cefuroxime | ||||||
All (1,031) | ≤0.03–>32 | 0.5 | 1.0 | 99.2 | 0.7 | 0.1 |
β-Lactamase+ (359) | ≤0.03–>32 | 0.5 | 1.0 | 99.2 | 0.6 | 0.3 |
β-Lactamase− (672) | ≤0.03–8 | 0.5 | 1.0 | 99.3 | 0.7 | 0.0 |
Cefprozil | ||||||
All (1,031) | 0.12–>32 | 4.0 | 32 | 79.6 | 8.2 | 12.1 |
β-Lactamase+ (359) | 0.25–>32 | 8.0 | >32 | 51.5 | 16.2 | 32.3 |
β-Lactamase− (672) | 0.12–32 | 2.0 | 8.0 | 94.6 | 4.0 | 1.3 |
Cefpodoxime | ||||||
All (1,031) | ≤0.015–2 | 0.06 | 0.25 | 100.0 | 0.0 | 0.0 |
β-Lactamase+ (359) | ≤0.015–1 | 0.06 | 0.25 | 100.0 | 0.0 | 0.0 |
β-Lactamase− (672) | ≤0.015–2 | 0.06 | 0.25 | 100.0 | 0.0 | 0.0 |
Cefixime | ||||||
All (1,031) | ≤0.25–1 | ≤0.25 | ≤0.25 | 100.0 | 0.0 | 0.0 |
β-Lactamase+ (359) | ≤0.25–1 | ≤0.25 | ≤0.25 | 100.0 | 0.0 | 0.0 |
β-Lactamase− (672) | ≤0.25–1 | ≤0.25 | ≤0.25 | 100.0 | 0.0 | 0.0 |
Ceftibuten | ||||||
All (1,031) | ≤0.25–>8 | ≤0.25 | ≤0.25 | 99.9 | 0.0 | 0.1 |
β-Lactamase+ (359) | ≤0.25–8 | ≤0.25 | ≤0.25 | 99.7 | 0.0 | 0.3 |
β-Lactamase− (672) | ≤0.25–2 | ≤0.25 | 0.5 | 100.0 | 0.0 | 0.0 |
Cefotaxime | ||||||
All (1,029) | ≤0.015–2 | ≤0.015 | 0.03 | 100.0 | 0.0 | 0.0 |
β-Lactamase+ (359) | ≤0.015–1 | ≤0.015 | 0.03 | 100.0 | 0.0 | 0.0 |
β-Lactamase− (670) | ≤0.015–2 | ≤0.015 | 0.03 | 100.0 | 0.0 | 0.0 |
Ceftriaxone | ||||||
All (1,030) | ≤0.015–0.5 | ≤0.015 | 0.03 | 100.0 | 0.0 | 0.0 |
β-Lactamase+ (359) | ≤0.015–0.25 | ≤0.015 | 0.03 | 100.0 | 0.0 | 0.0 |
β-Lactamase− (671) | ≤0.015–0.5 | ≤0.015 | 0.03 | 100.0 | 0.0 | 0.0 |
Erythromycin | ||||||
All (1,032) | 0.06–64 | 4.0 | 8.0 | |||
β-Lactamase+ (360) | 0.5–32 | 4.0 | 8.0 | |||
β-Lactamase− (672) | 0.06–64 | 4.0 | 8.0 | |||
Azithromycin | ||||||
All (1,032) | 0.03–16 | 1.0 | 2.0 | 99.7 | 0.0 | 0.3 |
β-Lactamase+ (360) | 0.12–16 | 1.0 | 2.0 | 99.7 | 0.0 | 0.3 |
β-Lactamase− (672) | 0.03–16 | 1.0 | 2.0 | 99.7 | 0.0 | 0.3 |
Clarithromycin | ||||||
All (1,032) | 0.03–64 | 4.0 | 8.0 | 91.7 | 7.1 | 1.3 |
β-Lactamase+ (360) | 1–32 | 8.0 | 16 | 88.9 | 9.4 | 1.7 |
β-Lactamase− (672) | 0.03–64 | 4.0 | 8.0 | 93.2 | 5.8 | 1.0 |
Grepafloxacin | ||||||
All (1,031) | ≤0.004–0.12 | ≤0.004 | 0.008 | 100.0 | 0.0 | 0.0 |
β-Lactamase+ (359) | ≤0.004–0.12 | ≤0.004 | 0.008 | 100.0 | 0.0 | 0.0 |
β-Lactamase− (672) | ≤0.004–0.12 | ≤0.004 | 0.008 | 100.0 | 0.0 | 0.0 |
Sparfloxacin | ||||||
All (1,029) | ≤0.004–0.12 | ≤0.004 | 0.008 | 100.0 | 0.0 | 0.0 |
β-Lactamase+ (359) | ≤0.004–0.03 | ≤0.004 | 0.008 | 100.0 | 0.0 | 0.0 |
β-Lactamase− (670) | ≤0.004–0.12 | ≤0.004 | 0.008 | 100.0 | 0.0 | 0.0 |
Levofloxacin | ||||||
All (1,029) | ≤0.004–0.12 | 0.015 | 0.03 | 100.0 | 0.0 | 0.0 |
β-Lactamase+ (359) | ≤0.004–0.03 | 0.015 | 0.015 | 100.0 | 0.0 | 0.0 |
β-Lactamase− (670) | ≤0.004–0.12 | 0.015 | 0.03 | 100.0 | 0.0 | 0.0 |
Ciprofloxacin | ||||||
All (1,032) | ≤0.004–1 | 0.008 | 0.015 | 100.0 | 0.0 | 0.0 |
β-Lactamase+ (360) | ≤0.004–0.25 | 0.008 | 0.015 | 100.0 | 0.0 | 0.0 |
β-Lactamase− (672) | ≤0.004–1 | 0.008 | 0.015 | 100.0 | 0.0 | 0.0 |
Ofloxacin | ||||||
All (1,032) | ≤0.004–1 | 0.03 | 0.03 | 100.0 | 0.0 | 0.0 |
β-Lactamase+ (360) | 0.008–0.5 | 0.03 | 0.03 | 100.0 | 0.0 | 0.0 |
β-Lactamase− (672) | ≤0.004–1 | 0.03 | 0.03 | 100.0 | 0.0 | 0.0 |
Rifampin | ||||||
All (1,029) | ≤0.015–>16 | 0.25 | 0.25 | 99.9 | 0.0 | 0.1 |
β-Lactamase+ (359) | ≤0.015–>16 | 0.25 | 0.25 | 99.7 | 0.0 | 0.3 |
β-Lactamase− (670) | ≤0.015–1 | 0.25 | 0.25 | 100.0 | 0.0 | 0.0 |
Tetracycline | ||||||
All (1,032) | ≤0.5–>4 | ≤0.5 | ≤0.5 | 98.9 | 0.3 | 0.8 |
β-Lactamase+ (360) | ≤0.5–>4 | ≤0.5 | ≤0.5 | 98.1 | 0.3 | 1.7 |
β-Lactamase− (672) | ≤0.5–>4 | ≤0.5 | ≤0.5 | 99.4 | 0.3 | 0.3 |
SXT | ||||||
All (1,032) | <0.125–>4 | ≤0.125 | 4.0 | 87.5 | 2.3 | 10.2 |
β-Lactamase+ (360) | <0.125–>4 | ≤0.125 | >4 | 82.5 | 1.7 | 15.8 |
β-Lactamase− (672) | <0.125–>4 | ≤0.125 | 0.5 | 90.2 | 2.7 | 7.1 |
β-Lactamase+, β-lactamase positive; β-Lactamase−, β-lactamase negative.
Percent susceptible (S), intermediate (I), and resistant (R) according to NCCLS breakpoints.
Ampicillin breakpoints were used for amoxicillin.
No NCCLS breakpoints for this antimicrobial agent.