TABLE 1.
In vitro activities of antibiotics tested against 2,000 urinary tract isolates from outpatients
| Isolate(s) (n) and antibiotic | MIC50 (μg/ml) | MIC90 (μg/ml) | Range (μg/ml) | % Resistanta |
|---|---|---|---|---|
| All (2,000) | ||||
| Ampicillin | 4 | >512 | ≤0.5–>512 | 41.0 |
| Ciprofloxacin | ≤0.03 | 0.12 | ≤0.03–32 | 1.8 |
| Mecillinam | 4 | 64 | ≤0.5–>512 | 14.7 |
| Nitrofurantoin | 16 | 32 | ≤2–>512 | 5.0 |
| SXT | 0.12 | >64 | ≤0.06–128 | 19.2 |
| E. coli (1,681) | ||||
| Ampicillin | 4 | >512 | ≤0.5–>512 | 41.0 |
| Ciprofloxacin | ≤0.03 | ≤0.03 | ≤0.03–32 | 1.2 |
| Mecillinam | 1 | 16 | ≤0.5–>512 | 7.4 |
| Nitrofurantoin | 16 | 32 | ≤2–>512 | 0.1 |
| SXT | 0.12 | >64 | ≤0.06–128 | 18.9 |
| K. pneumoniae (75) | ||||
| Ampicillin | 32 | 128 | 8–>512 | 65.6 |
| Ciprofloxacin | ≤0.03 | 0.12 | ≤0.03–32 | 1.3 |
| Mecillinam | 1 | 64 | ≤0.5–>512 | 17.8 |
| Nitrofurantoin | 64 | 128 | 4–512 | 18.7 |
| SXT | 0.12 | 0.5 | ≤0.06–128 | 8.0 |
| Enterococcus spp. (56) | ||||
| Ampicillin | ≤0.05 | 1 | ≤0.5–256 | 4.5 |
| Ciprofloxacin | 1 | >16 | ≤0.03–32 | 19.6 |
| Mecillinam | 256 | 512 | 1–>512 | 90.1 |
| Nitrofurantoin | 8 | 16 | 4–64 | 0 |
| SXT | 0.06 | 32 | ≤0.06–128 | 17.9 |
| P. mirabilis (51) | ||||
| Ampicillin | 1 | 64 | ≤0.5–>512 | 11.9 |
| Ciprofloxacin | 0.03 | 0.06 | ≤0.03–0.25 | 0 |
| Mecillinam | 64 | 256 | ≤0.5–>512 | 76.5 |
| Nitrofurantoin | 128 | 128 | 4–128 | 76.5 |
| SXT | 0.12 | >64 | ≤0.06–128 | 17.5 |
| S. saprophyticus (27) | ||||
| Ampicillin | ≤0.05 | 32 | ≤0.5–32 | 15.8 |
| Ciprofloxacin | 0.25 | 0.5 | 0.06–0.5 | 0 |
| Mecillinam | 8 | 32 | ≤0.5–32 | 48.1 |
| Nitrofurantoin | 8 | 16 | 4–32 | 0 |
| SXT | ≤0.06 | 2 | ≤0.06–2 | 0 |
Resistance breakpoints used were those defined by NCCLS M100-S9 (8). They are as follows: for ampicillin, ≥32 μg/ml; for ciprofloxacin, ≥4 μg/ml; for nitrofurantoin, ≥128 μg/ml; and for SXT, ≥4/76 μg/ml. The mecillinam resistance breakpoint used was ≥16 μg/ml.