TABLE 2.
In vitro activities and MIC distributions of five different antibiotics tested against ampicillin-, SXT-, and ciprofloxacin-resistant isolates of E. coli
| E. coli isolate group (n) and antibiotic | MIC50 (μg/ml) | MIC90 (μg/ml) | Range (μg/ml) | % Resistanta | No. of isolates inhibited by MIC (μg/ml) of:
|
|||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ≤0.03 | 0.06 | 0.12 | 0.25 | 0.5 | 1 | 2 | 4 | 8 | 16 | 32 | 64 | 128 | 256 | 512 | >512 | |||||
| Ampicillin-resistant (689) | ||||||||||||||||||||
| Ampicillin | 512 | >512 | 32–>512 | 100 | 0 | 0 | 0 | 0 | 0 | 0 | 11 | 18 | 46 | 190 | 204 | 220 | ||||
| Ciprofloxacin | ≤0.03 | ≤0.03 | ≤0.03–32 | 2.0 | 643 | 9 | 3 | 6 | 0 | 14 | 0 | 0 | 5 | 2 | 7 | |||||
| Mecillinam | 4 | 64 | ≤0.5–>512 | 14.8 | 75 | 75 | 35 | 287 | 115 | 27 | 5 | 12 | 19 | 9 | 21 | 9 | ||||
| Nitrofurantoin | 16 | 16 | 4–128 | 0.2 | 0 | 9 | 149 | 473 | 48 | 9 | 1 | 0 | 0 | 0 | ||||||
| SXT | 0.5 | >64 | ≤0.06–128 | 35.7 | 155 | 71 | 79 | 100 | 26 | 12 | 6 | 5 | 0 | 8 | 4 | 223 | ||||
| SXT-resistant (317) | ||||||||||||||||||||
| Ampicillin | 256 | >512 | 2–>512 | 79.6 | 0 | 0 | 26 | 18 | 20 | 0 | 0 | 5 | 18 | 74 | 69 | 86 | ||||
| Ciprofloxacin | ≤0.03 | 0.25 | ≤0.03–32 | 6.3 | 282 | 0 | 3 | 3 | 0 | 9 | 0 | 1 | 3 | 7 | 9 | |||||
| Mecillinam | 4 | 64 | ≤0.5–>512 | 15.1 | 82 | 36 | 27 | 83 | 41 | 10 | 0 | 7 | 8 | 8 | 7 | 8 | ||||
| Nitrofurantoin | 16 | 32 | ≤2–64 | 0 | 4 | 3 | 57 | 180 | 68 | 5 | 0 | 0 | 0 | 0 | ||||||
| SXT | >64 | >64 | 4–128 | 100 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 6 | 8 | 5 | 8 | 286 | ||||
| Ciprofloxacin-resistant (20) | ||||||||||||||||||||
| Ampicillin | 512 | 512 | 4–512 | 90 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 2 | 16 | 0 | ||||
| Ciprofloxacin | 16 | >16 | 4–32 | 100 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 3 | 7 | 9 | |||||
| Mecillinam | 2 | 16 | ≤0.5–16 | 10 | 3 | 4 | 3 | 3 | 5 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | ||||
| Nitrofurantoin | 16 | 32 | 2–32 | 0 | 4 | 0 | 0 | 7 | 9 | 0 | 0 | 0 | 0 | 0 | ||||||
| SXT | >64 | >64 | 8–128 | 100 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 19 | ||||
Resistance breakpoints used were those defined by NCCLS M100-S9 (8). They were 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.