TABLE 1.
Susceptibilities of clinical isolates of S. enterica serovar Typhi and S. enterica serovar Paratyphi A to 18 antimicrobial agents
Drugs | MIC (μg/ml)
|
Incidence of resistant strains (%)a
|
Breakpoint (μg/ml) for resistance | ||||||
---|---|---|---|---|---|---|---|---|---|
S. enterica serovar Typhi
|
S. enterica serovar Paratyphi A
|
S. enterica serovar Typhi | S. enterica serovar Paratyphi A | ||||||
Range | 50% | 90% | Range | 50% | 90% | ||||
Chloramphenicol | 2.0–>256 | 4 | >256 | 2.0–>256 | 8 | 8 | 19.4 | 2.7 | ≥32 |
Ampicillin | 0.25–>256 | 0.5 | >256 | 2.0–>256 | 2 | 2 | 19.4 | 2.7 | ≥32 |
Streptomycin | 8.0–>1,024 | 16.0 | >1,024 | 0.25–>1,024 | 32.0 | 64.0 | – | – | –b |
Trimethoprim-sulfamethoxazole (1:19) | 0.5–>256 | 1 | >256 | 0.5–>256 | 4 | 4 | 19.4 | 2.7 | ≥4/76 |
Nalidixic acid | 2.0–>256 | 4 | >256 | 8.0–>256 | 8 | 16 | 16.1 | 5.4 | ≥32 |
Fosfomycin | 1.0–128 | 8 | 16 | 2.0–64 | 32.0 | 64.0 | 0.0 | 0.0 | ≥256 |
Norfloxacin | 0.031–2.0 | 0.125 | 1 | 0.125–4.0 | 0.25 | 0.5 | 0.0 | 0.0 | ≥16 |
Ciprofloxacin | 0.008–0.5 | 0.016 | 0.25 | 0.031–2.0 | 0.063 | 0.125 | 0.0 | 0.0 | ≥4 |
Ofloxacin | 0.031–1.0 | 0.063 | 0.5 | 0.004–4.0 | 0.25 | 0.5 | 0.0 | 0.0 | ≥8 |
Levofloxacin | 0.016–0.5 | 0.031 | 0.25 | 0.125–2.0 | 0.125 | 0.125 | 0.0 | 0.0 | ≥8 |
Tosufloxacin | 0.004–0.25 | 0.031 | 0.125 | 0.031–1.0 | 0.063 | 0.063 | – | – | – |
Sparfloxacin | 0.008–0.25 | 0.016 | 0.25 | 0.016–1.0 | 0.031 | 0.063 | – | – | – |
Cefoperazone | 0.031–8.0 | 0.25 | 4 | 0.25–4.0 | 0.5 | 1 | 0.0 | 0.0 | ≥64 |
Ceftriaxone | 0.016–0.063 | 0.031 | 0.063 | 0.016–0.5 | 0.031 | 0.063 | 0.0 | 0.0 | ≥64 |
Cefotaxime | 0.031–0.125 | 0.063 | 0.063 | 0.063–0.125 | 0.063 | 0.125 | 0.0 | 0.0 | ≥64 |
Aztreonam | 0.031–0.25 | 0.031 | 0.25 | 0.063–0.25 | 0.125 | 0.25 | 0.0 | 0.0 | ≥32 |
Azithromycin | 1.0–4.0 | 2 | 4 | 2.0–8.0 | 4 | 4 | – | – | – |
Imipenem | 0.25–1.0 | 0.25 | 0.5 | 0.25–4.0 | 0.5 | 2 | 0.0 | 0.0 | ≥16 |
The percentages of resistance to the antimicrobial agents are based on the breakpoints of the NCCLS (14). –, no breakpoints are given.
–, The interpretive breakpoints for Enterobacteriaceae were not available in the NCCLS breakpoints.