TABLE 3.
Antimicrobial susceptibilities, MIC50 and MIC90, gyrA sequence, production of toxins A and B (Tox A/B), and AP-PCR type (AP type) of 19 MXF-resistant C. difficile isolates, 4 in vitro-selected strains, and 3 ATCC strains (ATCC 17857 and ATCC 43255, C. difficile; ATCC 25285, Bacteroides fragilisa,b,e
| Strain | MIC (μg/ml)
|
GyrA aa/ntc | Tox A/B | AP type | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Group I | Group II | Group III | Group IV | ||||||||||
| NOR | CIP | GRX | GAT | GMX | TVA | CLX | MXF | MEO | VAN | ||||
| ATCC 17857 | 8 | >32 | 16 | 2 | 2 | 2 | 0.5 | 2 | 0.125 | 1.5 | T/ACT | −/− | NTd |
| ATCC 43255 | 8 | >32 | 2 | 1 | 1 | 1 | 0.5 | 0.5 | 0.047 | 1 | T/ACT | +/+ | NT |
| ATCC 25285 | 4 | >32 | 4 | 0.5 | 1 | 1 | 0.5 | 0.5 | 0.5 | NT | NT | NT | NT |
| 1542 | >64 | >32 | 32 | 16 | 32 | 16 | 2 | 16 | 0.38 | 1 | V/GTT | +/+ | 2 |
| 2897 | >64 | >32 | 32 | >32 | 32 | 32 | 4 | >32 | 0.125 | 0.75 | I/ATT | +/+ | 2 |
| 2923 | >64 | >32 | 32 | 32 | 32 | 32 | 2 | 16 | 0.25 | 1 | T/ACT | +/+ | 1 |
| 2518 | >64 | 32 | 32 | 32 | 8 | 4 | 2 | >32 | 0.125 | 1 | T/ACT | +/+ | 3 |
| 1000 | >64 | >32 | 32 | 32 | 32 | 32 | 2 | 32 | 0.125 | 1 | I/ATT | +/+ | 5A,B |
| 1001 | >64 | >32 | 32 | 16 | 32 | 32 | 2 | 16 | 0.19 | 1 | I/ATT | +/+ | 5A,B |
| 1002 | >64 | >32 | 32 | 32 | 32 | 32 | 2 | 16 | 0.125 | 1 | I/ATT | +/+ | 5A,B |
| 1009 | >64 | >32 | 32 | 32 | 16 | 32 | 2 | 16 | 0.125 | 0.75 | I/ATT | +/+ | 5A,B |
| 1111/1 | >64 | >32 | 32 | 32 | 32 | 32 | 2 | 16 | 0.125 | 0.5 | IATT | +/+ | 4 |
| 1111/2 | >64 | >32 | 32 | 32 | 32 | 32 | 2 | 16 | 1 | 1.5 | IATT | +/+ | 4 |
| E 213 | >64 | >32 | 32 | 32 | 16 | 16 | 2 | 16 | 0.125 | 0.75 | T/ACT | −/− | 5A,B |
| E 214 | >64 | >32 | >32 | 32 | 16 | 32 | 2 | 16 | 0.094 | 0.75 | T/ACT | −/− | 6 |
| E 239 | >64 | 16 | 16 | 16 | 16 | 32 | 2 | >32 | 0.094 | 0.25 | IATT | +/+ | 7 |
| E 287 | >64 | >32 | >32 | 32 | 32 | 32 | 2 | 32 | 0.094 | 1 | IATT | +/+ | 5A,B |
| E 496 | >64 | >32 | 32 | 32 | 32 | 32 | 2 | 16 | 0.5 | 0.75 | IATT | +/+ | 5A,B |
| E 497 | >64 | >32 | 32 | 32 | 32 | 32 | 2 | 16 | 0.19 | 1 | T/ACT | +/+ | 5A,B |
| E 498 | >64 | >32 | 32 | 32 | 16 | 32 | 2 | 16 | 0.5 | 1 | IATT | +/+ | 6 |
| E 510 | >64 | >32 | 16 | 32 | 16 | 32 | 2 | 16 | 0.125 | 0.75 | IATT | +/+ | 5A,B |
| E 511 | >64 | >32 | 32 | 32 | 32 | 32 | 2 | 16 | 0.094 | 1 | IATT | +/+ | 6 |
| 6MX4 | >64 | >32 | >32 | 8 | 16 | 8 | 2 | 8 | 0.094 | 1.5 | T/ACT | +/+ | NT |
| 6MX8 | >64 | >32 | >32 | 8 | 16 | 4 | 2 | 8 | 0.064 | 1.5 | T/ACT | +/+ | NT |
| 9MX16 | >64 | >32 | 32 | 8 | 8 | 4 | 2 | 4 | 0.023 | 1 | T/ACT | +/+ | NT |
| 9MX32 | >64 | >32 | 32 | 8 | 8 | 4 | 2 | 4 | 0.016 | 0.75 | T/ACT | +/+ | NT |
NOR, norfloxacin; GRX, grepafloxacin; GMX, gemifloxacin; and CLX, clinafloxacin.
Groups I to IV are fluoroquinolone groups (22).
aa, amino acid; nt, nucleotides. E. coli coordinates are given; boldface indicates mutations leading to amino acid substitution.
NT, not tested.
MIC50s for NOR, CIP, GRX, GAT, GMX, TVA, CLX, MXF, MEO, and VAN are >64, >32, 32, 32, 32, 32, 2, 16, 0.125, and 1 μg/ml, respectively. MIC90s for the same drugs are >64, >32, 32, 32, 32, 32, 2, >32, 0.5, and 1 μg/ml, respectively.