TABLE 5.
MIC and susceptibility data: species producing a chromosomal AmpC β-lactamasea
| Inoculum (CFU/ml) (n) and antibiotic | MICd (μg/ml)
|
% Susceptiblebc | ||
|---|---|---|---|---|
| Range | 50% | 90% | ||
| 105 (23) | ||||
| Meropenem | 0.03–4 | 0.03 | 0.06 | 100 |
| Cefoteten | 0.12–>64 | 4 | >64 | 79 |
| Cefotaxime | 0.12–256 | 8 | 64 | 54 |
| Ceftazidime | 1–1,024 | 32 | 512 | 29 |
| Ceftriaxone | 0.5–256 | 8 | 128 | 50 |
| Cefepime | 0.06–32 | 2 | 8 | 96 |
| Aztreonam | 0.25–1,024 | 16 | 256 | 38 |
| Pip-Tazo | 0.5–256 | 4 | 128 | 75 |
| 107 (23) | ||||
| Meropenem | 0.06–>64 | 1 | 16 | 79 (17/23) |
| Cefoteten | 0.25–>64 | 32 | >64 | 25 (11/19) |
| Cefotaxime | 1–>1,024 | >1,024 | >1,024 | 4 (22/23) |
| Ceftazidime | 16–>1,024 | >1,024 | >1,024 | 0 (17/20) |
| Ceftriaxone | 4–>1,024 | >1,024 | >1,024 | 4 (21/22) |
| Cefepime | 0.25–>128 | >128 | >128 | 8 (22/23) |
| Aztreonam | 8–>1,024 | 512 | >1,024 | 4 (10/21) |
| Pip-Tazo | 4–>1,024 | 64 | >1,024 | 42 (13/22) |
The strains comprised C. freundii (n = 2), E. cloacae (n = 4), E. aerogenes (n = 10), M. morganii (n = 1), and Serratia marcescens (n = 6). All produced a TEM- or SHV-derived ESBL. Three isolates produced an additional β-lactamase. An E. cloacae and an S. marcescens strain each also produced TEM-1, and one S. marcescens strain also produced TEM-2.
Susceptibility based on the percentage of strains inhibited at the NCCLS susceptible breakpoint concentration of each agent. (The breakpoints are only validated for the tests with the 105 CFU/ml inoculum.)
For the inoculum of 107 CFU/ml, in addition to percent susceptibility, the following is shown parenthetically: number of strains showing inoculum effect/number of strains evaluable. (Not all tests were evaluable. For some MICs out of the test range it was impossible to determine if there was an eightfold increase in MIC.)
50 and 90%, MICs at which 50 and 90% of isolates are inhibited, respectively.