Table 1.
Microbiological Determinants | Bacteria of Concern | Antibiotic of Concern |
---|---|---|
Agar diffusion method as inappropriate for some antibiotics |
Gram-positive bacteria Staphylococcus spp. Enterobacterales, P. aeruginosa, A. baumannii |
Daptomycin Dalbavancin Oritavancin Telavancin Vancomycin Teicoplanin Fosfomycin iv Colistin |
Absence of detection of the resistance level to β-lactams |
Streptococcus pneumoniae (reduced susceptibility to penicillin strains) Haemophilus influenzae (BLNAR * strains) |
β-Lactams |
Detection of low-level antibiotic resistance |
Salmonella sp. | Ciprofloxacin |
MIC creep | Staphylococcus aureus | Vancomycin |
Preserve broad-spectrum antibiotics | Enterobacterales | Piperacillin/tazobactam Cephalosporins |
* beta-lactamase-negative ampicillin resistance.