TABLE 2.
Antimicrobial susceptibility data for C. difficile isolates by ribotypea
| RT | Antimicrobial | MIC (mg/L) |
GM | Breakpoint (mg/L) |
Isolate resistance |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| S |
I |
R |
|||||||||||
| Range | MIC50/MIC90 | S | I | R | % | n | % | n | % | n | |||
| All (n = 284) | FDX | 0.03 to 0.5 | 0.25/0.25 | 0.16 | ≥1 | 100.0 | 284 | ||||||
| VAN | 1 to 4 | 2/2 | 1.45 | ≤2 | >2 | 98.2 | 279 | 1.8 | 5 | ||||
| MTZ | 0.125 to 1 | 0.25/0.5 | 0.26 | ≤2 | >2 | 100.0 | 284 | ||||||
| RFX | 0.015 to >64 | 0.03/0.03 | 0.03 | ≥32 | 98.6 | 280 | 1.4 | 4 | |||||
| CLI | 0.125 to >256 | 8/32 | 6.75 | ≤2 | 4 | ≥8 | 12.3 | 35 | 31.0 | 88 | 56.7 | 161 | |
| ERY | 0.25 to >256 | 2/>256 | 1.51 | >8 | 85.6 | 243 | 14.4 | 41 | |||||
| AMC | 0.125 to 2 | 0.5/1 | 0.61 | ≤4 | 8 | ≥16 | 100.0 | 284 | |||||
| MEM | 1 to 16 | 2/4 | 2.34 | ≤4 | 8 | ≥16 | 98.6 | 280 | 1.1 | 3 | 0.35 | 1 | |
| MXF | 1 to 32 | 2/2 | 2.06 | ≤2 | 4 | ≥8 | 94.7 | 269 | 2.8 | 8 | 2.5 | 7 | |
| TET | 0.125 to 64 | 0.25/16 | 0.56 | ≤4 | 8 | ≥16 | 83.8 | 238 | 2.5 | 7 | 13.7 | 39 | |
| RT014/020 (n = 42) | FDX | 0.03 to 0.5 | 0.25/0.25 | 1.70 | ≥1 | 100.0 | 42 | ||||||
| VAN | 1 to 2 | 1/2 | 1.37 | ≤2 | >2 | 100.0 | 42 | ||||||
| MTZ | 0.125 to 0.5 | 0.25/0.25 | 0.25 | ≤2 | >2 | 100.0 | 42 | ||||||
| RFX | 0.015 to 16 | 0.03/0.03 | 0.03 | ≥32 | 100.0 | 42 | |||||||
| CLI | 0.5 to >256 | 8/16 | 6.61 | ≤2 | 4 | ≥8 | 9.5 | 4 | 23.8 | 10 | 66.7 | 28 | |
| ERY | 0.25 to >256 | 2/4 | 1.58 | >8 | 90.5 | 38 | 9.5 | 4 | |||||
| AMC | 0.25 to 1 | 0.5/0.5 | 0.51 | ≤4 | 8 | ≥16 | 100.0 | 42 | |||||
| MEM | 1 to 4 | 2/2 | 2.07 | ≤4 | 8 | ≥16 | 100.0 | 42 | |||||
| MXF | 2 to 2 | 2/2 | 2.00 | ≤2 | 4 | ≥8 | 100.0 | 42 | |||||
| TET | 0.125 to 64 | 0.25/1 | 0.42 | ≤4 | 8 | ≥16 | 90.5 | 38 | 9.5 | 4 | |||
| RT010 (n = 41) | FDX | 0.03 to 0.5 | 0.25/0.5 | 0.21 | ≥1 | 100.0 | 41 | ||||||
| VAN | 1 to 2 | 1/2 | 1.31 | ≤2 | >2 | 100.0 | 41 | ||||||
| MTZ | 0.25 to 0.5 | 0.25/0.25 | 0.26 | ≤2 | >2 | 100.0 | 41 | ||||||
| RFX | 0.015 to 0.03 | 0.03/0.03 | 0.03 | ≥32 | 100.0 | 41 | |||||||
| CLI | 1 to 64 | 8/16 | 6.42 | ≤2 | 4 | ≥8 | 9.8 | 4 | 36.6 | 15 | 53.7 | 22 | |
| ERY | 1 to >256 | 2/2 | 1.74 | >8 | 97.6 | 40 | 2.4 | 1 | |||||
| AMC | 0.5 to 1 | 1/1 | 0.95 | ≤4 | 8 | ≥16 | 100.0 | 41 | |||||
| MEM | 2 to 4 | 2/4 | 2.76 | ≤4 | 8 | ≥16 | 100.0 | 41 | |||||
| MXF | 2 to 4 | 2/2 | 2.07 | ≤2 | 4 | ≥8 | 95.1 | 39 | 4.9 | 2 | |||
| TET | 0.125 to 32 | 0.25/0.5 | 0.31 | ≤4 | 8 | ≥16 | 95.1 | 39 | 4.9 | 2 | |||
| RT039 (n = 12) | FDX | 0.125 to 0.5 | 0.25/0.25 | 0.22 | ≥1 | 100.0 | 12 | ||||||
| VAN | 1 to 2 | 1/2 | 1.33 | ≤2 | >2 | 100.0 | 12 | ||||||
| MTZ | 0.25 to 0.5 | 0.5/0.5 | 0.42 | ≤2 | >2 | 100.0 | 12 | ||||||
| RFX | 0.015 to 0.03 | 0.03/0.03 | 0.03 | ≥32 | 100.0 | 12 | |||||||
| CLI | 4 to >256 | 16/>256 | 27.43 | ≤2 | 4 | ≥8 | 8.3 | 1 | 91.7 | 11 | |||
| ERY | 2 to >256 | 2/>256 | 2.00 | >8 | 50.0 | 6 | 50.0 | 6 | |||||
| AMC | 0.5 to 1 | 1/1 | 0.94 | ≤4 | 8 | ≥16 | 100.0 | 12 | |||||
| MEM | 2 to 4 | 2/4 | 2.67 | ≤4 | 8 | ≥16 | 100.0 | 12 | |||||
| MXF | 2 to 2 | 2/2 | 2.00 | ≤2 | 4 | ≥8 | 100.0 | 12 | |||||
| TET | 0.25 to 16 | 2/16 | 3.36 | ≤4 | 8 | ≥16 | 66.7 | 8 | 33.3 | 4 | |||
| 88 “other” RTs (n = 189) | FDX | 0.03 to 0.5 | 0.25/0.25 | 0.15 | ≥1 | 100.0 | 189 | ||||||
| VAN | 1 to 4 | 2/2 | 1.51 | ≤2 | >2 | 97.4 | 184 | 2.6 | 5 | ||||
| MTZ | 0.125 to 1 | 0.25/0.5 | 0.25 | ≤2 | >2 | 100.0 | 189 | ||||||
| RFX | 0.015 to >64 | 0.03/0.03 | 0.03 | ≥32 | 97.9 | 185 | 2.1 | 4 | |||||
| CLI | 0.125 to >256 | 8/32 | 6.40 | ≤2 | 4 | ≥8 | 14.3 | 27 | 32.8 | 62 | 52.9 | 100 | |
| ERY | 0.25 to >256 | 2/>256 | 1.43 | >8 | 84.1 | 159 | 15.9 | 30 | |||||
| AMC | 0.125 to 2 | 0.5/1 | 0.57 | ≤4 | 8 | ≥16 | 100.0 | 189 | |||||
| MEM | 1 to 16 | 2/4 | 2.31 | ≤4 | 8 | ≥16 | 97.9 | 185 | 1.6 | 3 | 0.5 | 1 | |
| MXF | 1 to 32 | 2/2 | 2.07 | ≤2 | 4 | ≥8 | 93.1 | 176 | 3.2 | 6 | 3.7 | 7 | |
| TET | 0.125 to 64 | 0.25/16 | 0.61 | ≤4 | 8 | ≥16 | 81.0 | 153 | 3.7 | 7 | 15.3 | 29 | |
RT, ribotype; FDX, fidaxomicin; VAN, vancomycin; MTZ, metronidazole; RFX, rifaximin; CLI, clindamycin; ERY, erythromycin; AMC, amoxicillin-clavulanic acid; MEM, meropenem; MXF, moxifloxacin; TET, tetracycline; GM, geometric mean; S, susceptible; I, intermediate; R, resistant.