Table 1.

MIC range, MIC50, MIC90 and modal MIC values of SMT-571 and therapeutic antimicrobials currently or previously recommended for N. gonorrhoeae isolates

Antimicrobial, isolate group (n)MIC range (mg/L)MIC50 (mg/L)MIC90 (mg/L)Modal MIC (mg/L)S/I/Ra (%)
SMT-571
 all isolates (262)0.064–0.1250.1250.1250.125ND
 consecutive isolates (100)0.064–0.1250.0640.1250.064ND
 selected isolates (128)0.064–0.1250.1250.1250.125ND
 reference strains (34)0.064–0.1250.1250.1250.125ND
Ceftriaxone (262)<0.002–40.0080.0640.00496.8/ND/3.2
Cefixime (262)<0.016–8<0.0160.25<0.01688.9/ND/11.1
Azithromycin (262)0.016 to >2560.52144.0/13.9/42.1
Spectinomycin (262)4 to >102416161698.0/ND/2.0
Ciprofloxacin (262)<0.002 to >322>32>3239.7/0.0/60.3
Ampicillin (262)<0.016 to >2560.54127.4/59.1/13.5
Tetracycline (262)0.125–256216422.2/17.5/60.3
Antimicrobial, isolate group (n)MIC range (mg/L)MIC50 (mg/L)MIC90 (mg/L)Modal MIC (mg/L)S/I/Ra (%)
SMT-571
 all isolates (262)0.064–0.1250.1250.1250.125ND
 consecutive isolates (100)0.064–0.1250.0640.1250.064ND
 selected isolates (128)0.064–0.1250.1250.1250.125ND
 reference strains (34)0.064–0.1250.1250.1250.125ND
Ceftriaxone (262)<0.002–40.0080.0640.00496.8/ND/3.2
Cefixime (262)<0.016–8<0.0160.25<0.01688.9/ND/11.1
Azithromycin (262)0.016 to >2560.52144.0/13.9/42.1
Spectinomycin (262)4 to >102416161698.0/ND/2.0
Ciprofloxacin (262)<0.002 to >322>32>3239.7/0.0/60.3
Ampicillin (262)<0.016 to >2560.54127.4/59.1/13.5
Tetracycline (262)0.125–256216422.2/17.5/60.3

ND, not determined due to lack of interpretative criteria.

MICs were determined using an agar dilution technique for SMT-571 and using the Etest method for the additional antimicrobials.

a

S, susceptible; I, intermediately susceptible; R, resistant. EUCAST clinical breakpoints (www.eucast.org) were applied for all antimicrobials, with the exception of SMT-571.

Table 1.

MIC range, MIC50, MIC90 and modal MIC values of SMT-571 and therapeutic antimicrobials currently or previously recommended for N. gonorrhoeae isolates

Antimicrobial, isolate group (n)MIC range (mg/L)MIC50 (mg/L)MIC90 (mg/L)Modal MIC (mg/L)S/I/Ra (%)
SMT-571
 all isolates (262)0.064–0.1250.1250.1250.125ND
 consecutive isolates (100)0.064–0.1250.0640.1250.064ND
 selected isolates (128)0.064–0.1250.1250.1250.125ND
 reference strains (34)0.064–0.1250.1250.1250.125ND
Ceftriaxone (262)<0.002–40.0080.0640.00496.8/ND/3.2
Cefixime (262)<0.016–8<0.0160.25<0.01688.9/ND/11.1
Azithromycin (262)0.016 to >2560.52144.0/13.9/42.1
Spectinomycin (262)4 to >102416161698.0/ND/2.0
Ciprofloxacin (262)<0.002 to >322>32>3239.7/0.0/60.3
Ampicillin (262)<0.016 to >2560.54127.4/59.1/13.5
Tetracycline (262)0.125–256216422.2/17.5/60.3
Antimicrobial, isolate group (n)MIC range (mg/L)MIC50 (mg/L)MIC90 (mg/L)Modal MIC (mg/L)S/I/Ra (%)
SMT-571
 all isolates (262)0.064–0.1250.1250.1250.125ND
 consecutive isolates (100)0.064–0.1250.0640.1250.064ND
 selected isolates (128)0.064–0.1250.1250.1250.125ND
 reference strains (34)0.064–0.1250.1250.1250.125ND
Ceftriaxone (262)<0.002–40.0080.0640.00496.8/ND/3.2
Cefixime (262)<0.016–8<0.0160.25<0.01688.9/ND/11.1
Azithromycin (262)0.016 to >2560.52144.0/13.9/42.1
Spectinomycin (262)4 to >102416161698.0/ND/2.0
Ciprofloxacin (262)<0.002 to >322>32>3239.7/0.0/60.3
Ampicillin (262)<0.016 to >2560.54127.4/59.1/13.5
Tetracycline (262)0.125–256216422.2/17.5/60.3

ND, not determined due to lack of interpretative criteria.

MICs were determined using an agar dilution technique for SMT-571 and using the Etest method for the additional antimicrobials.

a

S, susceptible; I, intermediately susceptible; R, resistant. EUCAST clinical breakpoints (www.eucast.org) were applied for all antimicrobials, with the exception of SMT-571.

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