Table 1.

CLSI MIC breakpoints (mg/L) used for S. pneumoniae and H. influenzae isolates

AntibioticS. pneumoniae
H. influenzae
SIRSIR
Amoxicillin≤24≥8
Amoxicillin/ clavulanic acida≤24≥8≤4≥8
Ampicillin≤12≥4
Penicillin (2.4 g 2 MU × 4–6 IV)≤24≥8
Penicillin (oral)≤0.060.12–1≥2
Cefaclor≤12≥4≤816≥32
Cefdinir≤0.51≥2≤1
Cefditoren
Cefixime≤1
Cefpodoxime≤0.51≥2≤2
Ceftriaxone≤12≥4≤2
Cefuroximeb≤12≥4≤48≥16
Azithromycin≤0.51≥2≤4
Clarithromycin≤0.250.5≥1≤816≥32
Erythromycin≤0.250.5≥1
Levofloxacin≤24≥8≤2
Moxifloxacin≤12≥4≤1
Trimethoprim/ sulfamethoxazolec≤0.51–2≥4≤0.51–2≥4
AntibioticS. pneumoniae
H. influenzae
SIRSIR
Amoxicillin≤24≥8
Amoxicillin/ clavulanic acida≤24≥8≤4≥8
Ampicillin≤12≥4
Penicillin (2.4 g 2 MU × 4–6 IV)≤24≥8
Penicillin (oral)≤0.060.12–1≥2
Cefaclor≤12≥4≤816≥32
Cefdinir≤0.51≥2≤1
Cefditoren
Cefixime≤1
Cefpodoxime≤0.51≥2≤2
Ceftriaxone≤12≥4≤2
Cefuroximeb≤12≥4≤48≥16
Azithromycin≤0.51≥2≤4
Clarithromycin≤0.250.5≥1≤816≥32
Erythromycin≤0.250.5≥1
Levofloxacin≤24≥8≤2
Moxifloxacin≤12≥4≤1
Trimethoprim/ sulfamethoxazolec≤0.51–2≥4≤0.51–2≥4

S, susceptible; I, intermediate; R, resistant; –, not applicable.

a

Amoxicillin/clavulanic acid was tested at a 2:1 amoxicillin to clavulanic acid ratio; breakpoints are expressed as the amoxicillin component.

b

Breakpoints used are for cefuroxime axetil (oral).

c

Trimethoprim/sulfamethoxazole was tested at a 1:19 trimethoprim to sulfamethoxazole ratio; breakpoints are expressed as the trimethoprim component.

Table 1.

CLSI MIC breakpoints (mg/L) used for S. pneumoniae and H. influenzae isolates

AntibioticS. pneumoniae
H. influenzae
SIRSIR
Amoxicillin≤24≥8
Amoxicillin/ clavulanic acida≤24≥8≤4≥8
Ampicillin≤12≥4
Penicillin (2.4 g 2 MU × 4–6 IV)≤24≥8
Penicillin (oral)≤0.060.12–1≥2
Cefaclor≤12≥4≤816≥32
Cefdinir≤0.51≥2≤1
Cefditoren
Cefixime≤1
Cefpodoxime≤0.51≥2≤2
Ceftriaxone≤12≥4≤2
Cefuroximeb≤12≥4≤48≥16
Azithromycin≤0.51≥2≤4
Clarithromycin≤0.250.5≥1≤816≥32
Erythromycin≤0.250.5≥1
Levofloxacin≤24≥8≤2
Moxifloxacin≤12≥4≤1
Trimethoprim/ sulfamethoxazolec≤0.51–2≥4≤0.51–2≥4
AntibioticS. pneumoniae
H. influenzae
SIRSIR
Amoxicillin≤24≥8
Amoxicillin/ clavulanic acida≤24≥8≤4≥8
Ampicillin≤12≥4
Penicillin (2.4 g 2 MU × 4–6 IV)≤24≥8
Penicillin (oral)≤0.060.12–1≥2
Cefaclor≤12≥4≤816≥32
Cefdinir≤0.51≥2≤1
Cefditoren
Cefixime≤1
Cefpodoxime≤0.51≥2≤2
Ceftriaxone≤12≥4≤2
Cefuroximeb≤12≥4≤48≥16
Azithromycin≤0.51≥2≤4
Clarithromycin≤0.250.5≥1≤816≥32
Erythromycin≤0.250.5≥1
Levofloxacin≤24≥8≤2
Moxifloxacin≤12≥4≤1
Trimethoprim/ sulfamethoxazolec≤0.51–2≥4≤0.51–2≥4

S, susceptible; I, intermediate; R, resistant; –, not applicable.

a

Amoxicillin/clavulanic acid was tested at a 2:1 amoxicillin to clavulanic acid ratio; breakpoints are expressed as the amoxicillin component.

b

Breakpoints used are for cefuroxime axetil (oral).

c

Trimethoprim/sulfamethoxazole was tested at a 1:19 trimethoprim to sulfamethoxazole ratio; breakpoints are expressed as the trimethoprim component.

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