Table 16.

MIC and susceptibility results for all H. influenzae isolates from the UAE

Susceptibility
MIC (mg/L)
CLSI
PK/PD
EUCAST
Antimicrobialn50%90%minmax%S%I%R%S%S%I%R
AMCa,b810.251≤0.0152100.0 (98.8)c00 (1.2)c100.0 (100.0)100.0 (97.5)c00 (2.5)c
Ampicillin810.122≤0.0153287.74.97.4NA87.7012.3
Azithromycin81120.121698.801.2NANANANA
Cefaclorb8124≤0.0151698.8 (97.5)c1.2 (1.2)c0 (1.2)c21.0NANANA
Cefepime810.120.25≤0.0150.5100.000NA93.806.2
Cefixime810.030.03≤0.0150.25100.000100.098.801.2
Cefpodoxime810.060.25≤0.0150.5100.000100.092.67.40
Ceftriaxone810.0040.015≤0.0020.03100.000100.0100.000
Cefuroximeb810.52≤0.0154100.0 (98.8)c00 (1.2)c86.417.3 (17.3)c69.1 (66.7)c13.6 (16.0)c
Ciprofloxacin810.0080.5≤0.002493.806.293.892.607.4
Clarithromycin818160.5>25690.18.71.2NANANANA
Levofloxacin810.0080.25≤0.0022100.000100.098.801.2
Moxifloxacin810.0150.25≤0.0021100.000100.098.801.2
Susceptibility
MIC (mg/L)
CLSI
PK/PD
EUCAST
Antimicrobialn50%90%minmax%S%I%R%S%S%I%R
AMCa,b810.251≤0.0152100.0 (98.8)c00 (1.2)c100.0 (100.0)100.0 (97.5)c00 (2.5)c
Ampicillin810.122≤0.0153287.74.97.4NA87.7012.3
Azithromycin81120.121698.801.2NANANANA
Cefaclorb8124≤0.0151698.8 (97.5)c1.2 (1.2)c0 (1.2)c21.0NANANA
Cefepime810.120.25≤0.0150.5100.000NA93.806.2
Cefixime810.030.03≤0.0150.25100.000100.098.801.2
Cefpodoxime810.060.25≤0.0150.5100.000100.092.67.40
Ceftriaxone810.0040.015≤0.0020.03100.000100.0100.000
Cefuroximeb810.52≤0.0154100.0 (98.8)c00 (1.2)c86.417.3 (17.3)c69.1 (66.7)c13.6 (16.0)c
Ciprofloxacin810.0080.5≤0.002493.806.293.892.607.4
Clarithromycin818160.5>25690.18.71.2NANANANA
Levofloxacin810.0080.25≤0.0022100.000100.098.801.2
Moxifloxacin810.0150.25≤0.0021100.000100.098.801.2

min, minimum; max, maximum; AMC, amoxicillin/clavulanic acid; S, susceptible; I, intermediate; R, resistant; NA, no breakpoint data available (NA for azithromycin and clarithromycin by EUCAST because Etest® breakpoints in CO2 not available).

aAmoxicillin/clavulanic acid PK/PD susceptibility at high dose is shown in parentheses.

bIn clinical settings, isolates of BLNAR are considered resistant to amoxicillin/clavulanic acid, cefaclor and cefuroxime (see main text).

cSusceptibility to amoxicillin/clavulanic acid, cefaclor and cefuroxime (data in parentheses) due to corrections according to BLNAR (see main text).

Table 16.

MIC and susceptibility results for all H. influenzae isolates from the UAE

Susceptibility
MIC (mg/L)
CLSI
PK/PD
EUCAST
Antimicrobialn50%90%minmax%S%I%R%S%S%I%R
AMCa,b810.251≤0.0152100.0 (98.8)c00 (1.2)c100.0 (100.0)100.0 (97.5)c00 (2.5)c
Ampicillin810.122≤0.0153287.74.97.4NA87.7012.3
Azithromycin81120.121698.801.2NANANANA
Cefaclorb8124≤0.0151698.8 (97.5)c1.2 (1.2)c0 (1.2)c21.0NANANA
Cefepime810.120.25≤0.0150.5100.000NA93.806.2
Cefixime810.030.03≤0.0150.25100.000100.098.801.2
Cefpodoxime810.060.25≤0.0150.5100.000100.092.67.40
Ceftriaxone810.0040.015≤0.0020.03100.000100.0100.000
Cefuroximeb810.52≤0.0154100.0 (98.8)c00 (1.2)c86.417.3 (17.3)c69.1 (66.7)c13.6 (16.0)c
Ciprofloxacin810.0080.5≤0.002493.806.293.892.607.4
Clarithromycin818160.5>25690.18.71.2NANANANA
Levofloxacin810.0080.25≤0.0022100.000100.098.801.2
Moxifloxacin810.0150.25≤0.0021100.000100.098.801.2
Susceptibility
MIC (mg/L)
CLSI
PK/PD
EUCAST
Antimicrobialn50%90%minmax%S%I%R%S%S%I%R
AMCa,b810.251≤0.0152100.0 (98.8)c00 (1.2)c100.0 (100.0)100.0 (97.5)c00 (2.5)c
Ampicillin810.122≤0.0153287.74.97.4NA87.7012.3
Azithromycin81120.121698.801.2NANANANA
Cefaclorb8124≤0.0151698.8 (97.5)c1.2 (1.2)c0 (1.2)c21.0NANANA
Cefepime810.120.25≤0.0150.5100.000NA93.806.2
Cefixime810.030.03≤0.0150.25100.000100.098.801.2
Cefpodoxime810.060.25≤0.0150.5100.000100.092.67.40
Ceftriaxone810.0040.015≤0.0020.03100.000100.0100.000
Cefuroximeb810.52≤0.0154100.0 (98.8)c00 (1.2)c86.417.3 (17.3)c69.1 (66.7)c13.6 (16.0)c
Ciprofloxacin810.0080.5≤0.002493.806.293.892.607.4
Clarithromycin818160.5>25690.18.71.2NANANANA
Levofloxacin810.0080.25≤0.0022100.000100.098.801.2
Moxifloxacin810.0150.25≤0.0021100.000100.098.801.2

min, minimum; max, maximum; AMC, amoxicillin/clavulanic acid; S, susceptible; I, intermediate; R, resistant; NA, no breakpoint data available (NA for azithromycin and clarithromycin by EUCAST because Etest® breakpoints in CO2 not available).

aAmoxicillin/clavulanic acid PK/PD susceptibility at high dose is shown in parentheses.

bIn clinical settings, isolates of BLNAR are considered resistant to amoxicillin/clavulanic acid, cefaclor and cefuroxime (see main text).

cSusceptibility to amoxicillin/clavulanic acid, cefaclor and cefuroxime (data in parentheses) due to corrections according to BLNAR (see main text).

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