MIC and susceptibility data for H. influenzae isolates collected during 2009–11 and 2013–14
Years/antimicrobial agent . | Isolate group . | N . | . | . | . | . | Susceptibility . | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MIC (mg/L) . | CLSI . | PK/PD . | EUCAST . | ||||||||||
50% . | 90% . | min. . | max. . | %S . | %I . | %R . | %S . | %S . | %I . | %R . | |||
2009–11 | |||||||||||||
AMCa,b | all | 307 | 1 | 2 | 0.06 | 512 | 98.4 (97.4)c | — | 1.6 (2.6)c | 93.5 (98.4) | 93.5 (85.0)c | — | 6.5 (15.0)c |
BL− | 257 | 0.5 | 2 | 0.06 | 8 | 98.8 | — | 1.2 | 94.2 (98.8) | 94.2 | — | 5.8 | |
BL+ | 50 | 1 | 2 | 0.12 | 512 | 96.0 | — | 4.0 | 90.0 (96.0) | 90.0 | — | 10.0 | |
ampicillind | all | 307 | 0.5 | 64 | 0.06 | >256 | 71.3 | 9.5 | 19.2 | NA | 71.3 | — | 28.7 |
BL− | 257 | 0.5 | 2 | 0.06 | >256 | 84.4 | 11.3 | 4.3 | NA | 84.4 | — | 15.6 | |
BL+ | 50 | 64 | >256 | 0.5 | >256 | 4.0 | 0.0 | 96.0 | NA | 4.0 | — | 96.0 | |
azithromycine | all | 104 | 2 | 4 | ≤0.015 | >256 | 91.4 | — | — | NA | NA | NA | NA |
BL− | 85 | 4 | 4 | ≤0.015 | 8 | 92.9 | — | — | NA | NA | NA | NA | |
BL+ | 19 | 2 | >256 | ≤0.015 | >256 | 84.2 | — | — | NA | NA | NA | NA | |
cefaclorb | all | 307 | 2 | 32 | 0.25 | >256 | 78.5 (77.5)c | 7.8 (7.2)c | 13.7 (15.3)c | 2.0 | NA | NA | NA |
BL− | 257 | 2 | 32 | 0.25 | >256 | 79.4 | 7.8 | 12.8 | 2.3 | NA | NA | NA | |
BL+ | 50 | 4 | 32 | 1 | >256 | 74.0 | 8.0 | 18.0 | 0.0 | NA | NA | NA | |
cefuroximeb,f | all | 307 | 1 | 4 | 0.06 | 64 | 94.8 (92.8)c | 2.9 (2.0)c | 2.3 (5.2)c | 65.5 | 1.0 (1.0)c | 64.5 (62.9)c | 34.5 (36.2)c |
BL− | 257 | 1 | 4 | 0.06 | 64 | 94.6 | 3.1 | 2.3 | 66.9 | 1.2 | 65.8 | 33.1 | |
BL+ | 50 | 1 | 4 | 0.25 | 32 | 96.0 | 2.0 | 2.0 | 58.0 | 0.0 | 58.0 | 42.0 | |
levofloxacin | all | 307 | 0.06 | 4 | 0.008 | >32 | 78.2 | 78.2 | 71.7 | — | 28.3 | ||
BL− | 257 | 0.06 | 4 | 0.008 | >32 | 79.8 | — | 20.2 | 79.8 | 72.4 | — | 27.6 | |
BL+ | 50 | 0.03 | 8 | 0.008 | >32 | 70.0 | 0 | 30 | 70.0 | 68.0 | — | 32.0 | |
chloramphenicolg | all | 307 | NA | NA | NA | NA | 90.6 | 1.3 | 8.1 | NA | 91.5 | — | 8.5 |
BL− | 257 | NA | NA | NA | NA | 96.1 | 1.2 | 2.7 | NA | 96.9 | — | 3.1 | |
BL+ | 50 | NA | NA | NA | NA | 62.0 | 2.0 | 36.0 | NA | 64.0 | — | 36.0 | |
tetracyclineg | all | 292 | NA | NA | NA | NA | 74.3 | 9.9 | 15.8 | NA | 85.3 | 2.7 | 12.0 |
BL− | 242 | NA | NA | NA | NA | 79.8 | 10.3 | 9.9 | NA | 90.9 | 2.5 | 6.6 | |
BL+ | 50 | NA | NA | NA | NA | 48.0 | 8.0 | 44.0 | NA | 58.0 | 4.0 | 38.0 | |
SXTg | all | 307 | NA | NA | NA | NA | 41.0 | 2.6 | 56.4 | NA | 34.2 | 4.6 | 61.2 |
BL− | 257 | NA | NA | NA | NA | 46.3 | 3.1 | 50.6 | NA | 38.5 | 5.1 | 56.4 | |
BL+ | 50 | NA | NA | NA | NA | 14.0 | 0.0 | 86.0 | NA | 12.0 | 2.0 | 86.0 | |
2013–14 | |||||||||||||
AMCa,b | all | 185 | 1 | 4 | 0.12 | 16 | 95.7 (89.1)c | — | 4.3 (10.9)c | 78.4 (95.7) | 78.4 (73.0)c | — | 21.6 (27.0)c |
BL− | 138 | 1 | 2 | 0.12 | 8 | 97.8 | — | 2.2 | 81.9 (97.8) | 81.9 | — | 18.1 | |
BL+ | 47 | 2 | 8 | 0.5 | 16 | 89.4 | — | 10.6 | 68.1 (89.4) | 68.1 | — | 31.9 | |
ampicillind | all | 185 | 1 | >256 | 0.12 | >256 | 58.4 | 9.7 | 31.9 | NA | 58.4 | — | 41.6 |
BL− | 138 | 1 | 2 | 0.12 | >256 | 77.5 | 13.1 | 9.4 | NA | 77.5 | — | 22.5 | |
BL+ | 47 | 256 | >256 | 1 | >256 | 2.1 | 0.0 | 97.9 | NA | 2.1 | — | 97.9 | |
ampicillin/sulbactamb | all | 97 | 1 | 4 | 0.12 | 8 | 86.6 (80.4)c | — | 13.4 (19.6)c | NA | 63.9 (58.9)c | — | 36.1 (41.1)c |
BL− | 73 | 1 | 2 | 0.12 | 8 | 93.2 | — | 6.8 | NA | 82.2 | — | 17.8 | |
BL+ | 24 | 2 | 8 | 0.25 | 8 | 66.7 | — | 33.3 | NA | 8.3 | — | 91.7 | |
azithromycine | all | 185 | 2 | 16 | ≤0.015 | >256 | 89.7 | — | — | NA | NA | NA | NA |
BL− | 138 | 2 | 4 | ≤0.015 | >256 | 97.8 | — | — | NA | NA | NA | NA | |
BL+ | 47 | 4 | >256 | ≤0.015 | >256 | 66.0 | — | — | NA | NA | NA | NA | |
cefaclorb | all | 185 | 16 | >256 | 1 | >256 | 49.2 (47.6)c | 13.0 (13.0)c | 37.8 (39.5)c | 0.0 | NA | NA | NA |
BL− | 138 | 8 | >256 | 1 | >256 | 52.9 | 10.9 | 36.2 | 0.0 | NA | NA | NA | |
BL+ | 47 | 16 | >256 | 1 | >256 | 38.3 | 19.2 | 42.5 | 0.0 | NA | NA | NA | |
cefuroximeb,f | all | 185 | 2 | 32 | 0.25 | >256 | 75.1 (73.0)c | 7.1 (7.0)c | 17.8 (20.0)c | 43.8 | 0.0 (0.0)c | 43.8 (42.2)c | 56.2 (57.8)c |
BL− | 138 | 2 | 32 | 0.25 | >256 | 76.8 | 7.3 | 15.9 | 46.4 | 0.0 | 46.4 | 53.6 | |
BL+ | 47 | 2 | 64 | 0.25 | >256 | 70.2 | 6.4 | 23.4 | 36.2 | 0.0 | 36.2 | 63.8 | |
levofloxacin | all | 185 | 0.015 | 4 | 0.008 | >32 | 89.2 | — | — | 89.2 | 82.7 | — | 17.3 |
BL− | 138 | 0.015 | 2 | 0.008 | 8 | 90.6 | — | — | 90.6 | 83.3 | — | 16.7 | |
BL+ | 47 | 0.03 | 4 | 0.008 | >32 | 85.1 | — | — | 85.1 | 80.9 | — | 19.2 | |
chloramphenicolg | all | 185 | NA | NA | NA | NA | 91.4 | 2.1 | 6.5 | NA | 91.9 | — | 8.1 |
BL− | 138 | NA | NA | NA | NA | 96.4 | 1.4 | 2.2 | NA | 97.1 | — | 2.9 | |
BL+ | 47 | NA | NA | NA | NA | 76.6 | 4.3 | 19.1 | NA | 76.6 | — | 23.4 | |
tetracyclineg | all | 185 | NA | NA | NA | NA | 86.5 | 3.8 | 9.7 | NA | 90.3 | 1.6 | 8.1 |
BL− | 138 | NA | NA | NA | NA | 92.0 | 2.9 | 5.1 | NA | 94.9 | 0.0 | 5.1 | |
BL+ | 47 | NA | NA | NA | NA | 70.2 | 6.4 | 23.4 | NA | 76.6 | 6.4 | 17.0 | |
SXTg | all | 185 | NA | NA | NA | NA | 41.1 | 3.2 | 55.7 | NA | 38.9 | 1.6 | 59.5 |
BL− | 138 | NA | NA | NA | NA | 45.7 | 2.9 | 51.4 | NA | 42.8 | 2.1 | 55.1 | |
BL+ | 47 | NA | NA | NA | NA | 27.7 | 4.2 | 68.1 | NA | 27.7 | 0.0 | 72.3 |
Years/antimicrobial agent . | Isolate group . | N . | . | . | . | . | Susceptibility . | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MIC (mg/L) . | CLSI . | PK/PD . | EUCAST . | ||||||||||
50% . | 90% . | min. . | max. . | %S . | %I . | %R . | %S . | %S . | %I . | %R . | |||
2009–11 | |||||||||||||
AMCa,b | all | 307 | 1 | 2 | 0.06 | 512 | 98.4 (97.4)c | — | 1.6 (2.6)c | 93.5 (98.4) | 93.5 (85.0)c | — | 6.5 (15.0)c |
BL− | 257 | 0.5 | 2 | 0.06 | 8 | 98.8 | — | 1.2 | 94.2 (98.8) | 94.2 | — | 5.8 | |
BL+ | 50 | 1 | 2 | 0.12 | 512 | 96.0 | — | 4.0 | 90.0 (96.0) | 90.0 | — | 10.0 | |
ampicillind | all | 307 | 0.5 | 64 | 0.06 | >256 | 71.3 | 9.5 | 19.2 | NA | 71.3 | — | 28.7 |
BL− | 257 | 0.5 | 2 | 0.06 | >256 | 84.4 | 11.3 | 4.3 | NA | 84.4 | — | 15.6 | |
BL+ | 50 | 64 | >256 | 0.5 | >256 | 4.0 | 0.0 | 96.0 | NA | 4.0 | — | 96.0 | |
azithromycine | all | 104 | 2 | 4 | ≤0.015 | >256 | 91.4 | — | — | NA | NA | NA | NA |
BL− | 85 | 4 | 4 | ≤0.015 | 8 | 92.9 | — | — | NA | NA | NA | NA | |
BL+ | 19 | 2 | >256 | ≤0.015 | >256 | 84.2 | — | — | NA | NA | NA | NA | |
cefaclorb | all | 307 | 2 | 32 | 0.25 | >256 | 78.5 (77.5)c | 7.8 (7.2)c | 13.7 (15.3)c | 2.0 | NA | NA | NA |
BL− | 257 | 2 | 32 | 0.25 | >256 | 79.4 | 7.8 | 12.8 | 2.3 | NA | NA | NA | |
BL+ | 50 | 4 | 32 | 1 | >256 | 74.0 | 8.0 | 18.0 | 0.0 | NA | NA | NA | |
cefuroximeb,f | all | 307 | 1 | 4 | 0.06 | 64 | 94.8 (92.8)c | 2.9 (2.0)c | 2.3 (5.2)c | 65.5 | 1.0 (1.0)c | 64.5 (62.9)c | 34.5 (36.2)c |
BL− | 257 | 1 | 4 | 0.06 | 64 | 94.6 | 3.1 | 2.3 | 66.9 | 1.2 | 65.8 | 33.1 | |
BL+ | 50 | 1 | 4 | 0.25 | 32 | 96.0 | 2.0 | 2.0 | 58.0 | 0.0 | 58.0 | 42.0 | |
levofloxacin | all | 307 | 0.06 | 4 | 0.008 | >32 | 78.2 | 78.2 | 71.7 | — | 28.3 | ||
BL− | 257 | 0.06 | 4 | 0.008 | >32 | 79.8 | — | 20.2 | 79.8 | 72.4 | — | 27.6 | |
BL+ | 50 | 0.03 | 8 | 0.008 | >32 | 70.0 | 0 | 30 | 70.0 | 68.0 | — | 32.0 | |
chloramphenicolg | all | 307 | NA | NA | NA | NA | 90.6 | 1.3 | 8.1 | NA | 91.5 | — | 8.5 |
BL− | 257 | NA | NA | NA | NA | 96.1 | 1.2 | 2.7 | NA | 96.9 | — | 3.1 | |
BL+ | 50 | NA | NA | NA | NA | 62.0 | 2.0 | 36.0 | NA | 64.0 | — | 36.0 | |
tetracyclineg | all | 292 | NA | NA | NA | NA | 74.3 | 9.9 | 15.8 | NA | 85.3 | 2.7 | 12.0 |
BL− | 242 | NA | NA | NA | NA | 79.8 | 10.3 | 9.9 | NA | 90.9 | 2.5 | 6.6 | |
BL+ | 50 | NA | NA | NA | NA | 48.0 | 8.0 | 44.0 | NA | 58.0 | 4.0 | 38.0 | |
SXTg | all | 307 | NA | NA | NA | NA | 41.0 | 2.6 | 56.4 | NA | 34.2 | 4.6 | 61.2 |
BL− | 257 | NA | NA | NA | NA | 46.3 | 3.1 | 50.6 | NA | 38.5 | 5.1 | 56.4 | |
BL+ | 50 | NA | NA | NA | NA | 14.0 | 0.0 | 86.0 | NA | 12.0 | 2.0 | 86.0 | |
2013–14 | |||||||||||||
AMCa,b | all | 185 | 1 | 4 | 0.12 | 16 | 95.7 (89.1)c | — | 4.3 (10.9)c | 78.4 (95.7) | 78.4 (73.0)c | — | 21.6 (27.0)c |
BL− | 138 | 1 | 2 | 0.12 | 8 | 97.8 | — | 2.2 | 81.9 (97.8) | 81.9 | — | 18.1 | |
BL+ | 47 | 2 | 8 | 0.5 | 16 | 89.4 | — | 10.6 | 68.1 (89.4) | 68.1 | — | 31.9 | |
ampicillind | all | 185 | 1 | >256 | 0.12 | >256 | 58.4 | 9.7 | 31.9 | NA | 58.4 | — | 41.6 |
BL− | 138 | 1 | 2 | 0.12 | >256 | 77.5 | 13.1 | 9.4 | NA | 77.5 | — | 22.5 | |
BL+ | 47 | 256 | >256 | 1 | >256 | 2.1 | 0.0 | 97.9 | NA | 2.1 | — | 97.9 | |
ampicillin/sulbactamb | all | 97 | 1 | 4 | 0.12 | 8 | 86.6 (80.4)c | — | 13.4 (19.6)c | NA | 63.9 (58.9)c | — | 36.1 (41.1)c |
BL− | 73 | 1 | 2 | 0.12 | 8 | 93.2 | — | 6.8 | NA | 82.2 | — | 17.8 | |
BL+ | 24 | 2 | 8 | 0.25 | 8 | 66.7 | — | 33.3 | NA | 8.3 | — | 91.7 | |
azithromycine | all | 185 | 2 | 16 | ≤0.015 | >256 | 89.7 | — | — | NA | NA | NA | NA |
BL− | 138 | 2 | 4 | ≤0.015 | >256 | 97.8 | — | — | NA | NA | NA | NA | |
BL+ | 47 | 4 | >256 | ≤0.015 | >256 | 66.0 | — | — | NA | NA | NA | NA | |
cefaclorb | all | 185 | 16 | >256 | 1 | >256 | 49.2 (47.6)c | 13.0 (13.0)c | 37.8 (39.5)c | 0.0 | NA | NA | NA |
BL− | 138 | 8 | >256 | 1 | >256 | 52.9 | 10.9 | 36.2 | 0.0 | NA | NA | NA | |
BL+ | 47 | 16 | >256 | 1 | >256 | 38.3 | 19.2 | 42.5 | 0.0 | NA | NA | NA | |
cefuroximeb,f | all | 185 | 2 | 32 | 0.25 | >256 | 75.1 (73.0)c | 7.1 (7.0)c | 17.8 (20.0)c | 43.8 | 0.0 (0.0)c | 43.8 (42.2)c | 56.2 (57.8)c |
BL− | 138 | 2 | 32 | 0.25 | >256 | 76.8 | 7.3 | 15.9 | 46.4 | 0.0 | 46.4 | 53.6 | |
BL+ | 47 | 2 | 64 | 0.25 | >256 | 70.2 | 6.4 | 23.4 | 36.2 | 0.0 | 36.2 | 63.8 | |
levofloxacin | all | 185 | 0.015 | 4 | 0.008 | >32 | 89.2 | — | — | 89.2 | 82.7 | — | 17.3 |
BL− | 138 | 0.015 | 2 | 0.008 | 8 | 90.6 | — | — | 90.6 | 83.3 | — | 16.7 | |
BL+ | 47 | 0.03 | 4 | 0.008 | >32 | 85.1 | — | — | 85.1 | 80.9 | — | 19.2 | |
chloramphenicolg | all | 185 | NA | NA | NA | NA | 91.4 | 2.1 | 6.5 | NA | 91.9 | — | 8.1 |
BL− | 138 | NA | NA | NA | NA | 96.4 | 1.4 | 2.2 | NA | 97.1 | — | 2.9 | |
BL+ | 47 | NA | NA | NA | NA | 76.6 | 4.3 | 19.1 | NA | 76.6 | — | 23.4 | |
tetracyclineg | all | 185 | NA | NA | NA | NA | 86.5 | 3.8 | 9.7 | NA | 90.3 | 1.6 | 8.1 |
BL− | 138 | NA | NA | NA | NA | 92.0 | 2.9 | 5.1 | NA | 94.9 | 0.0 | 5.1 | |
BL+ | 47 | NA | NA | NA | NA | 70.2 | 6.4 | 23.4 | NA | 76.6 | 6.4 | 17.0 | |
SXTg | all | 185 | NA | NA | NA | NA | 41.1 | 3.2 | 55.7 | NA | 38.9 | 1.6 | 59.5 |
BL− | 138 | NA | NA | NA | NA | 45.7 | 2.9 | 51.4 | NA | 42.8 | 2.1 | 55.1 | |
BL+ | 47 | NA | NA | NA | NA | 27.7 | 4.2 | 68.1 | NA | 27.7 | 0.0 | 72.3 |
NA, no breakpoint data available; BL−, β-lactamase negative; BL+, β-lactamase positive; AMC, amoxicillin/clavulanic acid; SXT, trimethoprim/sulfamethoxazole.
aAmoxicillin/clavulanic acid PK/PD susceptibility at high dose is shown in parentheses.
bIn the clinical setting, isolates of BLNAR are considered resistant to amoxicillin/clavulanic acid, ampicillin/sulbactam, cefaclor and cefuroxime (see main text).
cClinical susceptibility to amoxicillin/clavulanic acid ampicillin/sulbactam, cefaclor and cefuroxime reduced (data in parentheses) due to corrections according to BLNAR (see main text).
dIn clinical setting, all β-lactamase-positive H. influenzae should be considered resistant.
ebioMérieux Etest® breakpoints for incubation in CO2.
fBreakpoints used are for cefuroxime axetil.
gCLSI disc diffusion testing method used.
MIC and susceptibility data for H. influenzae isolates collected during 2009–11 and 2013–14
Years/antimicrobial agent . | Isolate group . | N . | . | . | . | . | Susceptibility . | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MIC (mg/L) . | CLSI . | PK/PD . | EUCAST . | ||||||||||
50% . | 90% . | min. . | max. . | %S . | %I . | %R . | %S . | %S . | %I . | %R . | |||
2009–11 | |||||||||||||
AMCa,b | all | 307 | 1 | 2 | 0.06 | 512 | 98.4 (97.4)c | — | 1.6 (2.6)c | 93.5 (98.4) | 93.5 (85.0)c | — | 6.5 (15.0)c |
BL− | 257 | 0.5 | 2 | 0.06 | 8 | 98.8 | — | 1.2 | 94.2 (98.8) | 94.2 | — | 5.8 | |
BL+ | 50 | 1 | 2 | 0.12 | 512 | 96.0 | — | 4.0 | 90.0 (96.0) | 90.0 | — | 10.0 | |
ampicillind | all | 307 | 0.5 | 64 | 0.06 | >256 | 71.3 | 9.5 | 19.2 | NA | 71.3 | — | 28.7 |
BL− | 257 | 0.5 | 2 | 0.06 | >256 | 84.4 | 11.3 | 4.3 | NA | 84.4 | — | 15.6 | |
BL+ | 50 | 64 | >256 | 0.5 | >256 | 4.0 | 0.0 | 96.0 | NA | 4.0 | — | 96.0 | |
azithromycine | all | 104 | 2 | 4 | ≤0.015 | >256 | 91.4 | — | — | NA | NA | NA | NA |
BL− | 85 | 4 | 4 | ≤0.015 | 8 | 92.9 | — | — | NA | NA | NA | NA | |
BL+ | 19 | 2 | >256 | ≤0.015 | >256 | 84.2 | — | — | NA | NA | NA | NA | |
cefaclorb | all | 307 | 2 | 32 | 0.25 | >256 | 78.5 (77.5)c | 7.8 (7.2)c | 13.7 (15.3)c | 2.0 | NA | NA | NA |
BL− | 257 | 2 | 32 | 0.25 | >256 | 79.4 | 7.8 | 12.8 | 2.3 | NA | NA | NA | |
BL+ | 50 | 4 | 32 | 1 | >256 | 74.0 | 8.0 | 18.0 | 0.0 | NA | NA | NA | |
cefuroximeb,f | all | 307 | 1 | 4 | 0.06 | 64 | 94.8 (92.8)c | 2.9 (2.0)c | 2.3 (5.2)c | 65.5 | 1.0 (1.0)c | 64.5 (62.9)c | 34.5 (36.2)c |
BL− | 257 | 1 | 4 | 0.06 | 64 | 94.6 | 3.1 | 2.3 | 66.9 | 1.2 | 65.8 | 33.1 | |
BL+ | 50 | 1 | 4 | 0.25 | 32 | 96.0 | 2.0 | 2.0 | 58.0 | 0.0 | 58.0 | 42.0 | |
levofloxacin | all | 307 | 0.06 | 4 | 0.008 | >32 | 78.2 | 78.2 | 71.7 | — | 28.3 | ||
BL− | 257 | 0.06 | 4 | 0.008 | >32 | 79.8 | — | 20.2 | 79.8 | 72.4 | — | 27.6 | |
BL+ | 50 | 0.03 | 8 | 0.008 | >32 | 70.0 | 0 | 30 | 70.0 | 68.0 | — | 32.0 | |
chloramphenicolg | all | 307 | NA | NA | NA | NA | 90.6 | 1.3 | 8.1 | NA | 91.5 | — | 8.5 |
BL− | 257 | NA | NA | NA | NA | 96.1 | 1.2 | 2.7 | NA | 96.9 | — | 3.1 | |
BL+ | 50 | NA | NA | NA | NA | 62.0 | 2.0 | 36.0 | NA | 64.0 | — | 36.0 | |
tetracyclineg | all | 292 | NA | NA | NA | NA | 74.3 | 9.9 | 15.8 | NA | 85.3 | 2.7 | 12.0 |
BL− | 242 | NA | NA | NA | NA | 79.8 | 10.3 | 9.9 | NA | 90.9 | 2.5 | 6.6 | |
BL+ | 50 | NA | NA | NA | NA | 48.0 | 8.0 | 44.0 | NA | 58.0 | 4.0 | 38.0 | |
SXTg | all | 307 | NA | NA | NA | NA | 41.0 | 2.6 | 56.4 | NA | 34.2 | 4.6 | 61.2 |
BL− | 257 | NA | NA | NA | NA | 46.3 | 3.1 | 50.6 | NA | 38.5 | 5.1 | 56.4 | |
BL+ | 50 | NA | NA | NA | NA | 14.0 | 0.0 | 86.0 | NA | 12.0 | 2.0 | 86.0 | |
2013–14 | |||||||||||||
AMCa,b | all | 185 | 1 | 4 | 0.12 | 16 | 95.7 (89.1)c | — | 4.3 (10.9)c | 78.4 (95.7) | 78.4 (73.0)c | — | 21.6 (27.0)c |
BL− | 138 | 1 | 2 | 0.12 | 8 | 97.8 | — | 2.2 | 81.9 (97.8) | 81.9 | — | 18.1 | |
BL+ | 47 | 2 | 8 | 0.5 | 16 | 89.4 | — | 10.6 | 68.1 (89.4) | 68.1 | — | 31.9 | |
ampicillind | all | 185 | 1 | >256 | 0.12 | >256 | 58.4 | 9.7 | 31.9 | NA | 58.4 | — | 41.6 |
BL− | 138 | 1 | 2 | 0.12 | >256 | 77.5 | 13.1 | 9.4 | NA | 77.5 | — | 22.5 | |
BL+ | 47 | 256 | >256 | 1 | >256 | 2.1 | 0.0 | 97.9 | NA | 2.1 | — | 97.9 | |
ampicillin/sulbactamb | all | 97 | 1 | 4 | 0.12 | 8 | 86.6 (80.4)c | — | 13.4 (19.6)c | NA | 63.9 (58.9)c | — | 36.1 (41.1)c |
BL− | 73 | 1 | 2 | 0.12 | 8 | 93.2 | — | 6.8 | NA | 82.2 | — | 17.8 | |
BL+ | 24 | 2 | 8 | 0.25 | 8 | 66.7 | — | 33.3 | NA | 8.3 | — | 91.7 | |
azithromycine | all | 185 | 2 | 16 | ≤0.015 | >256 | 89.7 | — | — | NA | NA | NA | NA |
BL− | 138 | 2 | 4 | ≤0.015 | >256 | 97.8 | — | — | NA | NA | NA | NA | |
BL+ | 47 | 4 | >256 | ≤0.015 | >256 | 66.0 | — | — | NA | NA | NA | NA | |
cefaclorb | all | 185 | 16 | >256 | 1 | >256 | 49.2 (47.6)c | 13.0 (13.0)c | 37.8 (39.5)c | 0.0 | NA | NA | NA |
BL− | 138 | 8 | >256 | 1 | >256 | 52.9 | 10.9 | 36.2 | 0.0 | NA | NA | NA | |
BL+ | 47 | 16 | >256 | 1 | >256 | 38.3 | 19.2 | 42.5 | 0.0 | NA | NA | NA | |
cefuroximeb,f | all | 185 | 2 | 32 | 0.25 | >256 | 75.1 (73.0)c | 7.1 (7.0)c | 17.8 (20.0)c | 43.8 | 0.0 (0.0)c | 43.8 (42.2)c | 56.2 (57.8)c |
BL− | 138 | 2 | 32 | 0.25 | >256 | 76.8 | 7.3 | 15.9 | 46.4 | 0.0 | 46.4 | 53.6 | |
BL+ | 47 | 2 | 64 | 0.25 | >256 | 70.2 | 6.4 | 23.4 | 36.2 | 0.0 | 36.2 | 63.8 | |
levofloxacin | all | 185 | 0.015 | 4 | 0.008 | >32 | 89.2 | — | — | 89.2 | 82.7 | — | 17.3 |
BL− | 138 | 0.015 | 2 | 0.008 | 8 | 90.6 | — | — | 90.6 | 83.3 | — | 16.7 | |
BL+ | 47 | 0.03 | 4 | 0.008 | >32 | 85.1 | — | — | 85.1 | 80.9 | — | 19.2 | |
chloramphenicolg | all | 185 | NA | NA | NA | NA | 91.4 | 2.1 | 6.5 | NA | 91.9 | — | 8.1 |
BL− | 138 | NA | NA | NA | NA | 96.4 | 1.4 | 2.2 | NA | 97.1 | — | 2.9 | |
BL+ | 47 | NA | NA | NA | NA | 76.6 | 4.3 | 19.1 | NA | 76.6 | — | 23.4 | |
tetracyclineg | all | 185 | NA | NA | NA | NA | 86.5 | 3.8 | 9.7 | NA | 90.3 | 1.6 | 8.1 |
BL− | 138 | NA | NA | NA | NA | 92.0 | 2.9 | 5.1 | NA | 94.9 | 0.0 | 5.1 | |
BL+ | 47 | NA | NA | NA | NA | 70.2 | 6.4 | 23.4 | NA | 76.6 | 6.4 | 17.0 | |
SXTg | all | 185 | NA | NA | NA | NA | 41.1 | 3.2 | 55.7 | NA | 38.9 | 1.6 | 59.5 |
BL− | 138 | NA | NA | NA | NA | 45.7 | 2.9 | 51.4 | NA | 42.8 | 2.1 | 55.1 | |
BL+ | 47 | NA | NA | NA | NA | 27.7 | 4.2 | 68.1 | NA | 27.7 | 0.0 | 72.3 |
Years/antimicrobial agent . | Isolate group . | N . | . | . | . | . | Susceptibility . | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MIC (mg/L) . | CLSI . | PK/PD . | EUCAST . | ||||||||||
50% . | 90% . | min. . | max. . | %S . | %I . | %R . | %S . | %S . | %I . | %R . | |||
2009–11 | |||||||||||||
AMCa,b | all | 307 | 1 | 2 | 0.06 | 512 | 98.4 (97.4)c | — | 1.6 (2.6)c | 93.5 (98.4) | 93.5 (85.0)c | — | 6.5 (15.0)c |
BL− | 257 | 0.5 | 2 | 0.06 | 8 | 98.8 | — | 1.2 | 94.2 (98.8) | 94.2 | — | 5.8 | |
BL+ | 50 | 1 | 2 | 0.12 | 512 | 96.0 | — | 4.0 | 90.0 (96.0) | 90.0 | — | 10.0 | |
ampicillind | all | 307 | 0.5 | 64 | 0.06 | >256 | 71.3 | 9.5 | 19.2 | NA | 71.3 | — | 28.7 |
BL− | 257 | 0.5 | 2 | 0.06 | >256 | 84.4 | 11.3 | 4.3 | NA | 84.4 | — | 15.6 | |
BL+ | 50 | 64 | >256 | 0.5 | >256 | 4.0 | 0.0 | 96.0 | NA | 4.0 | — | 96.0 | |
azithromycine | all | 104 | 2 | 4 | ≤0.015 | >256 | 91.4 | — | — | NA | NA | NA | NA |
BL− | 85 | 4 | 4 | ≤0.015 | 8 | 92.9 | — | — | NA | NA | NA | NA | |
BL+ | 19 | 2 | >256 | ≤0.015 | >256 | 84.2 | — | — | NA | NA | NA | NA | |
cefaclorb | all | 307 | 2 | 32 | 0.25 | >256 | 78.5 (77.5)c | 7.8 (7.2)c | 13.7 (15.3)c | 2.0 | NA | NA | NA |
BL− | 257 | 2 | 32 | 0.25 | >256 | 79.4 | 7.8 | 12.8 | 2.3 | NA | NA | NA | |
BL+ | 50 | 4 | 32 | 1 | >256 | 74.0 | 8.0 | 18.0 | 0.0 | NA | NA | NA | |
cefuroximeb,f | all | 307 | 1 | 4 | 0.06 | 64 | 94.8 (92.8)c | 2.9 (2.0)c | 2.3 (5.2)c | 65.5 | 1.0 (1.0)c | 64.5 (62.9)c | 34.5 (36.2)c |
BL− | 257 | 1 | 4 | 0.06 | 64 | 94.6 | 3.1 | 2.3 | 66.9 | 1.2 | 65.8 | 33.1 | |
BL+ | 50 | 1 | 4 | 0.25 | 32 | 96.0 | 2.0 | 2.0 | 58.0 | 0.0 | 58.0 | 42.0 | |
levofloxacin | all | 307 | 0.06 | 4 | 0.008 | >32 | 78.2 | 78.2 | 71.7 | — | 28.3 | ||
BL− | 257 | 0.06 | 4 | 0.008 | >32 | 79.8 | — | 20.2 | 79.8 | 72.4 | — | 27.6 | |
BL+ | 50 | 0.03 | 8 | 0.008 | >32 | 70.0 | 0 | 30 | 70.0 | 68.0 | — | 32.0 | |
chloramphenicolg | all | 307 | NA | NA | NA | NA | 90.6 | 1.3 | 8.1 | NA | 91.5 | — | 8.5 |
BL− | 257 | NA | NA | NA | NA | 96.1 | 1.2 | 2.7 | NA | 96.9 | — | 3.1 | |
BL+ | 50 | NA | NA | NA | NA | 62.0 | 2.0 | 36.0 | NA | 64.0 | — | 36.0 | |
tetracyclineg | all | 292 | NA | NA | NA | NA | 74.3 | 9.9 | 15.8 | NA | 85.3 | 2.7 | 12.0 |
BL− | 242 | NA | NA | NA | NA | 79.8 | 10.3 | 9.9 | NA | 90.9 | 2.5 | 6.6 | |
BL+ | 50 | NA | NA | NA | NA | 48.0 | 8.0 | 44.0 | NA | 58.0 | 4.0 | 38.0 | |
SXTg | all | 307 | NA | NA | NA | NA | 41.0 | 2.6 | 56.4 | NA | 34.2 | 4.6 | 61.2 |
BL− | 257 | NA | NA | NA | NA | 46.3 | 3.1 | 50.6 | NA | 38.5 | 5.1 | 56.4 | |
BL+ | 50 | NA | NA | NA | NA | 14.0 | 0.0 | 86.0 | NA | 12.0 | 2.0 | 86.0 | |
2013–14 | |||||||||||||
AMCa,b | all | 185 | 1 | 4 | 0.12 | 16 | 95.7 (89.1)c | — | 4.3 (10.9)c | 78.4 (95.7) | 78.4 (73.0)c | — | 21.6 (27.0)c |
BL− | 138 | 1 | 2 | 0.12 | 8 | 97.8 | — | 2.2 | 81.9 (97.8) | 81.9 | — | 18.1 | |
BL+ | 47 | 2 | 8 | 0.5 | 16 | 89.4 | — | 10.6 | 68.1 (89.4) | 68.1 | — | 31.9 | |
ampicillind | all | 185 | 1 | >256 | 0.12 | >256 | 58.4 | 9.7 | 31.9 | NA | 58.4 | — | 41.6 |
BL− | 138 | 1 | 2 | 0.12 | >256 | 77.5 | 13.1 | 9.4 | NA | 77.5 | — | 22.5 | |
BL+ | 47 | 256 | >256 | 1 | >256 | 2.1 | 0.0 | 97.9 | NA | 2.1 | — | 97.9 | |
ampicillin/sulbactamb | all | 97 | 1 | 4 | 0.12 | 8 | 86.6 (80.4)c | — | 13.4 (19.6)c | NA | 63.9 (58.9)c | — | 36.1 (41.1)c |
BL− | 73 | 1 | 2 | 0.12 | 8 | 93.2 | — | 6.8 | NA | 82.2 | — | 17.8 | |
BL+ | 24 | 2 | 8 | 0.25 | 8 | 66.7 | — | 33.3 | NA | 8.3 | — | 91.7 | |
azithromycine | all | 185 | 2 | 16 | ≤0.015 | >256 | 89.7 | — | — | NA | NA | NA | NA |
BL− | 138 | 2 | 4 | ≤0.015 | >256 | 97.8 | — | — | NA | NA | NA | NA | |
BL+ | 47 | 4 | >256 | ≤0.015 | >256 | 66.0 | — | — | NA | NA | NA | NA | |
cefaclorb | all | 185 | 16 | >256 | 1 | >256 | 49.2 (47.6)c | 13.0 (13.0)c | 37.8 (39.5)c | 0.0 | NA | NA | NA |
BL− | 138 | 8 | >256 | 1 | >256 | 52.9 | 10.9 | 36.2 | 0.0 | NA | NA | NA | |
BL+ | 47 | 16 | >256 | 1 | >256 | 38.3 | 19.2 | 42.5 | 0.0 | NA | NA | NA | |
cefuroximeb,f | all | 185 | 2 | 32 | 0.25 | >256 | 75.1 (73.0)c | 7.1 (7.0)c | 17.8 (20.0)c | 43.8 | 0.0 (0.0)c | 43.8 (42.2)c | 56.2 (57.8)c |
BL− | 138 | 2 | 32 | 0.25 | >256 | 76.8 | 7.3 | 15.9 | 46.4 | 0.0 | 46.4 | 53.6 | |
BL+ | 47 | 2 | 64 | 0.25 | >256 | 70.2 | 6.4 | 23.4 | 36.2 | 0.0 | 36.2 | 63.8 | |
levofloxacin | all | 185 | 0.015 | 4 | 0.008 | >32 | 89.2 | — | — | 89.2 | 82.7 | — | 17.3 |
BL− | 138 | 0.015 | 2 | 0.008 | 8 | 90.6 | — | — | 90.6 | 83.3 | — | 16.7 | |
BL+ | 47 | 0.03 | 4 | 0.008 | >32 | 85.1 | — | — | 85.1 | 80.9 | — | 19.2 | |
chloramphenicolg | all | 185 | NA | NA | NA | NA | 91.4 | 2.1 | 6.5 | NA | 91.9 | — | 8.1 |
BL− | 138 | NA | NA | NA | NA | 96.4 | 1.4 | 2.2 | NA | 97.1 | — | 2.9 | |
BL+ | 47 | NA | NA | NA | NA | 76.6 | 4.3 | 19.1 | NA | 76.6 | — | 23.4 | |
tetracyclineg | all | 185 | NA | NA | NA | NA | 86.5 | 3.8 | 9.7 | NA | 90.3 | 1.6 | 8.1 |
BL− | 138 | NA | NA | NA | NA | 92.0 | 2.9 | 5.1 | NA | 94.9 | 0.0 | 5.1 | |
BL+ | 47 | NA | NA | NA | NA | 70.2 | 6.4 | 23.4 | NA | 76.6 | 6.4 | 17.0 | |
SXTg | all | 185 | NA | NA | NA | NA | 41.1 | 3.2 | 55.7 | NA | 38.9 | 1.6 | 59.5 |
BL− | 138 | NA | NA | NA | NA | 45.7 | 2.9 | 51.4 | NA | 42.8 | 2.1 | 55.1 | |
BL+ | 47 | NA | NA | NA | NA | 27.7 | 4.2 | 68.1 | NA | 27.7 | 0.0 | 72.3 |
NA, no breakpoint data available; BL−, β-lactamase negative; BL+, β-lactamase positive; AMC, amoxicillin/clavulanic acid; SXT, trimethoprim/sulfamethoxazole.
aAmoxicillin/clavulanic acid PK/PD susceptibility at high dose is shown in parentheses.
bIn the clinical setting, isolates of BLNAR are considered resistant to amoxicillin/clavulanic acid, ampicillin/sulbactam, cefaclor and cefuroxime (see main text).
cClinical susceptibility to amoxicillin/clavulanic acid ampicillin/sulbactam, cefaclor and cefuroxime reduced (data in parentheses) due to corrections according to BLNAR (see main text).
dIn clinical setting, all β-lactamase-positive H. influenzae should be considered resistant.
ebioMérieux Etest® breakpoints for incubation in CO2.
fBreakpoints used are for cefuroxime axetil.
gCLSI disc diffusion testing method used.
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