Ann Clin Microbiol 2023;26:51-57. Introduction to the revised international guidelines on breakpoints for antimicrobial susceptibility testing

Table 1. Breakpoints revision in CLSI M100
Organism Antimicobial agent Test/Report group Tier Disk diffusion (mm) MIC (µg/mL)
2022 2023 2022 2023
S I R S I R S I R S I R
Enterobacterales Amikacin B 2 ≥ 17 15-16 ≤ 14 ≥ 20 17-19 ≤ 16 ≤ 16 32 ≥ 64 ≤ 4 8 ≥ 16
Gentamicin A 1 ≥ 15 13-14 ≤ 12 ≥ 18 15-17 ≤ 14 ≤ 4 8 ≥ 16 ≤ 2 4 ≥ 8
Tobramycin A 2 ≥ 15 13-14 ≤ 12 ≥ 17 13-16 ≤ 12 ≤ 4 8 ≥ 16 ≤ 2 4 ≥ 8
Plazomicin 3 ≥ 18 15-17 ≤ 14 ≤ 2 4 ≥ 8
Amikacin B U ≥ 17 15-16 ≤ 14 ≥ 17 15-16 ≤ 14 ≤ 16 32 ≥ 64 ≤ 16 32 ≥ 64
Gentamycin A ≥ 15 13-14 ≤ 12 ≤ 4 8 ≥ 16
Pseudomonas aeruginosa Tobramycin A 1 ≥ 15 13-14 ≤ 12 ≥ 19 13-18 ≤ 12 ≤ 4 8 ≥ 16 ≤ 1 2 ≤ 4
Piperacillin O * ≥ 21 15-20 ≤ 14 ≥ 22 18-21 ≤ 17 ≤ 16 32-64 ≥ 128 ≤ 16 32 ≥ 64
Piperacillin-tazobactam A 1 ≥ 21 15-20 ≤ 14 ≥ 22 18-21 ≤ 17 ≤ 16/4 32/4-64/4 ≥ 128/4 ≤ 16/4 32/4 ≥ 64/4

†agents reported only on organisms isolated from the urinary tract; ‡designated with an asterisk as ‘other’. Abbreviations: CLSI, Clinical and Laboratory Standards Institute; MIC, minimum inhibitory concentration; S, susceptible; I, intermediate; R, resistant; O, other.