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