Antimicrobial Susceptibilities of Unique Stenotrophomonas maltophilia Clinical Strains

Author:

Valdezate Sylvia12,Vindel Ana2,Loza Elena1,Baquero Fernando1,Cantón Rafael1

Affiliation:

1. Servicio de Microbiologı́a, Hospital Ramón y Cajal, Madrid-28034,1 and

2. Laboratorio de Infecciones Intrahospitalarias, Centro Nacional de Microbiologı́a. Instituto Carlos III, Majadahonda, Madrid-28220,2 Spain

Abstract

ABSTRACT Susceptibility to 41 antimicrobials was studied with 99 Stenotrophomonas maltophilia strains, and different pulsed-field gel electrophoresis profiles were identified among 130 prospectively collected isolates. Moxalactam, doxycycline, minocycline, and clinafloxacin displayed the highest activity (≥98% susceptibility). Ticarcillin resistance (75%) was reverted by clavulanate in 25% of strains. Trimethoprim-sulfamethoxazole resistance was 26.2% (≥4 [trimethoprim]/76 [sulfamethoxazole] μg/ml) and dropped to 11.1% when an 8/152-μg/ml breakpoint was applied based on its bimodal MIC distribution. Resistance was lower when unique strains were considered, because clonal organisms contribute to resistance.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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