EUCAST Expert Rules in Antimicrobial Susceptibility Testing - eibne.gr
EUCAST Expert Rules in Antimicrobial Susceptibility Testing - eibne.gr
EUCAST Expert Rules in Antimicrobial Susceptibility Testing - eibne.gr
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Table 6. Exceptional phenotypes of Gram-positive bacteria<br />
Rule<br />
no.<br />
Organisms<br />
Exceptional phenotypes<br />
6.1 Staphylococcus aureus Resistant to vancomyc<strong>in</strong>, teicoplan<strong>in</strong>, l<strong>in</strong>ezolid, qu<strong>in</strong>uprist<strong>in</strong>-dalfoprist<strong>in</strong>, daptomyc<strong>in</strong>,<br />
tigecycl<strong>in</strong>e.<br />
6.2 Coagulase-negative staphylococci Resistant to vancomyc<strong>in</strong>, l<strong>in</strong>ezolid 1 , qu<strong>in</strong>uprist<strong>in</strong>-dalfoprist<strong>in</strong> 1 , daptomyc<strong>in</strong>, tigecycl<strong>in</strong>e.<br />
6.3 JK coryneform organisms Resistant to vancomyc<strong>in</strong>, teicoplan<strong>in</strong>, l<strong>in</strong>ezolid, qu<strong>in</strong>uprist<strong>in</strong>-dalfoprist<strong>in</strong>, daptomyc<strong>in</strong>,<br />
tigecycl<strong>in</strong>e.<br />
6.4 Streptococcus pneumoniae Resistant to imipenem, meropenem, vancomyc<strong>in</strong>, teicoplan<strong>in</strong>, l<strong>in</strong>ezolid, qu<strong>in</strong>uprist<strong>in</strong>dalfoprist<strong>in</strong>,<br />
daptomyc<strong>in</strong>, tigecycl<strong>in</strong>e, rifampic<strong>in</strong>.<br />
6.5 Group A, B, C and G β-haemolytic streptococci Resistant to penicill<strong>in</strong>, cephalospor<strong>in</strong>s, vancomyc<strong>in</strong>, teicoplan<strong>in</strong>, l<strong>in</strong>ezolid,<br />
qu<strong>in</strong>uprist<strong>in</strong>-dalfoprist<strong>in</strong>, daptomyc<strong>in</strong>, tigecycl<strong>in</strong>e.<br />
6.6 Enterococcus spp. Resistant to l<strong>in</strong>ezolid, daptomyc<strong>in</strong>, tigecycl<strong>in</strong>e.<br />
Resistant to teicoplan<strong>in</strong> but not vancomyc<strong>in</strong>.<br />
6.7 Enterococcus faecalis, Enterococcus gall<strong>in</strong>arum,<br />
Enterococcus casseliflavus, Enterococcus avium<br />
Susceptible to qu<strong>in</strong>uprist<strong>in</strong>-dalfoprist<strong>in</strong>. Consider likelihood of misidentification. If also<br />
resistant to ampicill<strong>in</strong> it is almost certa<strong>in</strong>ly E. faecium.<br />
6.8 Enterococcus faecium Resistant to qu<strong>in</strong>uprist<strong>in</strong>-dalfoprist<strong>in</strong>. Consider likelihood of misidentification,<br />
especially if also susceptible to ampicill<strong>in</strong>.<br />
1<br />
Except <strong>in</strong> countries where l<strong>in</strong>ezolid or qu<strong>in</strong>uprist<strong>in</strong>-dalfoprist<strong>in</strong> resistant coagulase-negative staphylococci are not rare.