United States Antibiogram

Gram Positives[1]

Category Organism Strep. Group A, B, C, G Strep. Pneumoniae Viridans strep Strep. anginosus gp Enterococcus faecalis Enterococcus faecium MSSA MRSA CA-MRSA Staph. Epidermidis C. jeikeium L. monocytogenes
PenicillinsPenicillin GSSISSIRRRRRS
Penicillin VSSISSIRRRRRR
Anti-Staphylocccal PenicillinsMethicillinSSISRRSRRSRR
Nafcillin/OxacillinSSISRRSRRSRR
Cloxacillin/Diclox.SSISRRSRRSRR
Amino-PenicillinsAMP/AmoxSSISSIRRRRRS
Amox-ClavSSISSSSRRRRX2
AMP-SulbSSISSSSRRRRS
Anti-Pseudomonal PenicillinsTicarcillinSSISIIRRRIRS
Ticar-ClavSSISIISRRIRX2
Pip-TazoSSISSISRRSX1X2
PiperacillinSSISSIRRRRRS
CarbapenemsDoripenemSSSSIRSRRSX1S
ErtapenemSSSSRRSRRSRI
ImipenemSSSSSISRRSRS
MeropenemSSSSIRSRRSX1S
AztreonamRRRRRRRRRRRR
FluroquinolonesCiprofloxacinIIRRURSRISRS
OfloxacinIIRRURSRX1SRR
PefloxacinRRX1X1RRSRX1SX1R
LevofloxacinSSSSSRSRISX1S
MoxifloxacinSSSSSISIISX1S
GemifloxacinSSSSSISIISX1S
GatifloxacinSSSSSISIISX1S
1st G CephaloCefazolinSSSX1RX1SRRIRR
2nd G. CephaloCefotetanSSSX1RX1SRRIRR
CefoxitinSSSX1RX1SRRIRR
CefuroximeSSSX1RX1SRRIRR
3rd/4th G. CephaloCefotaximeSSSX1RX1SRRIRR
CefizoximeSSSX1RX1SRRIRR
CefTRIAXoneSSSX1RX1SRRIRR
CeftarolineSSSX1SX1SSSSX1X1
CefTAZidimeSSIX1RX1IRRIRR
CefepimeSSSX1RX1SRRIX1R
Oral 1st G. CephaloCefadroxilSSSX1RX1SRRIRR
CephalexinSSSX1RX1SRRIRR
Oral 2nd G. CephaloCefaclor/LoracarbefSSSX1RX1SRRIRR
CefproxilSSRX1RX1SRRIRR
Cefuroxime axetilSSSX1RX1SRRIRR
Oral 3rd G. CephaloCefiximeSSSX1RX1RRRRRR
CeftibutenSIRX1RX1RRRRRR
Cefpodox/Cefdinir/CefditorenSSSX1RX1SRRIX1R
AminoglycosidesGentamicinRRX1X1SSSRX1IRS
TobramycinRRX1X1SRSRX1IRS
AmikacinRRX1X1SRSRX1IRS
ChloramphenicolSSX1X1IIIRX1RRS
ClindamycinSSX1X1RRSRIRRX1
MacrolidesErythromycinIIX1X1RRIRIIRS
AzithromycinIIX1X1RRSRIRRS
ClarithromycinIIX1X1RRSRIRRS
KetolideTelithromycinSSX1X1IRSRIRRS
TetracyclinesDoxycyclineISX1X1RRIISRRS
MinocyclineSSX1X1RRSISRRS
GlycylcyclineTigecyclineSSX1X1SSSSSSSS
DaptomycinSX23X1X1SSSSSSSI
Glyco/LipoclycopeptidesVancomycinSSX1X1SISSSSSS
TeicoplaninSSX1X1SISSSISS
TelavancinSSX1X1SSSSSSSS
Fusidic AcidIIX1X1SX1SSSSSX1
TrimethoprimSIX1X1SRIISSRS
TMP-SMXX22SX1X1X22RSSSIRS
Urinary AgentsNitrofurantoinSSX1X1SSSSSX1RX1
FosfomycinX1SX1X1SISSSX1X1R
OtherRifampinSSX1X1IRSSSSSS
MetronidazoleRRX1X1RRRRRRRR
Quinupristin dalfoppristinSSX1X1RSSSSSSS
LinezolidSSX1X1SSSSSSSS
ColistimethateRRX1X1RRRRRRRR

Gram Negatives

Category Organism N. gonorrhoeae N. meningitidis Moraxella catarrhalis H. influenzae E. coli Klebsiella sp E. coli/Klebsiella ESBL+ E coli/Klebsiella KPC+ Enterobacter sp, AmpC neg Enterobacter sp, AmpC pos Serratia sp Serratia marcescens Salmonella sp Shigella sp Proteus mirabilis Proteus vulgaris Providencia sp. Morganella sp. Citrobacter freundii Citrobacter diversus Citrobacter sp. Aeromonas sp Acinetobacter sp. Pseudomonas aeruginosa Burkholderia cepacia Stenotrophomonas maltophilia Yersinia enterocolitica Francisella tularensis Brucella sp. Legionella sp. Pasteurella multocida Haemophilus ducreyi Vibrio vulnificus
PenicillinsPenicillin GRSRRRRRRRRRX1RRRRRRRRRRRRRRRX1X1RSSX1
Penicillin VRRRRRRRRRRRX1RRRRRRRRRRRRRRRX1X1RSX1X1
Anti-Staphylocccal PenicillinsMethicillinRRRRRRRRRRRX1RRRRRRRRRRRRRRRX1X1RRX1X1
Nafcillin/OxacillinRRRRRRRRRRRX1RRRRRRRRRRRRRRRX1X1RRX1X1
Cloxacillin/Diclox.RRRRRRRRRRRX1RRRRRRRRRRRRRRRX1X1RRX1X1
Amino-PenicillinsAMP/AmoxRSRIIRRRRRRX1IISRRRRRRRRRRRRX1X1RSRX1
Amox-ClavSSSSSSRRRRRX1SSSSSIRRRSRRRRIX1X1RSSX1
AMP-SulbSSSSSSRRRRRX1SSSSSSRRRSSRRRIX1X1RSSX1
Anti-Pseudomonal PenicillinsTicarcillinX2SRIIRRRSSRX1SSSSSSSSSSRSRX1IX1X1RSX1X1
Ticar-ClavX2SSSSSRRSSSX1SSSSSSSSSSISX1SSX1X1RSX1X1
Pip-TazoX2SSSSSRRSSSX1SSSSSSSSSSISX1IX1X1X1RX1X1X1
PiperacillinX2SIISSRRSSSX1SSSSSSSSSSRSX1ISX1X1RSX1X1
CarbapenemsDoripenemX2SSSSSSRSSSX1SSSSSSSSSSISIRSX1X1RSX1X1
ErtapenemX2SSSSSSRSSSX1SSSSSSSSSSRRRRX1X1X1RSX1X1
ImipenemX2SSSSSSRSSSX1SSSSSSSSSSISRRSX1X1RSX1X1
MeropenemX2SSSSSSRSSSX1SSSSSSSSSSISSRX1X1X1RX1X1X1
AztreonamSSSSSSRRSSSX1X1SSSSSSSSSRSRRSX1X1RSX1X1
FluroquinolonesCiprofloxacinISSSSSSRSSSX1SSSSSSSSSSISRRSX1X1SSX1X1
OfloxacinISSSSSSRSSSX1SSSSSSSSSSIIRRSX1X1SSX1X1
PefloxacinISSSSSSRSSSX1SSSSSSSSSX1X1X1X1RSX1X1SSX1X1
LevofloxacinISSSSSSRSSSX1SSSSSSSSSSIIX1ISX1X1SSX1X1
MoxifloxacinISSSSSSRSSSX1SSSSSSSSSSIIRISX1X1SSX1X1
GemifloxacinIX1SSSSSRSSX1X1X1X1X1SX1X1X1X1X1X1IX1X1X1X1X1X1SX1X1X1
GatifloxacinISSSSSSRSSSX1SSSSSSSSSSIIRISX1X1SSX1X1
1st G CephaloCefazolinSRISSSRRRRRX1X1X1SRRRRRRRRRRRRX1X1RX1X1X1
2nd G. CephaloCefotetanIISSSSRRIRSX1X1X1SSSSRIISRRRRIX1X1RSX1X1
CefoxitinIISSSSRRRRRX1X1X1SSSSRIIIRRRRIX1X1RX1SX1
CefuroximeISSSSSRRIRRX1X1X1SSRIRIISRRRRIX1X1RSX1X1
3rd/4th G. CephaloCefotaximeISSSSSRRSRSX1SSSSSSSSSSRRIRSX1X1RSSX1
CefizoximeIISSSSRRSRSX1SSSSSSRSSSRRIRSX1X1RSSX1
CefTRIAXoneISSSSSRRSRSX1SSSSSSSSSSRRIRSX1X1RSSX1
CeftarolineISSSSSRRSRSX1SSSSSSX1SSSX1RRRX1X1X1RX1X1X1
CefTAZidimeIISSSSRRSRSX1SSSSSSRSSSISSIIX1X1RX1SX1
CefepimeISSSSSRRSRSX1SSSSSSSSSSISIRSX1X1RSX1X1
Oral 1st G. CephaloCefadroxilRRRX1SSRRRRRX1RRSRRRRRX1X1RRRRX1X1X1RX1X1X1
CephalexinRRRRSSRRRRRX1RRSRRRRRRX1RRRRX1X1X1RRX1X1
Oral 2nd G. CephaloCefaclor/LoracarbefIIISSSRRRRRX1X1X1SRRRRRIX1RRRRX1X1X1RX1X1X1
CefproxilIISSSSRRRRRX1X1X1SRRRRRRX1RRRRX1X1X1RX1X1X1
Cefuroxime axetilIISSSSRRRRRX1X1X1SRSIRX1IX1RRRRX1X1X1RX1X1X1
Oral 3rd G. CephaloCefiximeSISSSSRRRRIX1SSSSSRRX1SSRRRRSX1X1RSSX1
CeftibutenIISSSSRRIRIX1SSSSSRRSSSRRSRSX1X1RX1X1X1
Cefpodox/Cefdinir/CefditorenSX1SSSSRRRRRX1SSSIX1RRX1SX1X1RX1X1X1X1X1RSX1X1
AminoglycosidesGentamicinRRSSSSSRSSX1SX1SX1SX1X1X1X1X1X1RSRRSSS+X1X1X1I
TobramycinRRSSSSSRSSX1SX1SX1SX1X1X1X1X1X1RSRRSSS+X1X1X1I
AmikacinRRSSSSSRSSX1SX1SX1SX1X1X1X1X1X1ISRRSSS+X1X1X1I
ChloramphenicolSSSSSIIRRRX1RSSX1IX1X1X1X1X1X1RRSSSSSX1X1X2X2
ClindamycinRRRRRRRRRRX1RRRX1RX1X1X1X1X1X1RRRRRX1RX1X1X2X1
MacrolidesErythromycinIX2IIRRRRRRX1RRRX1RX1X1X1X1X1X1RRRRRX1RSX1SX1
AzithromycinIX2SSRRRRRRX1RIIX1RX1X1X1X1X1X1RRRRRX1RSX1SX1
ClarithromycinIX1SSRRRRRRX1RRRX1RX1X1X1X1X1X1RRRRRX1RSX1X1X1
KetolideTelithromycinX2X2SSRRRRRRX1RRRX1RX1X1X1X1X1X1RRRRRX1RX2X1X1X1
TetracyclinesDoxycyclineISSSSIIRRRX1RIIX1RX1X1X1X1X1X1RRRX2RSSX2X1RS+
MinocyclineISSSSIIRRRX1RIIX1RX1X1X1X1X1X1SRIRRX1SX2X1RS+
GlycylcyclineTigecyclineX2X1SSSSSSSSX1SSSX1IX1X1X1X1X1X1IRISX1X1X1X2X1X1X1
DaptomycinRRRRRRRRRRX1RRX1X1RX1X1X1X1X1X1RRRRRRRRX1RR
Glyco/LipoclycopeptidesVancomycinRRX1X1RRRRRRX1RRRX1RX1X1X1X1X1X1RRRRX1X1RX1X1RX1
TeicoplaninRRX1X1RRRRRRX1RRRX1RX1X1X1X1X1X1RRRRX1X1RX1X1X1X1
TelavancinRRX1X1RRRRRRX1RRRX1RX1X1X1X1X1X1RRRRX1X1RX1X1X1X1
Fusidic AcidSSX1X1RRRRRRX1RRRX1RX1X1X1X1X1X1RRRRRX1X1IX1X1R
TrimethoprimRIX1ISIIRIIX1RIIX1RX1X1X1X1X1X1RRSRX1X1X2SX1RX1
TMP-SMXIX2SIIIIRX1X1X1IIIX1RX1X1X1X1X1X1IRSSSSX2SX1IX1
Urinary AgentsNitrofurantoinSX1X1X1SIX1RIIX1RSSX1RX1X1X1X1X1X1X1RRRX1X1X1X1X1X1X1
FosfomycinX1X1X1X1SSSSSSX1SSX1X1SX1X1X1X1X1X1RRX1X1X1X1X1X1X1X1X1
OtherRifampinX2SSSRRRIRRX1RRRX1RX1X1X1X1X1X1RRRX1X1SS+X1X1X1X1
MetronidazoleRRRRRRRRRRX1RRRX1RX1X1X1X1X1X1RRRRRRRRX1RR
Quinupristin dalfoppristinX2RSIRRRRRRX1X1RRX1X1X1X1X1X1X1X1X1RX1X1X1X1X1X1X1X1X1
LinezolidX1RIIRRRRRRX1RRRX1RX1X1X1X1X1X1RRRRRRRX1X1X1X1
ColistimethateRRX1X1SSSSSSX1RX1X1X1RX1X1X1X1X1X1SSRIX1X1X1X1X1X1X1

Non-Culture Growing Bacteria (Misc)

Category Organism Chlamydophila sp Mycoplasm pneumoniae Rickettsia sp Mycobacterium avium
PenicillinsPenicillin GRRX1X1
Penicillin VRRX1X1
Anti-Staphylocccal PenicillinsMethicillinRRX1X1
Nafcillin/OxacillinRRX1X1
Cloxacillin/Diclox.RRX1X1
Amino-PenicillinsAMP/AmoxRRX1X1
Amox-ClavRRX1X1
AMP-SulbRRX1X1
Anti-Pseudomonal PenicillinsTicarcillinRRX1X1
Ticar-ClavRRX1X1
Pip-TazoRRX1X1
PiperacillinRRX1X1
CarbapenemsDoripenemRRX1X1
ErtapenemRRX1X1
ImipenemRRX1X1
MeropenemRRX1X1
AztreonamRRX1X1
FluroquinolonesCiprofloxacinSSX1X1
OfloxacinSSX1X1
PefloxacinSSX1X1
LevofloxacinSSX1X1
MoxifloxacinSSX1X1
GemifloxacinSSX1X1
GatifloxacinSSX1X1
1st G CephaloCefazolinX1X1X1X1
2nd G. CephaloCefotetanX1X1X1X1
CefoxitinX1X1X1X1
CefuroximeX1X1X1X1
3rd/4th G. CephaloCefotaximeX1X1X1X1
CefizoximeX1X1X1X1
CefTRIAXoneX1X1X1X1
CeftarolineX1X1X1X1
CefTAZidimeX1X1X1X1
CefepimeX1X1X1X1
Oral 1st G. CephaloCefadroxilX1X1X1X1
CephalexinX1X1X1X1
Oral 2nd G. CephaloCefaclor/LoracarbefX1X1X1X1
CefproxilX1X1X1X1
Cefuroxime axetilX1X1X1X1
Oral 3rd G. CephaloCefiximeX1X1X1X1
CeftibutenX1X1X1X1
Cefpodox/Cefdinir/CefditorenX1X1X1X1
AminoglycosidesGentamicinRRRX1
TobramycinRRRX1
AmikacinRRRS
ChloramphenicolSSSX1
ClindamycinIRX1X1
MacrolidesErythromycinSSIX1
AzithromycinSSX1S
ClarithromycinSSX1S
KetolideTelithromycinSSSX1
TetracyclinesDoxycyclineSSSR
MinocyclineSSSR
GlycylcyclineTigecyclineSSX1R
DaptomycinX1X1X1X1
Glyco/LipoclycopeptidesVancomycinX1X1RX1
TeicoplaninX1X1RX1
TelavancinX1X1RX1
Fusidic AcidRRRX1
TrimethoprimRX1X1X1
TMP-SMXX1X1X1X1
Urinary AgentsNitrofurantoinRX1X1X1
FosfomycinX1X1X1X1
OtherRifampinX2X1X1X1
MetronidazoleRRRR
Quinupristin dalfoppristinX2SX1R
LinezolidX2RX1R
ColistimethateX1X1X1X1

Anaerobes

Category Organism Actinomyces Bacteroides fragilis Prevotella melaninogenica Clostridium difficile Clostridium (not difficile) Fusobacterium necrophorum Peptostreptococcus sp.
PenicillinsPenicillin GSRSX2SIS
Penicillin VIIRX1SIS
Anti-Staphylocccal PenicillinsMethicillinRRRX1X1X1S
Nafcillin/OxacillinRRRX1X1X1S
Cloxacillin/Diclox.RRRX1X1X1S
Amino-PenicillinsAMP/AmoxSRSX1SSS
Amox-ClavSSSX1SSS
AMP-SulbSSSX2SSS
Anti-Pseudomonal PenicillinsTicarcillinX1RSX1SX1S
Ticar-ClavX1SSX1SSS
Pip-TazoX1SSX1SSS
PiperacillinSRSX2SX1S
CarbapenemsDoripenemX1SSX2SSS
ErtapenemSSSX2SSS
ImipenemSSSX2SSS
MeropenemX1SSX2SSS
AztreonamRRRRRX1R
FluroquinolonesCiprofloxacinRRRRIX1I
OfloxacinIRIX1IX1I
PefloxacinX1RX1X1X1X1X1
LevofloxacinX1RSRSX1S
MoxifloxacinSISRIIS
GemifloxacinX1RX1X1X1X1X1
GatifloxacinSISRSX1S
1st G CephaloCefazolinX1RX1X1X1X1X1
2nd G. CephaloCefotetanX1ISX1SX1S
CefoxitinX1SSRSSS
CefuroximeX1RSX1SX1S
3rd/4th G. CephaloCefotaximeX1RSRSX1S
CefizoximeSISRSX1S
CefTRIAXoneSRIX1SX1S
CeftarolineX1RX1X1X1X1X1
CefTAZidimeX1RSX1SX1S
CefepimeX1RRRX1X1S
Oral 1st G. CephaloCefadroxilX1X1X1X1X1X1X1
CephalexinX1RX1X1X1X1S
Oral 2nd G. CephaloCefaclor/LoracarbefX1RSX1X1X1S
CefproxilX1RSX1SX1S
Cefuroxime axetilX1RSX1SX1S
Oral 3rd G. CephaloCefiximeX1RSX1RX1S
CeftibutenX1RX1X1X1X1X1
Cefpodox/Cefdinir/CefditorenX1X1X1X1X1X1X1
AminoglycosidesGentamicinRRRRX1RR
TobramycinRRRRX1RR
AmikacinRRRRX1RR
ChloramphenicolX2X2SISSS
ClindamycinSISX1ISS
MacrolidesErythromycinSRX1X1IRI
AzithromycinSRSX1SRS
ClarithromycinSRSX1SRI
KetolideTelithromycinX1X1X1X1X1X1S
TetracyclinesDoxycyclineSISX1SX1S
MinocyclineSISX1SX1S
GlycylcyclineTigecyclineX1SSX1SSS
DaptomycinX1X1X1X1X1X1X1
Glyco/LipoclycopeptidesVancomycinSRRSSX1S
TeicoplaninX1X1X1SSX1S
TelavancinSRRSSX1S
Fusidic AcidSX1SX1SX1S
TrimethoprimX1X2X1X1X1X1X1
TMP-SMXX1RX1X1X1X1X1
Urinary AgentsNitrofurantoinX1X1X1X1X1X1X1
FosfomycinX1X1X1X1X1X1X1
OtherRifampinX1X1X1X1X1X1X1
MetronidazoleRSSSS+SI
Quinupristin dalfoppristinX1X1SIX2X1X1
LinezolidX1IX1IX2X1S
ColistimethateX1X1X1X1X1X1X1

Key

  • S susceptible/sensitive (usually)
  • I intermediate (variably susceptible/resistant)
  • R resistant (or not effective clinically)
  • S+ synergistic with cell wall antibiotics
  • U sensitive for UTI only (non systemic infection)
  • X1 no data
  • X2 active in vitro, but not used clinically
  • X3 active in vitro, but not clinically effective for Group A strep pharyngitis or infections due to E. faecalis
  • X4 active in vitro, but not clinically effective for strep pneumonia

See Also

References

  1. Sanford Guide to Antimicrobial Therapy 2014
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