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Journal of Antimicrobial Chemotherapy (1999) 44, 819-822
© 1999 The British Society for Antimicrobial Chemotherapy


Brief report

Tentative minimum inhibitory concentration and zone diameter breakpoints for moxifloxacin using BSAC criteria

J. M. Andrews*, J. P. Ashby, G. M. Jevons and R. Wise

Department of Antimicrobial Chemotherapy, City Hospital NHS Trust, Dudley Road, Birmingham B18 7QH, UK

Tentative MIC and zone diameter breakpoints were determined for moxifloxacin using BSAC criteria. An MIC breakpoint of <=1 mg/L, denoting sensitivity, is suggested for Enterobacteriaceae, staphylococci, haemophili, moraxellae, pneumococci and enterococci. For pseudomonads high and low breakpoints of 4 mg/L and 1 mg/L are suggested to allow for an intermediate category of sensitivity. A 1 µg moxifloxacin disc content is suggested for testing all of the organisms previously mentioned, except pseudomonads, for which a 5 µg disc is needed to discriminate between the intermediate and sensitive populations. Corresponding zone diameter breakpoints for a 1 µg disc are >=20 mm for Enterobacteriaceae and staphylococci, 18 mm for the respiratory pathogens (Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis) and 15 mm for enterococci. For Pseudomonas aeruginosa with a 5 µg disc, three bands are suggested for interpretation, that of >=25 mm (sensitive), 18-24 mm (intermediate) and <=17 mm (resistant).

* Corresponding author. Tel: +44-121-554-3801; Fax: +44-121-551-7763.


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