United States Antibiogram

Gram Positives

Category Antibiotic Strep. Group A, B, C, G Strep. Pneumoniae Viridans strep Strep. milleri Enterococcus faecalis Enterococcus faecium Staph. aureus (MSSA) Staph. aureus (MRSA) Staph. aureus (CA-MRSA) Staph. Epidermidis C. jeikeium L. monocytogenes
Penicillins Penicillin G + + +/- + + +/- 0 0 0 0 0 +
Penicillin V + + +/- + + +/- 0 0 0 0 0 0
Anti-Staphylocccal Penicillins Methicillin + + +/- + 0 0 + 0 0 + 0 0
Nafcillin/Oxacillin + + +/- + 0 0 + 0 0 + 0 0
Dicloxacillin + + +/- + 0 0 + 0 0 + 0 0
Amino-Penicillins AMP/Amox + + +/- + + + 0 0 0 0 0 +
Amox-Clav + + +/- + + + + 0 0 0 0
AMP-Sulb + + +/- + + + + 0 0 0 0 +
Anti-Pseudomonal Penicillins Ticar-Clav + + +/- + +/- +/- + 0 0 +/- 0
Pip-Tazo + + +/- + + +/- + 0 0 +
Carbapenems Doripenem + + + + +/- 0 + 0 0 + +
Ertapenem + + + + 0 0 + 0 0 + 0 +/-
Imipenem + + + + + +/- + 0 0 + 0 +
Meropenem + + + + +/- 0 + 0 0 + +
Aztreonam 0 0 0 0 0 0 0 0 0 0 0 0
Fluroquinolones Ciprofloxacin +/- +/- 0 0 ^^ 0 + 0 +/- + 0 +
Ofloxacin +/- +/- 0 0 ^^ 0 + 0 + 0 0
Levofloxacin + + + + + 0 + 0 +/- + +
Moxifloxacin + + + + + +/- + +/- +/- + +
Gemifloxacin + + + + + +/- + +/- +/- + +
Gatifloxacin + + + + + +/- + +/- +/- + +
1st G Cephalo Cefazolin + + + 0 + 0 0 +/- 0 0
2nd G Cephalo Cefotetan + + + 0 + 0 0 +/- 0 0
Cefoxitin + + + 0 + 0 0 +/- 0 0
Cefuroxime + + + 0 + 0 0 +/- 0 0
3rd/4th G Cephalo Cefotaxime + + + 0 + 0 0 +/- 0 0
Cefizoxime + + + 0 + 0 0 +/- 0 0
CefTRIAXone + + + 0 + 0 0 +/- 0 0
Ceftaroline + + + + + + + +
CefTAZidime + + +/- 0 +/- 0 0 +/- 0 0
Cefepime + + + 0 + 0 0 +/- 0
Oral 1st G Cephalo Cefadroxil + + + 0 + 0 0 +/- 0 0
Cephalexin + + + 0 + 0 0 +/- 0 0
Oral 2nd G Cephalo Cefaclor + + + 0 + 0 0 +/- 0 0
Cefproxil + + 0 0 + 0 0 +/- 0 0
Cefuroxime + + + 0 + 0 0 +/- 0 0
Oral 3rd G Cephalo Cefixime + + + 0 0 0 0 0 0 0
Ceftibuten + +/- 0 0 0 0 0 0 0 0
Cefpodox/ Cefdinir/ Cefditoren + + + 0 + 0 0 +/- 0
Aminoglycosides Gentamicin 0 0 S S + 0 +/- 0 S
Tobramycin 0 0 S 0 + 0 +/- 0 S
Amikacin 0 0 S 0 + 0 +/- 0 S
Chloramphenicol + + +/- +/- +/- 0 0 0 +
Clindamycin + + 0 0 + 0 +/- 0 0
Macrolides Erythromycin +/- + 0 0 +/- 0 +/- +/- 0 +
Azithromycin +/- + 0 0 + 0 +/- 0 0 +
Clarithromycin +/- + 0 0 + 0 +/- 0 0 +
Ketolide Telithromycin + +/- +/- 0 + 0 +/- 0 0 +
Tetracyclines Doxycycline +/- + 0 0 +/- +/- + 0 0 +
Minocycline + + 0 0 +/- +/- + 0 0 +
Glycylcycline Tigecycline + + + + + + + + + +
Sulfonamides TMP-SMX + + + 0 + + + +/- 0 +
Urinary Agents Nitrofurantoin + + + + + + + 0
Fosfomycin + +/-
Other Rifampin + + +/- 0 + + + + 0 +
Metronidazole 0 0 0 0 0 0 0 0 + 0
Quinupristin-dalfoppristin + + 0 + + + + + + +
Linezolid + + + + + + + + + +
Daptomycin + + + + + + + + 0 +/-
Colistimethate 0 0 0 0 0 0 0 0 0
Telavancin + + + + + + + + + +
Vancomycin + + + +/- + + + + + +

Gram Negatives

Category Antibiotic N. gonorrhoeae
Penicillins Penicillin G 0
Penicillin V 0
Anti-Staphylocccal Penicillins Methicillin 0
Nafcillin/Oxacillin 0
Dicloxacillin 0
Amino-Penicillins AMP/Amox 0
Amox-Clav +
AMP-Sulb +
Anti-Pseudomonal Penicillins Ticarcillin +
Ticar-Clav +
Pip-Tazo +
Carbapenems Doripenem +
Ertapenem +
Imipenem +
Meropenem +
Aztreonam +
Fluroquinolones Ciprofloxacin +*
Ofloxacin +*
Levofloxacin +*
Moxifloxacin +*
Gemifloxacin
Gatifloxacin +*
1st G Cephalo Cefazolin +
2nd G Cephalo Cefotetan +/-
Cefoxitin +/-
Cefuroxime +/-
3rd/4th G Cephalo Cefotaxime +/-
Cefizoxime +/-
CefTRIAXone +
Ceftaroline +
CefTAZidime +/-
Cefepime +
Oral 1st G Cephalo Cefadroxil 0
Cephalexin 0
Oral 2nd G Cephalo Cefaclor +/-
Cefproxil +/-
Cefuroxime +/-
Oral 3rd G Cephalo Cefixime +
Ceftibuten +/-
Cefpodox/ Cefdinir/ Cefditoren +
Aminoglycosides Gentamicin 0
Tobramycin 0
Amikacin 0
Chloramphenicol +
Clindamycin 0
Macrolides Erythromycin +/-
Azithromycin +/-
Clarithromycin +/-
Ketolide Telithromycin +
Tetracyclines Doxycycline +/-
Minocycline +/-
Glycylcycline Tigecycline +
Sulfonamides TMP-SMX +/-
Urinary Agents Nitrofurantoin +
Fosfomycin +
Other Rifampin +
Metronidazole 0
Quinupristin-dalfoppristin +
Linezolid
Daptomycin 0
Colistimethate 0
Telavancin 0
Vancomycin 0

Key

  • + usually effective clinically or >60% susceptible
  • +/- clinical trials lacking or 30-60% susceptible
  • 0 not effective clinically or <30% susceptible
  • blank data not available
Gram Positives
Cocci
Clusters
Pairs/Chains
Other
Rods
Gram Negatives
Cocci
Rods
Lactose Fermenters
Lactose Non-Fermenters
Other
Rods/Cocci
Anaerobes
Clinically Utilized Antibiotics
β-lactams
Natural
Anti-Staphylococcal
Amino-Penicillins
Anti-Pseudomonal
1st
2nd
3rd
4th (antipseudomonal)
5th
Monobactams
Aminoglycosides
-mycin (Streptomyces)
-micin (Micromonospora)
Tetracyclines
Tetracyclines
Glycylcyclines
Macrolides
Standard
Ketolide
Sulfonamides
  • TMP-SMX (Bactrim)
    • Urinary Tract Agents
    Fluroquinolones
    2nd g.
    3rd g.
    4th g.
    Other

    See Also

    Source

    Sanford Guide to Antimicrobial Therapy 2010

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