Table 1: In vitro Susceptibility of S. maltophilia to Selected Antibiotics
Antibiotic MIC50 mg/ml

(range)

MIC90 mg/ml

(range)

% of strains susceptible* % of strains resistant* No. of strains tested† References

 

TMP-SMZ 0·25 to >64 0·25 to >64 0 to 100§ 4 to 100 3872 82, 23, 47, 94, 78, 75, 7, 98, 74, 88, 102, 85, 62
Ticarcillin 16 to 512 64 to >1024 29 to 69 32 to 74 329 47, 7, 85
TIM 2 to 128 32 to >1024 27 to 95 14 to 50 3764 82, 23, 47, 94, 78, 75, 7, 81, 74, 88, 85, 62
Cefepime 16 to 64 >16 to ≥128 0 to 30 45 to 100 2508 23, 94, 7, 74, 102, 85
Cefotaxime 60 to ≥64 ≥64 to 512 10 62 to 64 249 7, 85
Ceftazidime 8 to 128 >16 to 256 5 to 53 34 to 86 2649 82, 23, 47, 94, 7, 74, 88, 85
Ceftriaxone >32 to 256 >32 to >256 1 to 2 92 to 96 2184 74, 102
Aztreonam >16 to 256 >16 to >1024 0 to 10 85 to 100 2347 94, 7, 74, 85
Norfloxacin 16 to ≥16 ≥16 to 64 20 56 358 7, 85, 84
Ofloxacin 0·5 to 0·5 4 to 4 89 5 208 85, 84
Ciprofloxacin 0·25 to >8 2 to 32 0 to 82 13 to 96 3865 82, 23, 47, 94, 78, 7, 98, 74, 88, 102, 85, 84
Gatifloxacin 0·1 to 4 0·12 to 16 23 to 97 0 to 46 2642 23, 94, 98, 74, 85, 62
Levofloxacin 0·2 to 2 2 to 8 55 to 86 3 to 11 2631 94, 98, 74, 102, 85
Moxifloxacin 0·06 to 0·5 0·5 to 4 85 6 1405 30, 98, 102, 85, 84
Doxycycline 1 to 2 2 to 8 80 to 100 1 to 11 968 47, 78, 75, 85, 62
Minocycline 0·2 to 1 1 to 4 91 to 100 0 to 5 1014 94, 30, 88, 85
Tetracycline >8 to 32 >8 to 64 8 to 9 70 to 86 2325 7, 74, 85
Tigecycline 1 to 1 2 to 4 90 3 239 102, 73
Polymixin B 1 to 2 4 to 8 72 to 77 28 1322 62, 31
Chloramphenicol 4 to 32 16 to 64 1 to 80 35 to 39 395 47, 7, 85, 62
Amikacin >32 to 512 >32 to >512 0 to 31 61 to 100 2535 47, 94, 7, 74, 102, 85
Gentamicin >8 to 64 >8 to >256 14 to 31 58 to 81 2433 7, 74, 102, 85
Tobramycin ≥16 to 64 ≥16 to 512 2 to 25 68 to 78 2405 47, 7, 74, 85
Imipenem >8 to 512 >8 to >1024 0 to 2 97 to 100 3261 23, 47, 78, 7, 74, 88, 85
Meropenem >8 to >64 >8 to 256 0 to 4 88 to 100 2433 7, 74, 102, 85

 

 

Table 2.  Antimicrobial Agents Used in Treatment of S. maltophilia Infections. [Download PDF]

Drug

Dose

 

Trimethoprim/sulfamethoxazole

 

15mg/kg/day divided in 2 to 3 doses

Ticarcillin/clavulanate

3.1 g q6h IV

Ceftazidime

2 gm q8h IV

Ciprofloxacin

400 mg q12h IV

Levofloxacin

500-750 mg q24h IV

Moxifloxacin

1 x 400mg/day

Doxycycline

100 mg q12h IV

 Dosages for adults with normal renal function and weight about 70 kg.