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SHC Antibiogram: Anaerobes (Selected Species)

Percent Susceptible by Etest (a)

  No. Tested Amp/ sul-
bactam
Peni-
cillin
Pip/ tazo-
bactam
Mero-
penem
Clinda-
mycin
Metro-
nidazole
Bacteroides fragilis 30 93% 0% 93% 93% 40% 100%
Bacteroides NOT fragilis 25 64% 0% 84% 100% 16% 100%
Gram negative rods (other) (b) 29 100% 59% 100% 100% 90% 100%
               
ALL Gram positive rods 28 100% 79% 93% 100% 61% 100% (c)
 Clostridium perfringens only 11 - 100% - - 55% 100%
 Gram pos rods NOT perfringens 17 100% 73% 93% 100% 65% 100% (c)
Peptostreptococci 18 - 94% - - 89% (d) 89%
Cost ($)   $$ $ $$$ $$$ $$ $

(a) Not all isolates tested with every drug
(b) 13 Fusobacterium spp., 12 Prevotella spp., 3 Porphymonas spp., and 1 other
(c) Non-sporeforming anaerobic gram positive rods do not respond to metronidazole
(d) Notify Micro Lab to perform antibiotic susceptibility testing if clindamycin is being considered for a Peptostreptococcus; minimum 48 H for results

Stanford University Stanford Hospital & Clinics Lucile Packard Children's Hospital VA Palo Alto Santa Clara Valley Medical