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Compliance of Manufacturers 2016-03-10

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Page 1: Compliance of Manufacturers 2016-03-10

Compliance of manufacturers of

AST materials and devices with

EUCAST guidelines

• Data are based on questionnaires to manufacturers of materials and

devices for antimicrobial susceptibility testing.

• The tables will be updated when manufacturers report changes

(contact [email protected]).

• The accuracy of data in these tables is not verified by EUCAST and

the inclusion of any materials or devices does not indicate

endorsement by EUCAST.

Last updated 10 March 2016

Page 2: Compliance of Manufacturers 2016-03-10

Manufacturer Disks available MH-F plates available

Abtek All except ceftobiprole 5 µg and

ceftolozane-tazobactam 30-10 µg No

BD All except ceftobiprole 5 µg and

ceftolozane-tazobactam 30-10 µg Expected 2016

Bioanalyse All except ceftaroline 5 µg, ceftobiprole 5

µg and ceftolozane-tazobactam 30-10 µg No

Bio-Rad All except ceftobiprole 5 µg Yes

bioMérieux No disks marketed Yes

I2a All except ceftaroline 5 µg

and ceftobiprole 5 µg No

Liofilchem All except ceftolozane-tazobactam

30-10 µg (expected April 2016) Yes

MAST Group All except ceftobiprole 5 µg No but supply β-NAD supplement

Thermo Fisher Scientific (Oxoid)

All except ceftobiprole 5 µg,

ceftolozane-tazobactam 30-10 µg and

ticarcillin-clavulanic acid 75-10 µg

Yes

Rosco All (Neo-Sensitabs) No

Compliance of manufacturers with EUCAST guidelines, 10 March 2016

EUCAST disk diffusion method

The accuracy of data in these tables is not verified by EUCAST and the inclusion of any materials or devices does not indicate endorsement by EUCAST

Page 3: Compliance of Manufacturers 2016-03-10

Compliance of manufacturers with EUCAST guidelines, 10 March 2016

Automated systems for reading antimicrobial

susceptibility testing plates

The accuracy of data in these tables is not verified by EUCAST and the inclusion of any materials or devices does not indicate endorsement by EUCAST

Manufacturer System

EUCAST

breakpoints

implemented

EUCAST Expert

Rules

implemented

EUCAST terminology

implemented

S≤ R> - IE

Bio-Rad OSIRIS/ADAGIO Yes

Yes.

There are additional

rules but EUCAST

rules have priority.

Yes Yes Yes Yes

Giles Scientific BIOMIC V3 Yes Yes.

No exceptions Yes Yes Yes Yes

I2a

SIRSCAN:

2000

2000 automatic

Micro

Yes

Yes.

There are additional

rules but none

should be contrary

to EUCAST rules.

Yes Yes Yes Yes

Synbiosis -

Division of

Synoptics

ChromaZona Yes

Yes.

EUCAST rule

number displayed.

Yes Yes No No

Page 4: Compliance of Manufacturers 2016-03-10

Compliance of manufacturers with EUCAST guidelines, 10 March 2016

Gradient tests: Etest (bioMérieux)

The accuracy of data in these tables is not verified by EUCAST and the inclusion of any materials or devices does not indicate endorsement by EUCAST

Manufacturer Agents in EUCAST tables but

not available Agents validated for MH-F

bioMérieux Amoxicillin-clavulanic acid (fixed

2 mg/L clavulanic acid)*, **

Ampicillin-sulbactam (fixed 4

mg/L sulbactam)*, **

Cefadroxil

Cefalexin

Cefazolin

Ceftibuten

Ceftobiprole

(available for resaerch use only)

Ceftolozane-tazobactam

(expected 2016)

Oritavancin

Roxithromycin

Tedizolid

Ticarcillin

Ampicillin

Amoxicillin

Benzylpenicillin

Cefaclor

Cefepime

Cefixime

Cefotaxime

Cefpodoxime

Ceftriaxone

Cefuroxime

Doripenem

Ertapenem

Imipenem

Meropenem

Chloramphenicol

Ciprofloxacin

Levofloxacin

Moxifloxacin

Ofloxacin

Azithromycin

Clarithromycin

Erythromycin

Clindamycin

Doxycycline

Minocycline

Tetracycline

Tigecycline

Teicoplanin

Vancomycin

Daptomycin

Linezolid

Nitofurantoin

Rifampicin

Trimethoprim

Trimethoprim-sulfamethoxazole

(not for H. influenzae and M. catarrhalis)

*Gradient tests with the agent:inhibitor in a 2:1 ratio are not acceptable using EUCAST methods and breakpoints

** Expected during 2014

Page 5: Compliance of Manufacturers 2016-03-10

Compliance of manufacturers with EUCAST guidelines, 10 March 2016

Gradient tests: MIC Test Strip (Liofilchem)

The accuracy of data in these tables is not verified by EUCAST and the inclusion of any materials or devices does not indicate endorsement by EUCAST

Manufacturer Agents in EUCAST tables

but not available Agents validated for MH-F

Liofilchem Cefadroxil

Cefalexin

Roxithromycin

Telithromycin

Ticarcillin

Amoxicillin

Amoxicillin-clavulanic acid

(fixed 2 mg/L clavulanic acid)*

Ampicillin

Ampicillin-sulbactam

(fixed 4 mg/L sulbactam)*

Azithromycin

Benzylpenicillin

Cefaclor

Cefepime

Cefixime

Cefotaxime

Cefpodoxime

Ceftaroline

Ceftriaxone

Cefuroxime

Cephalothin

Chloramphenicol

Ciprofloxacin

Clarithromycin

Clindamycin

Doripenem

Doxycycline

Ertapenem

Erythromycin

Imipenem

Levofloxacin

Linezolid

Meropenem

Minocycline

Moxifloxacin

Ofloxacin

Rifampicin

Teicoplanin

Tetracycline

Trimethoprim-sulfamethoxazole

Vancomycin

*Gradient tests with the agent:inhibitor in a 2:1 ratio are not acceptable using EUCAST methods and breakpoints

Page 6: Compliance of Manufacturers 2016-03-10

Compliance of manufacturers with EUCAST guidelines, 10 March 2016

Gradient tests: M.I.C.Evaluator

(Thermo Fisher Scientific)

The accuracy of data in these tables is not verified by EUCAST and the inclusion of any materials or devices does not indicate endorsement by EUCAST

Manufacturer Agents in EUCAST tables but not available Agents validated for MH-F

Thermo Fisher

Scientific (Oxoid)

Amoxicillin-clavulanic acid

(fixed 2 mg/L clavulanic acid)*

Ampicillin-sulbactam

(fixed 4 mg/L sulbactam)*

Azithromycin

Aztreonam

Cefaclor

Cefadroxil

Cefalexin

Cefazolin

Cefepime

Cefixime

Cefoxitin

Cefpodoxime

Ceftibuten

Ceftobiprole

Ceftolozane-tazobactam

Cefuroxime

Chloramphenicol

Clarithromycin

Colistin

Dalbavancin

Doripenem

Doxycycline

Ertapenem

Fosfomycin

Fusidic acid

Mecillinam

Minocycline

Moxifloxacin

Mupirocin

Nalidixic acid

Netilmicin

Nitrofurantoin

Norfloxacin

Ofloxacin

Oitavancin

Piperacillin

Piperacillin-tazobactam

Quinupristin-dalfopristin

Rifampicin

Roxithromycin

Spectinomycin

Streptomycin

Tedizolid

Telavancin

Telithromycin

Ticarcillin

Ticarcillin-clavulanate

Tobramycin

Trimethoprim

Trimethoprim-sulfamethoxazole

Amoxicillin

Ampicillin

Benzylpenicillin

Oxacillin

Cefotaxime

Ceftazidime

Ceftaroline

Levofloxacin

Amikacin

Teicoplanin

Vancomycin

Erythromycin

Tetracycline

Tigecycline

Linezolid

*Gradient tests with the agent:inhibitor in a 2:1 ratio are not acceptable using EUCAST methods and breakpoints

Page 7: Compliance of Manufacturers 2016-03-10

EUCAST terminology

implemented

In computer

database

S ≤ Yes

R > No (R ≥)

- Yes

IE Yes

In reports

S ≤ Yes

R > Yes (≥ converted to R >)

- Yes (MICs reported for agents with no EUCAST breakpoints)

IE Yes (MICs reported for agents with no EUCAST breakpoints)

EUCAST Expert Rules

implemented

All rules incorporated. There are additional rules but EUCAST rules have priority.

EUCAST organism groups

with no test in the system

H. influenzae

M. catarrhalis

N. meningitidis

N. gonorrhoeae

Gram-negative anaerobes

Gram-positive anaerobes

Agents in EUCAST tables

but not available in the

system

Ampicillin-sulbactam (fixed 4 mg/l sulbactam)*

Ceftobiprole

Ceftolozane-tazobactam

Agents available but

EUCAST breakpoints not

implemented in the system

Rifampicin (Staphylococcus spp. cannot be reported susceptible)

Trimethoprim (Enterococcus spp. cannot be reported susceptible)

Trimethoprim-sulfamethoxazole (Enterococcus spp. cannot be reported susceptible)

Compliance of manufacturers with EUCAST guidelines, 10 March 2016

Phoenix/EpiCenter automated system (BD)

The accuracy of data in these tables is not verified by EUCAST and the inclusion of any materials or devices does not indicate endorsement by EUCAST

*Tests with the agent:inhibitor in a 2:1 ratio are not acceptable using EUCAST methods and breakpoints

Page 8: Compliance of Manufacturers 2016-03-10

EUCAST terminology

implemented

In computer

database

S ≤ Yes

R > Yes

- No

IE No

In reports

S ≤ Yes

R > Yes

- Most ”-” do not have interpretations reported

IE No

EUCAST Expert Rules

implemented

Yes. There are other rules in the system but EUCAST rules take precedence for EUCAST

panels. All rules can be customized by user.

EUCAST organism groups

with no test in the system

M. catarrhalis

Pasteurella

N. meningitidis

N. gonorrhoeae

Gram-negative anaerobes

Gram-positive anaerobes

Agents in EUCAST tables

but not available in the

system

Doxycycline

Roxithromycin

Telithromycin

Dalbavancin

Oritavancin

Tedizolid

Ampicillin-sulbactam (fixed 4 mg/l sulbactam)*

Amoxicillin-clavulanic acid (fixed 2 mg/l clavulanic acid)*

Ceftobiprole

Ceftolozane-tazobactam

All agents for anaerobes

Agents available but

EUCAST breakpoints not

implemented in the system

Chloramphenicol

Fusidic acid

Cefuroxime

Tigecycline (Gram-positive organisms)

Rifampicin

Trimethoprim

Compliance of manufacturers with EUCAST guidelines, 10 March 2016

MicroScan automated system

(Beckman Coultier Diagnostics)

The accuracy of data in these tables is not verified by EUCAST and the inclusion of any materials or devices does not indicate endorsement by EUCAST

*Tests with the agent:inhibitor in a 2:1 ratio are not acceptable using EUCAST methods and breakpoints

Page 9: Compliance of Manufacturers 2016-03-10

The accuracy of data in these tables is not verified by EUCAST and the inclusion of any materials or devices does not indicate endorsement by EUCAST

Compliance of manufacturers with EUCAST guidelines, 10 March 2016

VITEK 2 automated system (bioMérieux)

*Tests with the agent:inhibitor in a 2:1 ratio are not acceptable using EUCAST methods and breakpoints

S ≤

R >

-

IE

S ≤

R >

-

IE

EUCAST Expert Rules

implemented

Gram-negative anaerobes C. jejuni and coli

Gram-positive anaerobes Corynebacterium spp.

H. pylori M. tuberculosis

L. monocytogenes

Cefuroxime (S. pneumoniae )

Dalbavancin

Daptomycin

Doxycycline (S. pneumoniae )

ICR (S. pneumoniae, Viridans group, Strep. Gr. C & G)

Minocycline (S. pneumoniae )

Oritavancin

Tedizolid

Telavancin

Trim-sulfa (Enterococcus spp.)

Ofloxacin (S. pneumoniae )

Streptomycin (Enterococcus spp.)

Antifungals

All agents with P. multocida

Benzylpenicillin (CoNS)

Cefoxitin screen (S. saprophyticus and S.

pseudintermedius)

Cefpodoxime (S. pneumoniae)

Ceftolozane-tazobactam (expected during 2016)

(Staphylococcus spp. and Enterococcus spp.)

uncomplicated UTI breakpoints (Enterobacteriaceae)

Acinetobacter spp.)

Agents available but EUCAST

breakpoints not implemented in

the system

Netilmicin (Staphylococcus spp.)

Trimethoprim (Enterococcus spp. and group B streptococci)

Amoxicillin-clavulanic acid (fixed 2 mg/l clavulanic acid)*

Doripenem (Enterobacteriaceae, Pseudomonas spp.,

Ciprofloxacin (Salmonella spp. and Enterococcus spp.)

Levofloxacin (Enterococcus spp.)

Norfloxacin (Enterococcus spp.)

Agents in EUCAST tables but not

available in the system

Azithromycin

Roxithromycin

Ampicillin-sulbactam (fixed 4 mg/L sulbactam) *

Phenoxymethylpenicillin

Cefadroxil

Ceftobiprole

Ceftibuten

Cefepime (S. pneumoniae)

Yes

All applicable rules dealing with intrinsic resistance, therapeutic interpretation and deduction are implemented beginning with

software version V2S 5.03 (2011) . There are additional rules but none should be contrary to EUCAST rules in this software version.

EUCAST organism groups with

no test in the system

H. influenzae

M. catarrhalis

N. meningitidis

N. gonorrhoeae

EUCAST terminology

implemented

In computer database

Yes

Yes

Yes

Yes

In reports

Yes

Yes

Yes

Page 10: Compliance of Manufacturers 2016-03-10

Compliance of manufacturers with EUCAST guidelines, 10 March 2016

Sensititre (Thermo Fisher Scientific)

The accuracy of data in these tables is not verified by EUCAST and the inclusion of any materials or devices does not indicate endorsement by EUCAST

EUCAST terminology

implemented

In computer

database

S ≤ Yes

R > Yes

- Yes

IE Yes

In reports

S ≤ Yes

R > Yes

- Yes

IE Yes

EUCAST Expert Rules

implemented

All EUCAST rules are implemented in software version 3.3 (2014). There are additional rules,

but these rules are inactivated in the EUCAST setting.

EUCAST organism groups

with no test in the system

N. gonorrhoeae

Agents in EUCAST tables

but not available in the

system

All agents available

Agents available but

EUCAST breakpoints not

implemented in the system

All agents for yeasts and molds

Page 11: Compliance of Manufacturers 2016-03-10

EUCAST terminology

implemented

In computer

database

S ≤ Yes

R > Yes

- Yes

IE No

In reports

S ≤ Yes

R > Yes

- Yes (MICs reported for agents with no EUCAST breakpoints)

IE No (MICs reported for agents with no EUCAST breakpoints)

EUCAST Expert Rules

implemented

All EUCAST rules are implemented. There are additional rules in the software. Our rules can be

customized by the user.

EUCAST organism groups

with no test in the system

N. gonorrhoeae

Agents in EUCAST tables

but not available in the

system

Ceftolozane-tazobactam (expected during 2016)

Agents available but

EUCAST breakpoints not

implemented in the system

All agents for molds.

Compliance of manufacturers with EUCAST guidelines, 10 March 2016

MICRONAUT (MERLIN Diagnostika GmbH)

The accuracy of data in these tables is not verified by EUCAST and the inclusion of any materials or devices does not indicate endorsement by EUCAST

Page 12: Compliance of Manufacturers 2016-03-10

EUCAST terminology

implemented

In computer

database

S ≤ Yes

R > Yes

- Yes (I)

IE Yes

In reports

S ≤ Yes

R > Yes

- Yes (I)

IE Yes

EUCAST Expert Rules

implemented

EUCAST rules are implemented in software version 20151105 (2015). There are additional

rules in the software. The rules can be customized by the user.

EUCAST organism groups

with no test in the system

Gram-positive anaerobes

N. gonorrhoeae

Gram-negative anaerobes

H. influenzae

Corynebacterium spp.

Agents in EUCAST tables

but not available in the

system

All agents for anaerobes, Corynebacterium spp., N. gonorrhoeae,

H. influenzae

Agents available but

EUCAST breakpoints not

implemented in the system

None

Compliance of manufacturers with EUCAST guidelines, 10 March 2016

MIKROLATEST (Erba Mannheim)

The accuracy of data in these tables is not verified by EUCAST and the inclusion of any materials or devices does not indicate endorsement by EUCAST