For the analysis of MDR and complete susceptibility, a multiresistant isolate is one defined as resistant to at least three of the antimicrobial substances. In contrast, a completely susceptible isolate is one defined as non‐resistant (MIC < ECOFF) to these antimicrobial substances. For indicator E. coli and Salmonella spp., all substances from the harmonised test panel laid out in Commission Implementing Decision (EU) 2020/1729 will be included in the assessment of MDR, which is consistent with the approach taken in the 2019–2020 EUSR on AMR. The substances included will be amikacin/gentamicin (assessed together as aminoglycoside antimicrobial class for 2021 data), ampicillin, azithromycin (macrolide antimicrobial class), cefotaxime/ceftazidime (assessed together as third‐generation cephalosporin), chloramphenicol, ciprofloxacin/nalidixic acid (assessed together as quinolone antimicrobial class), meropenem, sulfamethoxazole, tetracycline/tigecycline (assessed together as glycylcycline antimicrobial class) and trimethoprim. For C. coli and C. jejuni, the substances included will be ciprofloxacin, erythromycin (macrolide antimicrobial class), gentamicin and tetracycline.
Free full text: Click here