MIC and zone distributions and ECOFFs

ECOFF review and revision

 

ECOFFs are based on available MIC (and zone diameter) distributions.

As more data is generated there is a need to 

(1) add new ECOFFs and TECOFFs

(2) revise existing ECOFFs and TECOFFs

(3) remove ECOFFs/TECOFFs where data do not match criteria in SOP 10.1

Currently all MIC distributions are reviewed in accordance with criteria in SOP 10.1. Mostly this is by agent, but on occasion, by species. The table below lists reviewed and revised agents and species.

 

Ecoff Table

Agents Species MIC ECOFF from - to MIC TECOFF from - to Zone ECOFF from - to Reason for change Date Signed
Fosfomycin All Data submitted to EUCAST as part of the fosfomycin general consultation 20 July 2022 G Kahlmeter and J Turnidge
Gentamicin Campylobacter spp 1 to 2 mg/L - New calculation 21 February 2022 G Kahlmeter & J Turnidhe
Delafloxacin All First time ECOFFs New agent - ECOFFs previously not determined. 07 January 2022 G Kahlmeter & J Turnidhe
Omadacycline All available All ECOFFs reviewed - Primary dtermination of ECOFFs 06 December 2021 G Kahlmeter & J Turnidge
Lefamulin All Initial ECOFFs - Initial ECOFF determination 01 December 2021 G Kahlmeter & J Turnidge
All Bacillus cereus All ECOFFs determined - First data assessment 15 November 2021 G Kahlmeter & J Turnidge
All Burkholderia pseudomallei MICs defined - Data assessed 28 October 2021 G Kahlmeter & J Turnidge
Narasin All available All - Data first assessment 18 October 2021 G Kahlmeter & J Turnidge
Vancomycin, teicoplanin, telavancin, dalbavancin and oritavancin All, as part of the 2020-21 general review of the complete database. Several Several the 2020-21 general review of the complete database. 23 August 2021 G Kahlmeter & J Turnidge
Azithromycin, Telithromycin, Spiramycin, Tulathromycin All available species Several - se distribution programme Several - se distribution programme Part of the 2020-2021 review and revision of the entire database 18 August 2021 G Kahlmeter & J Turnidge
Erythromycin & Clarithromycin All species reviewed Several, as part of the 2021 review of the entire MIC database Several, as part of the 2021 review of the entire MIC database The 2021 SOP 10.1 review of the total database. 27 July 2021 G Kahlmeter & J Turnidge
Trimethoprim-sulfamethoxazole & Trimethoprim All species reviewed Several changed following an SOP 10.1 review Several changed following an SOP 10.1 review Part of the 2021 review of the entire MIC database. 27 July 2021 G Kahlmeter & J Turnidge
Rifampicin All; general review Several ECOFFs added, removed or changed Part of the general 2021 curating of database in accordance with SOP 10.1 22 July 2021 G Kahlmeter & J Turnidge
Chloramphenicol All available distributions Several changed, removed or added Several changed, removed or added Part of the general 2021 curation of database 27 May 2021 G Kahlmeter & J Turnidge
Colistin All curated No change Added two Part of the general 2021 curation of database 27 May 2021 G Kahlmeter & J Turnidge
Amoxicillin, amoxicillin-clavulanic acid All available distributions curated Several Several Part of the general 2021 curation 27 May 2021 G Kahlmeter & J Turnidge
Ampicillin All species reviewed Several revised Several revised Part of the general curating of database 2021. 19 May 2021 G Kahlmeter & J Turnidge
Meropenem All species reviewed Several revised Several revised 15 May 2021 G Kahlmeter & J Turnidge
Aminoglycosides All species All All Part of the general curating of database 12 May 2021 G Kahlmeter & J Turnidge
All available Mannheimia hemolytica All curated All curated Gnereal review initiated by VetCAST 04 May 2021 G Kahlmeter, J Turnidge & K Veldman
All available agents curated Pasteurella multocida All curated All curated General review initiated by VetCAST 25 April 2021 G Kahlmeter, J Turnidge & K Veldman
All available agents Staphylococcus pseudintermedius All curated All curated General review initiated by VetCAST 25 April 2021 G Kahlmeter, J Turnidge & K Veldman
All available Staphylococcus hyicus Added, all curated Added, all curated General review initiated by VetCAST 22 April 2021 G Kahlmeter, J Turnidge, Kees Veldman
Eravacycline MIC distributions imported ECOFFs and TECOFFs for several spec ies 02 June 2020 G Kahlmeter & J Turnidge
Telavancin, Dalbavancin All species with relevant number of distributions No changes, a few added None 22 May 2020 G Kahlmeter & J Turnidge
Ceftolozane and ceftolozane-tazobactam All Review of all None Rationale document revision 13 May 2020 G Kahlmeter/J Turnidge
Fosfomycin E. coli 8 mg/L is too high and is currently under investigation. MIC distributions not generated with agar dilution are removed. with Only agar dilution is accepted for MIC determination 27 April 2020 G Kahlmeter
Gentamicin, Tobramycin, Amikacin All - review and in some cases revision As part of systematically reviewing all ECOFFs in accordance with SOP10.1 12 April 2020 G Kahlmeter & J Turnidge
Daptomycin - review and revision (visual and ECOFFinder agree) All (but most importantly E.faecalis, E. faecium and Staphylococci) See MIC distribution programme See MIC distribution programme Requested review of all MIC data 06 April 2020 G Kahlmeter and J Turnidge
Temocillin All species and data available 20200403 curated Temocillin breakpoints and guidance prepared for publication 03 April 2020 G Kahlmeter & J Turnidge
Temocillin E. coli and K.pneumoniae 16 (as TECOFF) for E. coli and 8 (as TECOFF) for K.pneumoniae to ECOFFs Data now consolidated 23 March 2020 GK and JT
Ciprofloxacin All General review and revision. ECOFFs and TECOFFs changed, added or removed. 02 March 2020
Trimethoprimsulfamethoxazole All All ECOFFs reviewed and several revised (E. coli 0.25, most Enterobacterales to 0.5) General review of data 21 January 2020 G Kahlmeter
Ceftolozane and ceftolozane-tazobactam Several ECOFFs added - - 25 November 2019 GK
Ciprofloxacin S. pneumoniae 2 to 4 mg/L - From 20 to 18 mm 18 November 2019 GK
Cefazolin E. coli and K.pneumoniae New ECOFFs 4 mg/L for both - - New ECOFFs 21 October 2019 GK
Rifampicin S. aureus ECOFF 0.03 removed (insufficient data) 0.016 mg/L 19 October 2019 GK
Tedizolid S. aureus New ECOFF 0.5 mg/L - - Review of all data as part of determining breakpoints 18 October 2019 GK
Temocillin E. coli, K.pneumoniae, P.mirabilis, Salmonella ECOFFs determined E.coli As part of determining breakpoints 14 October 2019 GK
Temocillin E.coli, K.pneumoniae, P.mirabilis E.coli 16, K.pneumoniae 8 and P.mirabilis 4 mg/L Review of all temocillin data 14 October 2019 GK
Nalidixic acid Review all General review of all nalidixic acid ECOFFs; some removed, some changed 30 September 2019 GK
All E. coli - - All zone diameter ECOFFs updated 28 February 2019 GK
All Bordetella bronchiseptica New ECOFFs New ECOFFs 31 January 2019 VetCAST
Florfenicole All New New ECOFFs determined for the first tiime 31 January 2019 VetCAST
Tigecycline Full review See website See website Review of all data 01 January 2019 GK JT
Colistin E. coli, K.pneumoniae, Ac. baumanni and Ps. aeruginosa E.coli, K.pneumoniae and Ac. baumannii 2 mg/L; Ps. aeruginosa 4 mg/L - - Review of all available data 31 December 2018 GK JT
Daptomycin E.faecalis and E. faecium New ECOFFs are 4 (E.faecalis) and 8 (E.faecium) mg/L Review of all daptomycin data 30 December 2018 GK