RT Journal Article T1 Differences in Drug-Susceptibility Patterns between Mycobacterium avium, Mycobacterium intracellulare, and Mycobacterium chimaera Clinical Isolates: Prospective 8.5-Year Analysis by Three Laboratories A1 Fernandez-Pittol, Mariana A1 Batista-Arnau, Sara A1 Román, Angely A1 San Nicolás, Lorena A1 Oliver, Laura A1 González-Moreno, Olga A1 Martínez, José Antonio A1 Amaro-Rodríguez, Rosanel A1 Soler, Néstor A1 Gené, Amadeu A1 González-Cuevas, Araceli A1 Tudó, Griselda A1 Gonzalez-Martin, Julian AB Background: It has been suggested that Mycobacterium avium, Mycobacterium intracellulare, and M. chimaera have differential drug susceptibility patterns. We prospectively analyzed and compared the drug susceptibility patterns among these species over an 8.5-year period. Methods: A microdilution method (Slomyco®) was performed for drug susceptibility testing of 402 M. avium, 273 M. intracellulare, and 139 M. chimaera clinical isolates. Results: M. avium showed significantly higher resistance to moxifloxacin, ciprofloxacin, rifampicin, ethambutol, streptomycin, linezolid, cotrimoxazole, and clarithromycin. M. avium also showed higher minimum inhibitory concentrations (MIC) than M. intracellulare and M. chimaera against all drugs except ethionamide, to which M. intracellulare and M. chimaera showed greater resistance. Conclusions: Our series demonstrated differential drug resistance patterns among the most frequent M. avium complex species. M. avium was more resistant than M. intracellulare and M. chimaera versus eight antibiotics and showed greater MIC values to most of the antibiotics studied. These data suggest that knowledge of the local distribution and susceptibility profiles of these pathogens is essential for adequate clinical management. SN 2079-6382 YR 2023 FD 2023-01 LK https://hdl.handle.net/11556/5315 UL https://hdl.handle.net/11556/5315 LA eng NO Fernandez-Pittol , M , Batista-Arnau , S , Román , A , San Nicolás , L , Oliver , L , González-Moreno , O , Martínez , J A , Amaro-Rodríguez , R , Soler , N , Gené , A , González-Cuevas , A , Tudó , G & Gonzalez-Martin , J 2023 , ' Differences in Drug-Susceptibility Patterns between Mycobacterium avium, Mycobacterium intracellulare, and Mycobacterium chimaera Clinical Isolates : Prospective 8.5-Year Analysis by Three Laboratories ' , Antibiotics , vol. 12 , no. 1 , 64 . https://doi.org/10.3390/antibiotics12010064 NO Publisher Copyright: © 2022 by the authors. NO We acknowledge support from the Spanish Ministry of Science and Innovation and State Research Agency through the “Centro de Excelencia Severo Ochoa 2019–2023” Program (CEX2018-000806-S), and support from the Generalitat de Catalunya through the CERCA Program”. This study was supported by the Ministerio de Economía y Competitividad, Instituto de Salud Carlos III, financed by the European Regional Development Fund (ERDF, FEDER) “A Way to Achieve Europe”, the Spanish Ministry of Health (grant number FIS16/01047), Planes Nacionales de I+D+I 2008-2011/2013–2016, and Instituto de Salud Carlos III, Subdirección General de Redes y Centros de Investigación Cooperativa, Ministerio de Economía y Competitividad. This study was also supported by a grant (201816-10) from the Fundació La Marató de TV3, a grant (937-2019) from the Sociedad Española de Neumología y Cirugía Torácica (SEPAR), and by a grant (2017SGR0809) from the Departament d’Universitats, Recerca i Societat de la Informació de la Generalitat de Catalunya. DS TECNALIA Publications RD 29 sept 2024