The percentages of susceptibility of 28 strains of Campylobacter coli to 1-lactam agents were 96% for amoxicillin and ampicillin, 57% for ticarcillin, 4% for cefoxitin and cefuroxime, 61% for cefotaxime, and 11% for ceftazidime. None of the strains were susceptible to penicillin G, piperacillin, cefazolin, cephalothin, cefamandole, and cefoperazone. All strains were susceptible to imipenem and ciprofloxacin, and 21% were susceptible to erythromycin. A 13-lactamase was detected in 68% of the strains by cefinase disks and by the nitrocefin method. The 13-lactamase-positive strains were significantly less susceptible to amoxicillin, ampicillin, and ticarcillin than the 13-lactamase-negative strains (P < 0.003). Clavulanic acid (0.25 ,ug/ml) but not sulbactam and tazobactam (2 jg/ml) lowered to susceptible levels the amoxicillin and ampicillin MICs of the only strain of C. coli resistant to amoxicillin, ampicillin, and ticarcillin.Campylobacter coli has been recognized as a cause of human bacterial diarrhea and represents between 3 and 7% of Campylobacter human infections (1,8). Little is known about the ,B-lactam susceptibility pattern of C. coli. A few studies have reported data about ampicillin (4,12,14), amoxicillin (6, 14), cefotaxime (4, 6, 15), cephalothin (4, 10, 15), cefoperazone (14), and cefuroxime and penicillin G (15) susceptibility. ,B-Lactamase production was reported in 29 of 31 C coli tested by Fliegelman et al. (4). The purpose of this study was to determine the susceptibility pattern of C. coli to 3-lactam agents and to investigate the role of the ,-lactamase in the resistance to these antibiotics. The effect of clavulanic acid, sulbactam, and tazobactam on amoxicillin, ampicillin and ticarcillin was also studied.Ten strains of C. coli were obtained from a collection of 160 human thermophilic Campylobacter strains isolated in five hospitals in the Montreal area. Eighteen other human strains of C coli were obtained from the Laboratoire de Sante Publique du Quebec. Identification was done by the methods of the Centers for Disease Control, Atlanta, Ga. (8)