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. 2023 May 26;11(6):1409. doi: 10.3390/microorganisms11061409

Table 2.

Outcomes of various antibiotic combinations using the Checkerboard assay in XDR and PDR A. baumannii isolates (n = 8).

Isolate Fos MIC (mg/L) Fold Decline MEM MIC (mg/L) Fold Decline FICI (x̄)
Alone Combined with MEM Alone Combined with FOS
Ab1 128 32 4 16 4 4 0.50 (S)
Ab2 64 1 ≥64 32 16 2 0.52 (PS)
Ab3 64 16 4 32 8 4 0.50 (S)
Ab4 64 16 4 32 8 4 0.50 (S)
Ab5 64 16 4 32 8 4 0.50 (S)
Ab6 128 32 4 32 8 4 0.50 (S)
Ab7 32 8 4 32 8 4 0.50 (S)
Ab8 64 16 4 64 16 4 0.50 (S)
FOS MIC (mg/L) AK MIC (mg/L)
alone Combined with AK alone Combined with FOS
Ab1 128 128 0 >1024 ≤8 ≥256 1.00 (IN)
Ab2 128 128 0 >1024 ≤8 ≥256 1.00 (IN)
Ab3 128 128 0 >1024 ≤8 ≥256 1.00 (IN)
Ab4 64 64 0 1024 ≤4 ≥256 1.00 (IN)
Ab5 64 64 0 1024 ≤4 ≥256 1.00 (IN)
Ab6 128 128 0 1024 ≤4 ≥256 1.00 (IN)
Ab7 32 32 0 >1024 ≤4 ≥512 1.00 (IN)
MEM MIC (mg/L) CL MIC (mg/L)
alone Combined with COL alone Combined with MEM
Ab 1 16 0.5 32 8 ≤1 ≥8 0.16 (S)
Ab 2 32 4 8 ≤1 0.25 4 0.37 (S)
Ab 3 32 8 4 1 0.25 4 0.50 (S)
FOS MIC (mg/L) TGC MIC (mg/L)
alone Combined with TGC alone Combined with FOS
Ab 1 128 ≤2 ≥64 2 1 2 0.52
Ab 2 128 ≤4 ≥32 2 1 2 0.53
Ab 3 128 ≤4 ≥32 4 2 2 0.53
Ab 4 64
64
≤1
32
≥64
2
4
4
2
0.25
2
16
0.52
0.56
Ab 5 64
64
≤1
32
≥64
2
2
2
1
≤0.06
2
≥32
0.52
0.53
Ab 6 128
128
≤1
64
≥128
2
4
4
2
≤0.06
2
≥64
0.51
0.52
Ab 7 32 ≤1 ≥32 4 2 2 0.53

Abbreviation: Ab = A. baumannii, FICI = fractional inhibition concentration index, x̄ = mean value, S = synergy, PS = partial synergy, MIC = minimal inhibition concentration, x̄ = mean value. FOS, fosfomycin; IMI, imipenem; MEM, meropenem; CL, colistin; AK, amikacin; TGC, tigecycline; synergy (SY), partial synergy (PS), indifference (IN) and antagonism (AN).