Table 2.
Susceptibilities of planktonic and biofilms of carbapenemase-producing K. pneumoniae clinical isolates (n = 29) to Ca-EDTA, Aztreonam and Ceftazidime/Avibactam and their combination in vitro
| No of isolates | Gene pattern | Pattern of entire of bla gene by sequencing | Biofilm formation category | ATM (μg/mL) | CZA (μg/mL) | CaEDTA (mg/mL) | ATM +CZA(μg/mL) | ATM (μg/mL) +CaEDTA (mg/mL) | CZA (μg/mL) +CaEDTA (mg/mL) | ATM (μg/mL) | CZA(μg/mL) | CaEDTA | ATM + CZA (μg/mL) | ATM (μg/mL) +CaEDTA (mg/mL) | CZA (μg/mL) + CaEDTA (mg/mL) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5 | IMP | IMP-14a | Strong | 512–128 | 256–64 | 24–6 | 8–0.5/8–0.5 | 32/0.75–0.375 | 0.5/0.375 | 2048–1024 | 4096 | 6 | 4/8 | 2/3 | 2/6 |
| 5 | NDM | NDM-1 | Moderate | 512–128 | 128–64 | 12–6 | 8–0.5/2–0.5 | 32/0.75 | 0.5/0.375 | 2048 | 4096 | 6 | 4/8 | 2/3 | 2/6 |
| 4 | Strong | 512–128 | 256–64 | 24–6 | 8–0.5/8–0.5 | 32/0.75 | 0.5/0.375 | 2048–1024 | 4096 | 12 | 4/8 | 2/3 | 2/6 | ||
| 1 | OXA-48 | OXA-181 | Moderate | 128 | 128 | 12 | 0.5/8 | 32/0.75–0.375 | 0.5/0.375 | 2048 | 4096 | 24 | 4/8 | 2/3 | 2/6 |
| 1 | OXA-48+NDM | OXA-181+NDM-5 | Strong | 128 | 128 | 6 | 8/0.5 | 32/0.375 | 0.5/0.375 | 2048 | 4096 | 6 | 4/8 | 2/3 | 2/6 |
| 3 | OXA-48 | OXA-232 | Strong | 512–128 | 256–64 | 12–6 | 8–0.5/8–0.5 | 32/0.75 | 0.5/0.375 | 2048 | 4096 | 6 | 4/8 | 2/3 | 2/6 |
| 3 | OXA-48+NDM | OXA-232+NDM-1 | Moderate | 512–256 | 256–128 | 12–6 | 8–0.5/8–0.5 | 32/0.75 | 0.5/0.375 | 2048 | 4096 | 6 | 4/8 | 2/3 | 2/6 |
| 5 | Strong | 512–128 | 256–64 | 12–6 | 8–0.5/8–0.5 | 32/0.75–0.375 | 0.5/0.375 | 2048–1024 | 4096 | 6 | 4/8 | 2/3 | 2/6 | ||
| 1 | OXA-48 | OXA-48 | Moderate | 128 | 128 | 6 | 2/0.5 | 32/0.75–0.375 | 0.5/0.375 | 2048 | 4096 | 6 | 4/8 | 2/3 | 2/6 |
| 1 | Strong | 128 | 128 | 6 | 0.5/8 | 32/0.375 | 0.5/0.375 | 2048 | 4096 | 12 | 4/8 | 2/3 | 2/6 |
ATM Aztreonam.
CZA Ceftazidime/Avibactam.
Calcium disodium ethylenediaminetetraacetate (Ca-EDTA).
Minimal inhibitory concentrations (MIC, μgmL−1) for planktonic cells.
Minimal biofilm eradication concentrations (MBEC, μgmL−1) for mature biofilms.