Table 3.
The measure of antibiotic synergy by fractional inhibitory concentration index (FICI). Interpretation of the FIC results were as follows: ≤0.5, synergy; 0.5 to 1.0, additivity; >1.0 to 4.0, indifference; and >4, antagonism.
| Pse-1 (IMP-13 Producer) | Agar Diffusion (E-Test) MIC | Fractional Inhibitory Concentration Index |
| Cefiderocol + Imipenem | Cefiderocol alone: 0.064 Cefiderocol combination: 0.016 Imipenem alone: >32 Imipenem combination: 2 |
0.31 |
| Cefiderocol + Imipenem/relebactam | Cefiderocol alone: 0.064 Cefiderocol combination: 0.016 Imipenem/relebactam alone: >32 Imipenem/relebactam combination: 3 |
0.34 |
| Cefiderocol + Fosfomycin | Cefiderocol alone: 0.064 Cefiderocol combination: 0.016 Fosfomycin alone: 16 Fosfomycin combination: 6 |
0.62 |
| Pse-2 (VIM-2 Producer) | Agar Diffusion (E-Test) MIC | Fractional Inhibitory Concentration Index |
| Cefiderocol + Imipenem | Cefiderocol alone: 0.19 Cefiderocol combination: 0.19 Imipenem alone: >32 Imipenem combination: 32 |
2 |
| Cefiderocol + Imipenem/relebactam | Cefiderocol alone: 0.19 Cefiderocol combination: 0.19 Imipenem/relebactam alone: >32 Imipenem/relebactam combination: 32 |
2 |
| Cefiderocol + Fosfomycin | Cefiderocol alone: 0.19 Cefiderocol combination: 0.19 Fosfomycin alone: >256 Fosfomycin combination: 256 |
2 |
| Pse-3 (IPM-13 Producer) | Agar diffusion (E-Test) MIC | Fractional Inhibitory Concentration Index |
| Cefiderocol + Imipenem | Cefiderocol alone: 0.047 Cefiderocol combination: 0.016 Imipenem alone: 2 Imipenem combination: 0.5 |
0.59 |
| Cefiderocol + Imipenem/relebactam | Cefiderocol alone: 0.047 Cefiderocol combination: 0.016 Imipenem/relebactam alone: 1.5 Imipenem/relebactam combination: 0.75 |
0.84 |
| Cefiderocol + Fosfomycin | Cefiderocol alone: 0.047 Cefiderocol combination: 0.023 Fosfomycin alone: 6 Fosfomycin combination: 2 |
0.81 |