Skip to main content
. 2013 Jan 16;14(1):1802–1821. doi: 10.3390/ijms14011802

Table 3.

Effect of C and ECg on antibacterial effects of six β-lactam antibiotics against 45 clinical MRSA strains. Synergistic activities of C and ECg in combination with six β-lactams antibiotics (oxacillin, ampicillin, ampicillin/sulbactam, cefazolin, cefepime and imipenem/cilastatin) were tested by checkerboard method. FICI values were calculated as described in Experimental Section.

Antibiotics MIC (mg/L) of β-lactam antibiotics
Concentration of C a + ECg b (mg/L)

0 16 + 2 32 + 4



Range MIC50 MIC90 Range MIC50 MIC90 FICI c Range MIC50 MIC90 FICI c
oxacillin 128–512 256 512 4–512 128 256 0.56 ± 0.32 (13/45) 4–256 32 256 0.31 ± 0.22 (36/45)
ampicillin 32–512 64 128 2–256 16 64 0.37 ± 0.26 (30/45) 2–256 8 32 0.29 ± 0.24 (39/45)
ampicillin/sulbactam 8–32 32 32 2–32 16 32 0.58 ± 0.29 (14/45) 2–16 8 16 0.39 ± 0.23 (33/45)
cefazolin 4–512 256 512 4–512 128 256 0.47 ± 0.33 (20/45) 4–256 32 128 0.25 ± 0.18 (39/45)
cefepime 8–2048 1024 1024 8–1024 256 512 0.45 ± 0.23 (18/45) 8–1024 128 512 0.30 ± 0.20 (39/45)
imipenem/cilastatin 4–512 128 256 4–512 32 64 0.36 ± 0.25 (29/45) 4–512 4 32 0.23 ± 0.25 (41/45)

Antibiotics MIC (mg/L) of β-lactam antibiotics
Concentration of Ca+ ECgb(mg/L)

64 + 8 128 + 16


Range MIC50 MIC90 FICIc Range MIC50 MIC90 FICIc

oxacillin 4–256 4 128 0.28 ± 0.19 (42/45) 4–256 4 4 0.41 ± 0.22 (31/45)
ampicillin 2–256 2 16 0.27 ± 0.19 (42/45) 2–256 2 2 0.29 ± 0.22 (31/45)
ampicillin/sulbactam 2–16 2 4 0.30 ± 0.19 (42/45) 2–16 2 2 0.44 ± 0.12 (33/45)
cefazolin 4–64 4 32 0.23 ± 0.15 (44/45) 4–4 4 4 0.39 ± 0.21 (32/45)
cefepime 8–256 8 64 0.25 ± 0.17 (44/45) 8–16 8 8 0.39 ± 0.23 (32/45)
imipenem/cilastatin 4–512 4 4 0.28 ± 0.30 (42/45) 4–512 4 4 0.45 ± 0.26 (32/45)
a

For C, the MIC range, MIC50, MIC90 against 45 MRSA clinical strains were 512–4096 mg/L, 2048 mg/L and 4096 mg/L, respectively;

b

For ECg, the MIC range, MIC50, MIC90 against 45 MRSA clinical strains were 32–1024 mg/L, 64 mg/L and 1024 mg/L, respectively;

c

Data are expressed as means ± standard deviations. Values in parentheses represent the number of strains for which drug combinations resulted in synergism/number of strains tested.