Table 6. Effects of acetylsalicylic acid and its metabolites on the susceptibility of Gram-negative clinical strains (12 isolates of each species) to quinolones in the presence or absence of PAβN.
Bacteria | Agent MICs range [mg/L] | No. of strains with ≥4-fold (only 2-fold) increase in antimicrobial agent MICs in the presence of NSAID ± PAβN | ||||||
---|---|---|---|---|---|---|---|---|
At+ PAβN | At+Aca | At+Ac+ PAβNb | At+SNaa | At+SNa+ PAβNb | At+Sa | At+S+ PAβNb | ||
E. coli | ofloxacin (1–64) | 12 (0) | 0 (6) | 0 (5) | 1 (7) | 0 (9) | 2 (8) | 0 (12) |
K. pneumoniae | ofloxacin (8–32) | 12 (0) | 0 (0) | 0 (3) | 0 (0) | 0 (1) | 0 (0) | 0 (3) |
P. aeruginosa | ofloxacin (2–128) | 12 (0) | 0 (0) | 0 (7) | 0 (0) | 0 (7) | 0 (0) | 0 (11) |
S. maltophilia | ofloxacin (1–8) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
nalidixic acid (8–32) | 12 (0) | 0 (2) | 0 (0) | 0 (7) | 0 (0) | 0 (7) | 0 (0) |
At, antimicrobial agent; PAβN, efflux pump inhibitor; Ac, acetylsalicylic acid 1 mM; SNa, sodium salicylate 1 mM; S, salicylic acid 1 mM.
aAt least a 4-fold (only 2-fold) increase in the MIC of the antimicrobial agent in the presence of NSAID, when compared to the MIC of antimicrobial agent alone.
bAt least a 4-fold (only 2-fold) increase in the MIC of the antimicrobial agent in the presence of NSAID and PAβN, when compared to the MIC of the antimicrobial agent in the presence of only PAβN.