Table 1.
Sample ID | Age/sex | Clone group# | Biofilm* | Motility@ (mm) | MIC$ |
Synergy+ |
|||
---|---|---|---|---|---|---|---|---|---|
MER | SUL | COL | M + S | C + S | |||||
(A) Phenotypic properties of the blood isolates | |||||||||
B21029E | 25FT | EC-II(OEX) | 1.61 ± 0.09 | 10 | 128 | 64 | 0.25 | INDa* | INDb* |
B10883E | 4F | UC-I | 1.95 ± 0.18 | >40 | 64 | 64 | 1.0 | INDa* | INDc* |
B29276 | 0MIV | EC-II(OEX) | 2.08 ± 0.85 | 20 | 16 | 32 | 0.5 | INDb | IND |
B25330 | 0MT | EC-III(EX) | 2.20 ± 0.71 | 25 | 64 | 64 | 0.5 | INDb* | INDc* |
B28412 | 0MT | UC-II(OX) | 1.01 ± 0.68 | <5 | 32 | 32 | 0.5 | SYNb* | INDc* |
B28641E | 74MIV | UC-III(X) | 2.68 ± 0.30 | 30 | 64 | 64 | 0.5 | SYNa* | SYNb* |
B13833E | 75MIV | UC-IV(O) | 1.03 ± 0.14 | 35 | 32 | 32 | 0.5 | SYNb* | INDc* |
B1301 | 54FT,IV | UC-I | 2.58 ± 0.20 | 35 | 128 | 128 | 0.5 | SYNa | INDb,c* |
B29819 | 25M | EC-II(OEX) | 2.11 ± 0.09 | 20 | 128 | 128 | 0.5 | SYNb* | SYNc* |
B11439E | 45FT | EC-II(OEX) | 3.11 ± 0.35 | 10 | 64 | 32 | 0.5 | INDb* | SYNb* |
B27768 | 50MT | EC-II(OEX) | 0.73 ± 0.08 | 10 | 128 | 32 | 0.5 | INDa* | INDc* |
B10631E | 13MIV | UC-II(OX) | 2.06 ± 0.23 | 10 | 64 | 64 | 0.5 | INDb* | INDb* |
B4609E | 13FT,IV | EC-II(OEX) | 2.15 ± 0.20 | 25 | 16 | 32 | 0.5 | SYNb* | INDc* |
B27683E | 2M | UC-V(EO) | 3.00 ± 0.48 | 20 | 64 | 32 | 0.5 | SYNa* | INDc* |
B29467 | 65M | EC-III(EX) | 2.43 ± 0.40 | >40 | 64 | 32 | 0.5 | SYNb* | SYNc* |
B27919E | 34MT,IV | EC-II(OEX) | 2.45 ± 0.01 | 10 | 64 | 64 | 0.5 | INDa* | INDc* |
B28414E | 74MIV | EC-II(OEX) | 2.25 ± 0.15 | <5 | 64 | 64 | 1.0 | SYNb* | INDb* |
B23356 | 9MT,IV | UC-IV(O) | 1.23 ± 0.18 | >40 | 64 | 32 | 1.0 | INDa | INDc* |
B8689 | 41MT,IV | UC-IV(O) | 0.73 ± 0.02 | >40 | 128 | 128 | 0.5 | SYNb* | INDa* |
B17606E | 14MT,IV | EC-II(OEX) | 1.97 ± 0.00 | 10 | 64 | 128 | 0.5 | INDa* | INDc* |
B8716E | 1M | EC-II(OEX) | 1.61 ± 0.45 | 10 | 128 | 64 | 0.25 | INDa | INDc* |
B8765 | 45MT | UC-II(OX) | 1.24 ± 0.22 | <5 | 256 | 64 | 0.5 | INDa* | INDc* |
B11911E/N | 45MIV | UC-I | 2.44 ± 0.78 | 10 | 256 | 64 | 0.5 | IND | SYN |
B5534 | 21FT | EC-II(OEX) | 3.86 ± 0.89 | >40 | 256 | 64 | 1.0 | SYNb* | INDc* |
B5208E/N | 47M | EC-II(OEX) | 3.09 ± 0.14 | 25 | 128 | 64 | 0.5 | SYNa* | SYNb* |
B5586 | 2FT,IV | EC-II(OEX) | 2.03 ± 0.20 | >40 | 512 | 128 | 1.0 | INDa* | INDc* |
B5868 | 17MT | EC-II(OEX) | 1.46 ± 0.41 | 10 | 256 | 64 | 0.5 | SYNb* | INDc* |
B7370E | 24F | EC-II(OEX) | 1.46 ± 0.10 | 10 | 256 | 64 | 0.5 | SYNa* | SYNc* |
B8240E | 58M | EC-II(OEX) | 2.10 ± 0.37 | 15 | 128 | 64 | 0.5 | INDa | INDc |
B9464 | 24FIV | EC-II(OEX) | 1.83 ± 0.09 | <5 | 256 | 64 | 1.0 | SYN | IND |
(B) Phenotypic properties of the respiratory isolates | |||||||||
SP344 | 18FIV | UC-II(OX) | 1.78 ± 0.11 | 20 | 64 | 128 | 0.25 | SYNb* | INDc* |
SP858 | 25MT | UC-II(OX) | 1.37 ± 0.07 | <5 | 128 | 0.25 | 0.25 | SYNb* | INDb* |
SP1397E | 48MT | EC-II(OCX) | 3.43 ± 0.11 | <5 | 512 | 128 | 0.25 | INDb* | INDc* |
SP1115E | 62M | EC-II(OCX) | 4.72 ± 0.44 | <5SM | 128 | 64 | 0.25 | SYNb* | INDc* |
SP1394 | 61FT,IV | EC-II(OCX) | 3.82 ± 0.31 | 10 | 64 | 64 | 0.25 | SYNb* | INDc* |
SP1182 | 60MT | EC-II(OCX) | 4.71 ± 0.25 | 10 | 128 | 64 | 0.25 | INDa* | SYNc* |
SP1974 | 57FT,IV | EC-II(OCX) | 3.67 ± 0.08 | <5 | 256 | 256 | 1 | INDa* | SYNc* |
SP1128 | 35MT | EC-III(CX) | 3.59 ± 0.16 | <5 | 256 | 128 | 0.5 | SYNa* | INDc* |
SP1977 | 61MT,IV | EC-II(OCX) | 5.01 ± 0.70 | 10 | 256 | 512 | 0.5 | SYNb | SYN |
SP1054 | 39FT,IV | EC-II(OCX) | 3.90 ± 0.10 | <5SM | 64 | 64 | 1 | SYNa | INDc* |
SP1917E/N | 68MT,IV | EC-II(OEX) | 3.62 ± 0.16 | <5 | 512 | 256 | 0.25 | SYNa* | INDb* |
SP1209 | 49 MT,IV | EC-II(OCX) | 5.51 ± 0.63 | <5SM | 64 | 64 | 0.5 | SYNb* | SYNc* |
SP1201E | 55M | EC-II(OCX) | 3.72 ± 0.12 | 10 | 256 | 32 | 0.5 | INDa* | INDb* |
SP932E | 52M | EC-II(OCX) | 3.19 ± 0.12 | 10 | 256 | 64 | 1 | SYNa* | INDc* |
SP2006E | 21MIV | UC-IV(O) | 1.39 ± 0.09 | <5 | 32 | 64 | 8 | IND | SYN |
SP443E | 59M | UC-II(OX) | 1.39 ± 0.00 | <5 | 32 | 32 | 0.5 | SYNa | INDc* |
SP1022E | 65MIV | EC-II(OCX) | 2.44 ± 0.35 | <5 | 256 | 64 | 1 | SYNb | INDc* |
SP1026E | 28MT | EC-II(OCX) | 3.95 ± 0.33 | <5 | 256 | 32 | 1 | SYNa* | INDc* |
SP3179 | 29MT,IV | EC-II(OCX) | 3.70 ± 0.17 | <5 | 128 | 64 | 1 | INDb* | INDb,c* |
SP2200 | 40MT,IV | UC-II(OX) | 2.58 ± 0.30 | <5 | 32 | 16 | 1 | SYNb* | INDc* |
SP1950 | 68MT | EC-II(OCX) | 3.35 ± 0.58 | <5 | 256 | 256 | 0.5 | SYNb* | INDc* |
SP715 | 17MT | UC-II(OX) | 3.02 ± 0.63 | <5 | 256 | 32 | 0.25 | SYNb* | SYNc* |
SP1909E/N | 28F | EC-II(OCX) | 3.50 ± 0.04 | 10 | 512 | 512 | 0.5 | IND | SYN |
SP1306E | 47FIV | UC-II(OX) | 1.67 ± 0.03 | <5SM | 32 | 64 | 1 | INDb | INDc* |
SP1766E | 40MT | EC-II(OCX) | 6.78 ± 0.33 | >40SM | 512 | 64 | 0.5 | SYNa* | SYN |
SP1834E | 50M | EC-II(OCX) | 3.08 ± 0.28 | <5 | 256 | 256 | 0.5 | SYN | SYN |
SP1840E | 75M | EC-II(OCX) | 6.39 ± 0.47 | >40SM | 512 | 128 | 0.5 | SYNa* | IND |
SP1851E/N | 48MT,IV | EC-II(OCX) | 4.87 ± 0.93 | <5 | 512 | 256 | 1 | IND | IND |
SP1843E/N | 36F | EC-II(OCX) | 2.89 ± 0.10 | <5 | 256 | 128 | 0.5 | SYNb* | IND |
SP1770 | 24MT | UC-II(OX) | 2.14 ± 0.08 | <5 | 128 | 128 | 0.5 | INDa | SYN |
#Clonal grouping done based on Turton et al. (39). EC, European clone; UC, unknown clone.
The alleles used for clone determination are O, OmpA; E, CsuE, X, Oxa.
*OD580 values of the crystal violet stain eluted from the biofilm biomass grown on polystyrene tubes.
@Twitching motility scored on Petri plates after staining with crystal violet. Diameter of zone of migration is shown.
$MIC determined by microdilution broth method.
+Determined by time-kill assay.
IND = Indifferent; SYN = Synergy.
MER and M = Meropenem; SUL and S = Sulbactam; COL and C = Colistin.
E: MBL-positive as determined by EDTA plate assay.
N: NDM positive isolates as determined by PCR analysis.
Synergism was determined by time-kill assay only.
Explanation for a/a*, b/b*, and c/c* are: a – meropenem, a* – meropenem positive for bactericidal effect; b – sulbactam, b* – sulbactam positive for bactericidal effect; c – colistin, c* – colistin positive for bactericidal effect.
T, intubated; IV, intravenous lines; SM, swarming motility.