Table 3.
The inhibitory effect of vancomycin (VAN) or teicoplanin (TEC) in combination with one of four cephalosporins at a series of 2-fold dilution for 13 methicillin-resistant Staphylococcus aureus isolates with a high-cefazolin MIC.
VAN MIC | 1/2x | 1/4x | 1/8x | 1/16x | 1/32x | 1/64x | 1/128x | 1/256x | 1/512x |
---|---|---|---|---|---|---|---|---|---|
CFZ MIC | |||||||||
1/2x | 13 | 12 | 10 | 10 | 9 | 9 | 9 | 8 | 4 |
1/4x | 10 | 5 | 2 | 1 | 1 | 0 | 0 | 0 | 0 |
1/8x | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
1/16x | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CMZ MIC | |||||||||
1/2x | 13 | 13 | 13 | 11 | 9 | 8 | 5 | 5 | 1 |
1/4x | 11 | 8 | 5 | 4 | 2 | 0 | 0 | 0 | 0 |
1/8x | 5 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
1/16x | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CTX MIC | |||||||||
1/2x | 13 | 13 | 13 | 13 | 13 | 11 | 10 | 9 | 8 |
1/4x | 13 | 9 | 9 | 8 | 4 | 1 | 0 | 0 | 0 |
1/8x | 8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
1/16x | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CPM MIC | |||||||||
1/2x | 13 | 13 | 9 | 7 | 6 | 6 | 6 | 5 | 2 |
1/4x | 6 | 4 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
1/8x | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
1/16x | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
TEC MIC | 1/2x | 1/4x | 1/8x | 1/16x | 1/32x | 1/64x | 1/128x | 1/256x | 1/512x |
CFZ MIC | |||||||||
1/2x | 13 | 13 | 12 | 12 | 11 | 11 | 11 | 9 | 8 |
1/4x | 11 | 11 | 4 | 1 | 0 | 0 | 0 | 0 | 0 |
1/8x | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
1/16x | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CMZ MIC | |||||||||
1/2x | 13 | 13 | 12 | 11 | 11 | 11 | 7 | 3 | 0 |
1/4x | 10 | 8 | 5 | 4 | 3 | 3 | 1 | 0 | 0 |
1/8x | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
1/16x | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CTX MIC | |||||||||
1/2x | 13 | 13 | 13 | 10 | 8 | 6 | 4 | 4 | 3 |
1/4x | 13 | 5 | 2 | 2 | 1 | 0 | 0 | 0 | 0 |
1/8x | 7 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
1/16x | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CPM MIC | |||||||||
1/2x | 13 | 12 | 12 | 10 | 9 | 9 | 7 | 6 | 6 |
1/4x | 7 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
1/8x | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
1/16x | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
MIC, minimal inhibitory concentration; CFZ, cefazolin; CMZ, cefmetazole; CTX, cefotaxime; CPM, cefepime. The numeric data indicate the isolate numbers with no visible growth overnight at different drug concentration combinations.