TABLE 2.
Strainb | MIC (mg/liter) |
Exptf | Avibactam %fT>1 mg/literc yielding: |
||
---|---|---|---|---|---|
CAZd | CAZ-AVIe | Stasis | 1-log10 kill | ||
1 | 128 | 8 | Codosing | 37.2 | 65.7 |
5 | 128 | 8 | Codosing | 14.1 | 32.9 |
7 | 64 | 4 | AVI fractionation | 74.1 | Not reported |
Codosing | 50.4 | 65.3 | |||
11 | 128 | 16 | Codosing | 29.1 | 37.5 |
18 | 32 | 2 | AVI fractionation | 30.2 | Not reported |
Codosing | 24.2 | 33.2 | |||
19 | 64 | 4 | Codosing | 62.5 | 67.2 |
Mean | 40.2 | 50.3 | |||
SD | 20 | 17 |
Data were retabulated from Berkhout et al. (44).
Resistance summaries for the strains used in this experiment are as follows. Strain 1, nitrocefinase activity, ++; AmpC transcript, overexpressed; β-lactamase genotype, blaAmpC; class A−, class B−; strain 5: nitrocefinase activity, ++++; AmpC transcript, overexpressed; β-lactamase genotype, blaAmpC; class A−, class B−; strain 7: nitrocefinase activity, +++; AmpC transcript, overexpressed; β-lactamase genotype, blaAmpC; class A−, class B−; strain 11: OprD−, AmpCcon, class A−, class B−; strain 18: OprD−, AmpCind?, class A−, class B−; strain 19: OprD−, AmpCcon, class A−, class B−.
Times are expressed as the percentages of the dosing interval.
CAZ, ceftazidime.
AVI, avibactam.
Codosing, ceftazidime and avibactam were codosed but the amount of avibactam was varied, without fractionating any given total daily dose; AVI fractionation, avibactam dose fractionation experiments.