TABLE 3.
Strainb | MIC (mg/liter) |
Codosing expte | Avibactam %fT>1 mg/literf associated with: |
|||
---|---|---|---|---|---|---|
CAZc | CAZ-AVId | Stasis | 1-log10 kill | 2-log10 kill | ||
5 | 128 | 8 | q2h | 19.4 | 20.6 | Not reported |
7 | 64 | 4 | q2h | 21.4 | 22.4 | Not reported |
11 | 128 | 16 | q2h | 19.7 | 34.9 | 55.3 |
q8h | 20.9 | 21.6 | 22.5 | |||
18 | 32 | 2 | q2h | 23.5 | 26.7 | 31.8 |
q8h | 16.1 | 17.8 | 20.2 | |||
Mean | 20.2 | 24.0 | 32.4 | |||
SD | 2.5 | 6.1 | 16 |
Data are from Berkhout et al. (44).
Resistance summaries for the strains used in this experiment are as follows. 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−.
CAZ, ceftazidime.
AVI, avibactam.
q2h, ceftazidime and avibactam were dosed together at every administration; q8h, ceftazidime was dosed q2h but avibactam was codosed at 0, 8, and 16 h from the initiation of dosing.
Times are expressed as percentages of the dosing interval.