TABLE II.
Testing for Development of Antibiotic Resistance*
| Minimum Inhibitory Concentration (μg/mL) |
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| No. of Samples with CFUs After 48-Hr Broth Culture (Tissue/Implant) | CFUs from Tissue/Implant | Original SAP231 | Resistance Breakpoint† According to Clinical Guidelines (μg/mL) | |
| Ceftaroline | 18 (10/8) | 0.5-1 | 1 | >1 |
| Daptomycin | 16 (10/6) | 0.5 | 0.5 | >1 |
| Doxycycline | 16 (10/6) | 30 | 30 | >30 |
| Linezolid | 12 (10/2) | 1-2 | 2 | >4 |
| Ceftaroline-rifampin‡ | 1 (1/0) | 0.5 (ceftaroline), 0.5 (rifampin) | 1 (ceftaroline), 0.5 (rifampin) | >1, >0.5 |
After the 6-week antibiotic treatment, tissue homogenates and sonicated implant solutions with positive bacterial growth underwent minimum inhibitory concentration testing according to guidelines for clinical microbiology specimens.
Resistance breakpoints were obtained from the European Committee on Antimicrobial Susceptibility Testing, version 6.0, 2016 (http://www.eucast.org/).
The ceftaroline-rifampin group was the only antibiotic-rifampin-combination group that had bacterial growth for resistance testing.