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. 2018 Nov 14;74(3):582–593. doi: 10.1093/jac/dky458

Table 1.

MICs of several antibiotic classes for day 20 replicates compared with the initial isolate

Straina MIC (mg/L)b
CST PMB OctC4 AMX ATM FEP CRO CHL CIP GEN MEM PIP TET TGC TMP
Initial ≤0.25S ≤0.125S 8 >64R >64R ≥16R >64R ≥32R >64R ≤4S ≥32R >64I >64R ≤2S,I >64R
CST_1 >128R >128R ≤8 >64R >64R ≥16R >64R ≤8S ≥32R 4S ≥32R >64I >64R ≤4S,R >64R
CST_2 >128R >128R ≤4 >64R >64R >64R >64R 4S ≥32R ≤4S ≥32R >64I >64R 2I >64R
CST_3 ≥128R ≥128R ≤4 >64R >64R >64R >64R 8S >64R ≤4S >64R >64I >64R ≤4I,R >64R
CST_4 >128R >128R ≤8 >64R >64R >64R >64R ≤8S >64R ≤4S >64R >64I >64R ≤4I,R >64R
CST_5 >128R >128R 2 >64R >64R >64R >64R ≤8S >64R ≤4S >64R >64I >64R ≤4I,R >64R
CST_6 >128R >128R ≤8 >64R >64R >64R >64R 8S >64R ≤4S >64R >64I >64R ≥4R >64R
PMB_1 128R 128R ≤4 >64R >64R >64R 32R 4S 32R ≤4S >64R >64I >64R ≤4I,R >64R
PMB_2 >128R >128R 8 >64R >64R ≤8I >64R 4S >64R ≤4S ≤0.25S >64I >64R ≤2S,I >64R
PMB_3 >128R >128R 4 >64R >64R ≥32R >64R 8S >64R 2S ≥32R >64I >64R 2I >64R
PMB_4 >128R >128R 4 >64R >64R ≥8I,R ≥32R ≤2S 48R 2S ≥8R >64I >64R 2I >64R
PMB_5 >128R >128R ≤8 >64R >64R ≥8I,R ≥32R ≤8S >64R ≤4S ≥2I,R >64I >64R ≤2S,I >64R
PMB_6 >128R >128R ≤8 >64R >64R ≥16R >64R 8S >64R ≤4S ≥32R >64I >64R ≤4I,R >64R
OctC4_1 0.25S ≤0.25S 32 >64R >64R ≥16R >64R 8S >64R ≤2S ≥32R >64I >64R ≤2S,I >64R
OctC4_2 0.25S 0.25S 32 >64R >64R ≥8I,R >64R 8S >64R ≤2S ≥32R >64I ≤2S ≤1S ≥8R
OctC4_3 ≤0.5S 0.25S 32 >64R >64R ≤4S,I 32R 8S >64R ≤4S ≤0.25S >64I >64R 2I >64R
OctC4_4 ≤0.5S 0.25S >32 >64R >64R ≤4S,I 32R 8S >64R 1S ≤0.25S >64I ≥2S,R ≤2S,I ≥4R
OctC4_5 0.5S 0.5S 32 >64R >64R >64R >64R ≤8S >64R 2S >64R >64I >64R 2I >64R
OctC4_6 ≤0.5S ≤0.5S 32 >64R >64R ≤4S,I ≥32R ≤16S, I >64R 2S ≤0.25S >64I >64R 2I >64R

Resistance determined as per CLSI guidelines, except EUCAST guideline used for tigecycline (S, susceptible; I, intermediate; R, resistant). Fluctuations in MIC values (n =4) are displayed by two letters defining the resistance level. Grey shading indicates resistant MIC values. Resistance to octapeptin C4 defined at an MIC ≥32 mg/L, as no clinical breakpoint has been reported for this compound.

a

The initial polymyxin-susceptible isolate (20_GR_12) and this strain subjected to 20 days of treatment with colistin (CST), polymyxin B (PMB) or octapeptin C4 (OctC4) (_1, _2, _3, _4, _5 and _6 indicate replicate numbers).

b

MIC determined for: CST, colistin; PMB, polymyxin B; OctC4, octapeptin C4; AMX, amoxicillin; ATM, aztreonam; FEP, cefepime; CRO, ceftriaxone; CHL, chloramphenicol; CIP, ciprofloxacin; GEN, gentamicin; MEM, meropenem; PIP, piperacillin; TET, tetracycline; TGC, tigecycline; and TMP, trimethoprim.