Table 4. Chequerboard results of colistin in combination with aminoglycoside (amikacin, gentamicin and tobramycin) against colistin resistant K. pneumoniae isolates.
Isolates | Antibiotics | Combined MIC (μg/mL) | FICI | Fold reduction | Outcome |
---|---|---|---|---|---|
1NT4Ng/1 | COL | 8 | 0.281 | 32 | Synergy |
AMI | 4 | 4 | |||
COL | 32 | 0.375 | 8 | Synergy | |
GEN | 32 | 4 | |||
COL | 64 | 0.500 | 4 | Synergy | |
TOB | 8 | 4 | |||
1NT6Ng/1 | COL | 8 | 0.281 | 32 | Synergy |
AMI | 4 | 4 | |||
COL | 8 | 0.281 | 32 | Synergy | |
GEN | 32 | 4 | |||
COL | 64 | 0.500 | 4 | Synergy | |
TOB | 8 | 4 | |||
1NT6Tu/1 | COL | 64 | 0.265 | 4 | Synergy |
AMI | 0.12 | 64 | |||
COL | 8 | 0.281 | 32 | Synergy | |
GEN | 64 | 4 | |||
COL | ND | ND | ND | ND | |
TOB | ND | ||||
1NT6R | COL | 16 | 0.078 | 16 | Synergy |
AMI | 0.25 | 64 | |||
COL | 16 | 0.125 | 16 | Synergy | |
GEN | 8 | 16 | |||
COL | 32 | 0.375 | 8 | Synergy | |
TOB | 16 | 4 | |||
1NT7R | COL | ND | ND | ND | ND |
AMI | ND | ||||
COL | 32 | 0.375 | 8 | Synergy | |
GEN | 32 | 4 | |||
COL | ND | ND | ND | ND | |
TOB | ND | ||||
1NT8Th | COL | 16 | 0.312 | 16 | Synergy |
AMI | 4 | 4 | |||
COL | 64 | 0.500 | 4 | Synergy | |
GEN | 16 | 4 | |||
COL | ND | ND | ND | ND | |
TOB | ND | ||||
1NT6Ng(CCU)/1 | COL | 16 | 0.281 | 32 | Synergy |
AMI | 4 | 4 | |||
COL | 64 | 0.250 | 8 | Synergy | |
GEN | 16 | 8 | |||
COL | 64 | 0.375 | 8 | Synergy | |
TOB | 4 | 4 | |||
1NT6Th(CCU)/1 | COL | 8 | 0.062 | 32 | Synergy |
AMI | 0.5 | 32 | |||
COL | 32 | 0.375 | 8 | Synergy | |
GEN | 32 | 4 | |||
COL | 16 | 0.312 | 16 | Synergy | |
TOB | 4 | 4 | |||
1NT6R(CCU) | COL | 32 | 0.250 | 8 | Synergy |
AMI | 2 | 8 | |||
COL | 32 | 0.187 | 8 | Synergy | |
GEN | 8 | 16 | |||
COL | ND | ND | ND | ND | |
TOB |
CCU, Cardiac Care Unit; MIC, Minimum inhibitory concentrations; COL, Colistin; AMI, Amikacin; FICI, Fractional inhibitory concentration index; GEN, Gentamicin; TOB, Tobramycin; ND, not determined.