TABLE 3.
Antimicrobial regimenc | Change in bacterial density (log10 CFU/ml) over 24, 48, and 72 h |
||
---|---|---|---|
24 h | 48 h | 72 h | |
Monotherapy | |||
Minocycline 200 mg load, 100 mg Q12h (SD) | +0.17 | +0.24 | −0.01 |
Meropenem 1 g Q8h | −0.30 | −0.69 | −0.40 |
Meropenem 2 g Q8h | −0.36 | −0.49 | −0.21 |
Polymyxin B 2.5 mg/kg Q12h | −2.32d | −1.05 | −1.34d |
Sulbactam 1 g Q6h | −1.15 | −1.25 | −0.62 |
Dual Therapy | |||
Minocycline SD + meropenem 2 g Q8h | −0.34 | −0.47 | −0.22 |
Minocycline SD + sulbactam 1 g Q6h | −0.69 | −0.44 | −0.46 |
Minocycline SD + polymyxin B 2.5 mg/kg Q12ha | −3.40d | −0.88 | +0.24 |
Meropenem 2 g Q8hb + sulbactam 1 g Q6h | −0.93 | −0.62 | −0.29 |
Minocycline HD + polymyxin B | −1.63 | −0.76 | −0.19 |
Polymyxin B + sulbactam 9 g/24 h CI | −1.38 | −1.81d | −0.50 |
Triple Therapy | |||
Minocycline 700 mg load, 350 mg Q12h (HD) + meropenem 6 g/24 h CI + sulbactam 9 g/24 h CI | −2.51d | −1.68 | −1.45d |
Minocycline HD + polymyxin B + sulbactam 9 g/24 h CI | −2.60d | −2.18d | −2.13d |
Enhanced activity compared to minocycline SD alone at 24 h
Meropenem exposure maximized for CRAB isolates due to resistance
CI, continuous infusion; HD, high dose; SD, standard dose.
P ≤ 0.05.