Table 4.
Δlog10 colony changes of P. aeruginosa and E. coli strains obtained by the time-kill assay, after 24 h treatment with A22, antibiotics alone in relation to the initial inoculum or their combinations in relation to the initial inoculum and the most active agent.
Strains | Monotherapy, combinations | Fold MIC in monotherapy, combination | Colony changes (Δlog10 cfu/mL) at 24 h | Interaction | |
---|---|---|---|---|---|
vs. initial inoculum | vs. most active agent | ||||
P. aeruginosa | A22 | 0.5 | +2.88 | — | (⦰) |
CAZ | 0.5 | +3.92 | — | (⦰) | |
MERO | 0.5 | +4.2 | — | (⦰) | |
GEN | 0.5 | +3.18 | — | (⦰) | |
CIP | 0.5 | +1.64 | — | (⦰) | |
A22 + CAZ | 0.5 | −3.59 | −6.47 | Bactericidal/synergism | |
A22 + MERO | 0.5 | −3.84 | −6.72 | Bactericidal/synergism | |
A22 + GEN | 0.5 | −4.01 | −6.89 | Bactericidal/synergism | |
A22 + CIP | 0.5 | −4.29 | −6.12 | Bactericidal/synergism | |
| |||||
E. coli | A22 | 1 | −0.98 | — | Bacteriostatic |
AZM | 1 | +3.53 | — | (⦰) | |
CFX | 1 | +3.9 | — | (⦰) | |
A22 + AZM | 1 | −4.63 | −3.68 | Bactericidal/synergism | |
A22 + CFX | 1 | −4.66 | −3.7 | Bactericidal/synergism |
Antibiotics abbreviations: azithromycin (AZM), cefoxitin (CFX), ceftazidime (CAZ), ciprofloxacin (CIP), gentamicin (GEN), meropenem (MERO); +: increase growth; −: decrease growth; bacteriostatic, bactericidal: <3log10 and ≥3log10 reduction in cfu/mL, respectively, relative to the initial inoculum at 24 h; synergism: ≥2log10 reduction in cfu/mL relative to the most active agent of the combination at 24 h; (⦰): no effect.