Table 5.
The effect of the efflux pump inhibitors PaβN and CCCP on biocide susceptibility in chlorhexidine-adapted strains and their respective wild-types. Numbers highlighted in bold indicate a ≥fourfold change in MIC relative to no EPI (alone)
CHD |
CET |
CPC |
HDPCM |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Alone |
+PaβN |
+CCCP |
Alone |
+PaβN |
+CCCP |
Alone |
+PaβN |
+CCCP |
Alone |
+PaβN |
+CCCP |
|
6 |
8–16 |
8–16 |
1 |
0.0007 |
≤0.0003 |
0.0007 |
4 |
4 |
16 |
4 |
2 |
4 |
6 CHD |
64 |
64 |
2 |
0.007 |
≤0.0003 |
0.015 |
32 |
4 |
64 |
64 |
4 |
64 |
CFI_080_KPC2 |
4–8 |
8–16 |
1 |
0.0007 |
≤0.0003 |
0.007 |
8 |
2 |
32 |
16 |
2 |
32 |
CFI_080_KPC2 CHD |
16 |
16 |
2 |
0.007 |
≤0.0003 |
0.015 |
32 |
2 |
64 |
16 |
2 |
64 |
MKP103 |
128 |
128 |
1 |
0.007 |
≤0.0003 |
0.015 |
32 |
4 |
64 |
16 |
4 |
64 |
CTAB |
CHL |
CIP |
||||||||||
Alone |
+PaβN |
+CCCP |
Alone |
+PaβN |
+CCCP |
Alone |
+PaβN |
+CCCP |
||||
6 |
8 |
2 |
32 |
8 |
2 |
16 |
0.25 |
≤0.06 |
0.125 |
|||
6 CHD |
32 |
8 |
64 |
64 |
8 |
32 |
0.25 |
0.125 |
0.25 |
|||
CFI_080_KPC2 |
16 |
4 |
32 |
8 |
2 |
16 |
≤0.06 |
≤0.06 |
≤0.06 |
|||
CFI_080_KPC2 CHD |
64 |
4 |
128 |
16 |
4 |
16 |
≤0.06 |
≤0.06 |
≤0.06 |
|||
MKP103 |
32 |
8 |
128 |
128 |
8 |
64 |
>64 |
>64 |
>64 |
Antimicrobials tested included chlorhexidine digluconate (CHD), (%), cetrimide (CET), cetylpyridinium chloride (CPC), hexadecylpyridinium chloride monohydrate (HDPCM), cetyltrimethylammonium bromide (CTAB), chloramphenicol (CHL and ciprofloxacin (CIP). All values in mg l−1 except for CET whose values represent % of active ingredient.