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. 2022 Jun 15;10(4):e00621-22. doi: 10.1128/spectrum.00621-22

TABLE 3.

Beta-lactam combination therapies against E. faecalis: Time-kill assay change in log10 CFU/mL from the initial inoculum at 24 h

  Ampicillin + ceftriaxone
Penicillin + ceftriaxone
Isolate 0.25 × MIC 0.5 × MIC 1 × MIC 0.25 × MIC 0.5 × MIC 1 × MIC
Isolates with penicillin MIC ≤ 2 mcg/mL
 JH2-2 −2.04 ± 0.12b,c −4.13 ± 0.00a,c −4.13 ± 0.00a,c +1.12 ± 0.08 +0.45 ± 0.82 −3.01 ± 0.08a
 e2003 −4.05 ± 0.00a −4.05 ± 0.00a −4.05 ± 0.00a +1.90 ± 0.17 −3.7 ± 0.25a,c −4.05 ± 0.00a
 e2006 −4.05 ± 0.00a −4.05 ± 0.00a −4.05 ± 0.00a −2.96 ± 0.12b,c −4.05 ± 0.00a,c −4.05 ± 0.00a
 e2011  −3.68 ± 0.09a,c −4.14 ± 0.00a,c −4.14 ± 0.00a +1.60 ± 0.23 −4.11 ± 0.05a,c −3.95 ± 0.10a,c
 e2012  +1.20 ± 0.32 −4.01 ± 0.00a,c −4.01 ± 0.00a,c +1.02 ± 0.25 −3.94 ± 0.00a,c −3.92 ± 0.12a
 e2014  −4.05 ± 0.00a,c −4.05 ± 0.00a,c −4.05 ± 0.00a,c −0.38 ± 0.24b,c −3.98 ± 0.00a,c −4.05 ± 0.00a,c
 e2015 −4.12 ± 0.00a,c −4.12 ± 0.00a,c −4.12 ± 0.00a −1.2 ± 0.12b,c −2.2 ± 0.29b,c −4.12 ± 0.00a
 e2017 −2.31 ± 0.16b,c −3.99 ± 0.00a,c −3.99 ± 0.00a −2.84 ± 0.04b,c −2.61 ± 0.11b,c −3.99 ± 0.00a
 e2020  −4.09 ± 0.00a,c −4.09 ± 0.00a,c −4.09 ± 0.00a −0.16 ± 0.55b −4.06 ± 0.05a,c −4.09 ± 0.00a
 e2025 −3.89 ± 0.00a,c −4.28 ± 0.00a,c −4.28 ± 0.00a −2.01 ± 0.14b,c −4.06 ± 0.00a,c −4.28 ± 0.00a,c
 e2029 +1.73 ± 0.01 −3.75 ± 0.45a,c −3.44 ± 0.89a,c +0.97 ± 0.68 −1.57 ± 0.71b,c −4.07 ± 0.00a
 e2031 −3.16 ± 0.44a,c −4.11 ± 0.00a −4.11 ± 0.00a −4.05 ± 0.09a,c −3.76 ± 0.25a,c −4.11 ± 0.00a
 e2032 +1.63 ± 0.12 −2.49 ± 0.09b −4.14 ± 0.00a +1.82 ± 0.24 −0.05 ± 0.19b −4.14 ± 0.00a,c
Isolates with penicillin MIC of 4 mcg/mL
 e2008  −0.40 ± 0.03b −2.56 ± 0.12b −3.44 ± 0.04a +1.00 ± 0.07 +0.46 ± 0.10 −2.5 ± 0.04b
 e2009  −0.57 ± 0.25b −2.61 ± 0.07b −4.08 ± 0.00a +1.73 ± 0.09 +1.12 ± 0.19 −2.15 ± 0.20b,c
 e2010 +0.19 ± 0.06 −1.51 ± 0.06b −3.35 ± 0.10a +1.00 ± 0.08 +0.70 ± 0.03 −0.82 ± 0.00b
 e2018 +1.46 ± 0.00 +0.4 ± 0.02 −3.37 ± 0.07a +1.97 ± 0.23 +1.66 ± 0.05 −1.49 ± 0.06b
 e2024 −3.42 ± 0.71a,c −3.92 ± 0.00a,c −3.92 ± 0.00a −3.51 ± 0.02a,c −3.92 ± 0.00a,c −3.92 ± 0.00a
 e2027 +1.18 ± 0.19 −0.31 ± 0.13b,c −2.75 ± 0.44b,c +1.66 ± 0.02 +0.95 ± 0.24 −2.12 ± 0.11b
 e2028 +1.26 ± 0.20 −1.21 ± 0.33b −3.64 ± 0.18a +1.99 ± 0.03 +1.56 ± 0.08 −1.27 ± 0.25b
a

Bactericidal activity was observed, defined as ≥3-log10 decrease in CFU/mL from initial inoculum.

b

Bacteriostatic activity was observed, defined as <3-log10 decrease in CFU/mL from initial inoculum.

c

Synergy was detected as indicated by gray shading, defined as ≥2-log10 decrease in CFU/mL at 24 h from the most active single agent was observed.