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