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Table 3 Combined activity of colistin with selected antibiotics against pandrug-resistant K. pneumoniae isolates

From: Efficacy of colistin-based combinations against pandrug-resistant whole-genome-sequenced Klebsiella pneumoniae isolated from hospitalized patients in Egypt: an in vitro/vivo comparative study

MIC (µg/mL)/MDFa/ΣFICIb/Outcomec

KP3

KP8

KP11

KP20

KP22

MIC of COL

16

8

128

512

16

MIC of TGC

8

8

8

8

4

MICs of COL + TGC

MDF

(ΣFICI/Outcome)

4 + 0.5

4 + 16

(0.31/syn)

4 + 0.125

2 + 64

(0.52/add)

16 + 2

8 + 4

(0.38/syn)

64 + 2

8 + 4

(0.38/syn)

2 + 1

8 + 4

(0.38/syn)

MIC of DO

32

32

128

32

8

MICs of COL + DO

MDF

(ΣFICI/Outcome)

2 + 8

8 + 4

(0.38/syn)

2 + 4

4 + 8

(0.38/syn)

2 + 32

64 + 4

(0.27/syn)

2 + 8

256 + 4

(0.25/syn)

2 + 2

8 + 4

(0.38/syn)

MIC of CIP

256

256

8

256

256

MICs of COL + CIP

MDF

(ΣFICI/Outcome)

2 + 4

8 + 64

(0.14/syn)

4 + 4

2 + 64

(0.52/add)

4 + 2

32 + 4

(0.29/syn)

16 + 32

32 + 8

(0.17/syn)

2 + 32

8 + 8

(0.25/syn)

MIC of LE

64

128

8

128

128

MICs of COL + LE

MDF

(ΣFICI/Outcome)

2 + 8

8 + 8

(0.25/syn)

2 + 32

4 + 4

(0.50/syn)

2 + 2

64 + 4

(0.27/syn)

4 + 32

128 + 4

(0.26/syn)

2 + 16

8 + 8

(0.25/syn)

MIC of IPM

32

32

64

16

32

MICs of COL + IPM

MDF

(ΣFICI/Outcome)

8 + 1

2 + 32

(0.53/add)

4 + 16

2 + 2

(1/ind)

8 + 4

16 + 16

(0.13/syn)

32 + 2

16 + 8

(0.19/syn)

8 + 2

2 + 16

(0.56/add)

MIC of MRP

64

128

128

128

128

MICs of COL + MRP

MDF

(ΣFICI/Outcome)

8 + 1

2 + 64

(0.52/add)

4 + 64

2 + 2

(1/ind)

8 + 8

16 + 16

(0.13/syn)

64 + 4

8 + 32

(0.16/syn)

4 + 32

4 + 4

(0.50/syn)

MIC of SXT

1024/19456

1024/19456

1024/19456

512/9728

512/9728

MICs of COL + SXT

MDF

(ΣFICI/Outcome)

2 + 64/1216

8 + 16/16

(0.25/syn)

1 + 128/2432

8 + 8/8

(0.38/syn)

32 + 32/608

4 + 32/32

(0.31/syn)

256 + 64/1216

2 + 8/8

(0.75/add)

4 + 64/1216

4 + 8/8

(0.50/syn)

  1. a MDF MIC decrease factor; b ΣFICI Fractional inhibitory concentration index, c Outcome: syn refers to synergism, add to additive effect, and ind to indifference. COL refers to colistin, TGC tigecycline, DO doxycycline, CIP ciprofloxacin, LE levofloxacin, IPM imipenem, MRP meropenem, and SXT sulfamethoxazole/trimethoprim