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Table 3 Evaluation of synergistic interaction between some natural beta lactamase inhibitors in association with selected permeabilizers with no antibacterial activity on susceptibility of beta lactamase producer isolates to different beta lactam antibiotics

From: Natural outer membrane permeabilizers boost antibiotic action against irradiated resistant bacteria

Mean inhibition zone (mm) / Susceptibility break points

Permeabilizers

Ab- alone

ECG

ECG + GA

ECG + T

Quercetin

Q + GA

Q + T

Permeabilizers

Ab-alone

Gallic acid

Thymol

aAntibiotics (Ab)

bAntibiotics (Ab)

Escherichia coli 2

 PRL ≥21

6/R

6/R

20/M

23/S

15/R

19/M

24/S

TZP ≥21

14/R

20/M

26/S

 CFP ≥21

6/R

6/R

16/M

21/S

16/M

21/S

25/S

SCF ≥22

14/R

19/M

20/M

Acinetobacter baumannii 4

 PRL

6/R

6/R

19/M

21/S

16/R

24/S

21/S

TZP

15/R

20/M

21/S

 CFP

6/R

6/R

23/S

20/M

16/M

20/M

22/S

SCF

14/R

22/S

23/S

Pseudomonas aeruginosa 8

 PRL

12/R

12/R

16/R

25/S

18/S

22/S

20/S

TZP

17/R

23/S

26/S

 CFP

10/R

10/R

15/R

21/S

17/M

20/M

22/S

SCF

15/R

25/S

21/M

Pseudomonas aeruginosa 9

 PRL

6/R

6/R

18/S

19/S

12/R

19/S

21/S

TZP

11/R

22/S

22/S

 CFP

6/R

6/R

22/S

25/S

15/R

22/S

24/S

SCF

12/R

22/S

25/S

Enterobacter cloacae 13

 PRL

6/R

6/R

20/M

23/S

15/R

20/M

24/S

TZP

20/M

30/S

27/S

 CFP

6/R

6/R

18/M

21/S

18/M

20/M

23/S

SCF

18/M

25/S

23/S

  1. ECG Epigallocatechin gallate, Q Quercetin, GA Gallic acid, T Thymol
  2. aStandard discs of single β-lactam antibiotics PRL (100 μg) = Piperacillin CFP (75 μg) = Cefoperazone
  3. b Standard discs of antibiotics combined with β-lactamase inhibitors
  4. TZP (100/10 μg) = Piperacillin/ tazobactam SCF (75/30 μg) = Cefoperazone/ sulbactam