Research Article

In Vitro Synergistic Activity of Combinations of Tetrahydroisoquinolines and Treatment Antibiotics against Multidrug-Resistant Salmonella

Table 2

Percentage drug interactions of tetrahydroisoquinolines (THIQs) and antibiotics against seven multidrug-resistant Salmonella isolates.

CombinationsNo. of MDR Salmonella isolates per interaction (n) (%)
Synergism n (%)Additivity n (%)Antagonism n (%)No effect n (%)

Penicillins: ampicillin (AMP)
AMP-THIQ 14 (57.14)3 (42.86)0 (0)0 (0)
AMP-THIQ 20 (0)1 (14.29)0 (0)6 (85.71)
AMP-THIQ 30 (0)0 (0)0 (0)7 (100)
AMP-THIQ 40 (0)5 (71.43)0 (0)2 (28.57)
AMP-THIQ 50 (0)1 (14.29)0 (0)6 (85.71)

Phenicols: chloramphenicol (CHL)
CHL-THIQ 15 (71.43)2 (28.57)0 (0)0 (0)
CHL-THIQ 20 (0)2 (28.57)0 (0)5 (71.43)
CHL-THIQ 30 (0)0 (0)0 (0)7 (100)
CHL-THIQ 40 (0)5 (71.43)0 (0)2 (28.57)
CHL-THIQ 50 (0)3 (42.86)0 (0)4 (57.14)

Antifolates: sulphamethoxazole-trimethoprim (SXT)
SXT-THIQ 15 (71.43)2 (28.57)0 (0)0 (0)
SXT-THIQ 20 (0)2 (28.57)0 (0)5 (71.43)
SXT-THIQ 31 (14.29)1 (14.29)0 (0)5 (71.43)
SXT-THIQ 40 (0)5 (71.43)0 (0)2 (28.57)
SXT-THIQ 54 (57.14)3 (42.86)0 (0)0 (0)

Fluoroquinolones: ciprofloxacin (CIP)
CIP-THIQ 10 (0)7 (100)0 (0)0 (0)
CIP-THIQ 24 (57.14)0 (0)0 (0)3 (42.86)
CIP-THIQ 30 (0)0 (0)5 (71.43)2 (28.57)
CIP-THIQ 44 (57.14)0 (0)0 (0)3 (42.86)
CIP-THIQ 50 (0)0 (0)6 (85.71)1 (14.29)

Total assays (140)27 (17)42 (30)11 (7.8)60 (42)

Total combinations (20)7 (35)14 (70)2 (10)15 (75)

n = number of MDR Salmonella isolates which showed a given interaction; Distribution of interaction type based on the total number of THIQ-antibiotic combination assays against 7 MDR Salmonella isolates.