The MIC was defined as the lowest concentration of drug inhibiting the visible colony growth after 20 to 24 h of incubation45. The MIC results were interpreted according to the breakpoints established by the EUCAST and CLSI guidelines for A. baumannii strains6,26.
The MPC was defined as the lowest concentration of antimicrobial that prevented colony formation from a culture containing ≥ 109 CFU bacteria. The plates were examined after the incubation period of 24 and 48 h12.
The antimicrobial concentrations range exceeding the MIC up to the MPC was defined as the MSW, at which selective amplification of antibiotic-resistant mutants occurs52.
The MPC:MIC ratio of polymyxin B alone and combined was also calculated and expressed as the ability of each combination to select resistant mutants. Lower values of the ratio indicate a better ability to restrict the emergence of resistant mutants53.
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