The SEVs were homogenized and diluted in cold saline and then plated onto TSA plates. Plates were incubated at 37 °C for 24 h at which time colony count was performed. The total reduction in log10 CFU/g over 96 h was determined by plotting time kill curves. Bactericidal activity (99.9% kill) was defined as a ≥3 log10 CFU/g reduction in colony count from the initial inoculum, bacteriostatic activity was defined as a <3 log10 CFU/g reduction in colony count from the initial inoculum, and inactive was defined as no observed reductions in initial inocula. The time to achieve BGB324 datasheet a 99.9% reduction was determined by linear regression or visual

inspection (if r 2 ≥ 0.95). Susceptibility was performed on the 96 h sample by broth microdilution. Pharmacokinetic Analysis Pharmacokinetic samples were obtained in duplicate through the injection port of each model at 0.5, 1, 2, 4, 8, 24, 32, 48, 56, 72 and 96 h for verification of target antibiotic concentrations. All samples were stored at −70 °C until ready for analysis.

Concentrations of daptomycin were determined by microbioassay utilizing Micrococcus luteus ATCC 9341. Briefly, blank ¼″ disks were placed on a pre-swabbed plate of appropriate antibiotic Luminespib mw medium and spotted with 10 μL of the standards or samples. Each standard was tested in duplicate. Plates were incubated for 18–24 h at 37 °C at which time the zone sizes were measured. The half-lives, area under the curve (AUC), AUC/MIC and peak concentrations of DOCK10 the antibiotics were determined by the trapezoidal method utilizing PK Analyst software (Version 1.10, MicroMath Scientific Software, Salt Lake City, UT, USA). Resistance Development of resistance in the SEV model was evaluated at multiple time points throughout the simulation at 24, 48, 72, and 96 h. 100 μL samples from each time point were plated

on MHA plates containing three times the drug’s MIC to assess the development of resistance. Plates were then examined for growth after 24–48 h of incubation at 37 °C. MICs were determined for all mutants identified via this method (by microdilution and Etest as described above). Statistical Analysis Changes in CFU/g at 24, 48, 72, and 96 h were compared by two-way analysis of variance with Tukey’s post hoc test. A P value of ≤0.05 was considered significant. Paired continuous data was evaluated with a paired t test. All statistical analyses were performed using SPSS Statistical Software (Release 19.0, SPSS, Inc., Chicago, IL, USA). mprF Sequencing All 4 isolates placed in the SEV in vitro model and the isolates recovered at 96 h were evaluated for mutations in the mprF gene. The mprF genes were amplified by PCR using previously described primers [12]. The products were sequenced in both directions by an automated dideoxy chain termination method by the Applied Genomics Technology Center, Wayne State University. Nucleotide sequence analysis was performed with DS Gene 1.5 (Accelrys, Inc. San Diego, CA, USA).