those that disrupt bacterial cell membranes). They can repopulate the biofilm
following discontinuation of therapy (del Pozo and Patel 2007 ). These cells forfeit
rapid propagation to ensure survival of the bacterial population in the presence of
lethal factors (Keren et al. 2004 ). They can exist in planktonic form or in biofilms
–2
0
2
4
6
a 8
b
c
NonGrowth Suboptimal Optimal Growth
Log10 CFU/mL killed
Control
Meropenem
Cipro
Ofloxacin
Gent
Cefotaxime
–2
0
2
4
6
8
NonGrowth Suboptimal Optimal Growth
Log10 CFU/mL killed
Control
Meropenem
Cipro
Ofloxacin
Gent
Cefotaxime
–2
0
2
4
6
8
NonGrowth Suboptimal Optimal Growth
Log10 CFU/mL killed
Control
Meropenem
Cipro
Ofloxacin
Gent
Nafcillin
Fig. 4(a–c) Relationship between drug, pathogen, growth phase, and antimicrobial cidal activ-
ities. Based upon data from Eng et al. ( 1991 ). Cipro = ciprofloxacin, Gent = gentamicin.
(a) Relationship between growth phase and antimicrobial activity:E. coli(b) Relationship
between growth phase and antimicrobial activity:K. pneumoniae(c) Relationship between growth
phase and antimicrobial activity:S. aureus
252 M. Martinez and P. Silley