Inhibitory activity and bactericidal kinetics of mecillinam/ampicillin combinations against Enterobacteriaceae, Pseudomonas and Acinetobacter

Mecillinam, ampicillin and combinations of the two were tested against Enterobacteriaceae by traditional agar dilution and under in vitro conditions simulating in vivo pharmacokinetics. Synergy was demonstrated by agar dilution in 30% of the strains. At simulated in vivo conditions, synergy between...

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Veröffentlicht in:Infection 1981-01, Vol.9 (6), p.290-295
Hauptverfasser: Fuglesang, J E, Bergan, T, Bielecki, T, Naterstad, A, Namork, E
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container_end_page 295
container_issue 6
container_start_page 290
container_title Infection
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creator Fuglesang, J E
Bergan, T
Bielecki, T
Naterstad, A
Namork, E
description Mecillinam, ampicillin and combinations of the two were tested against Enterobacteriaceae by traditional agar dilution and under in vitro conditions simulating in vivo pharmacokinetics. Synergy was demonstrated by agar dilution in 30% of the strains. At simulated in vivo conditions, synergy between ampicillin and mecillinam was detected in a high osmolality medium, but not when the osmolality of the medium was low. The bactericidal effect was detected with mecillinam after one hour, while that of ampicillin or the combination was detected after 15 min. Changed bacterial morphology was observed by electron microscopy. Mecillinam produced ovoid spherical cell structures whereas combinations of the two drugs produced larger bacterial spheres.
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subjects Acinetobacter - drug effects
Acinetobacter - metabolism
Acinetobacter - ultrastructure
Amdinocillin - administration & dosage
Amdinocillin - pharmacology
Ampicillin - administration & dosage
Ampicillin - pharmacology
Drug Combinations
Drug Synergism
Enterobacteriaceae - drug effects
Enterobacteriaceae - metabolism
Enterobacteriaceae - ultrastructure
Penicillanic Acid - administration & dosage
Pseudomonas - drug effects
Pseudomonas - metabolism
Pseudomonas - ultrastructure
title Inhibitory activity and bactericidal kinetics of mecillinam/ampicillin combinations against Enterobacteriaceae, Pseudomonas and Acinetobacter
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