Synergy between trovafloxacin and ceftriaxone against penicillin-resistant pneumococci in the rabbit meningitis model and in vitro

被引:23
作者
Cottagnoud, P [1 ]
Acosta, F
Cottagnoud, M
Neftel, K
Täuber, MG
机构
[1] Inselspital Bern, Dept Internal Med, CH-3010 Bern, Switzerland
[2] Zieglerspital, Dept Internal Med, Bern, Switzerland
[3] Univ Bern, Inst Med Microbiol, Bern, Switzerland
关键词
D O I
10.1128/AAC.44.8.2179-2181.2000
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The bactericidal activities of monotherapy with trovafloxacin (-0.37 +/- 1.15 Delta log(10) CFU/ml.h), vancomycin (-0.32 +/- 0.12 Delta log(10) CFU/ml.h), and ceftriaxone (-0.36 +/- 0.19 Delta log(10) CFU/ml.h) for the treatment of experimental meningitis in rabbits due to a clinical penicillin-resistant pneumococcal strain (MIC, 4 mg/liter) were similar. The combination of ceftriaxone with trovafloxacin considerably improved the killing rates (-0.67 +/- 0.16 Delta log(10) CFU/ml.h) and was slightly superior to ceftriaxone with vancomycin (killing rate, -0.53 +/- 0.22 Delta log(10) CFU/ml.h), the regimen most commonly used in clinical practice. In vitro, synergy was demonstrated between ceftriaxone and trovafloxacin by the checkerboard method (fractional inhibitory concentration index, 0.5) and by time-killing assays over 8 h.
引用
收藏
页码:2179 / 2181
页数:3
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