Abstract
The in vitro activity of trovafloxacin alone and in combination with ceftazidime, meropenem, and amikacin was studied by determining the minimal inhibitory concentrations (MICs) for 111 gram-negative and 71 gram-positive bacteria. In addition, the synergy of these combinations against 46 strains of gram-negative and gram-positive organisms was studied by checkerboard titration and time-kill kinetics. Trovafloxacin exhibited excellent in vitro activity against all strains tested. Synergism was observed in 17% of the gram-negative strains and in 32% of the gram-positive strains. No antagonism was observed with any of the combinations tested.
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Neu HC, Chin N: In vitro activity of the new fluoroquinolone CP-99,219. Antimicrobial Agents and Chemotherapy 1994, 38: 2615–2622.
Gooding BB, Jones RN: In vitro antimicrobial activity of CP-99,219, a novel azabicyclo-naphthyridone. Antimicrobial Agents and Chemotherapy 1993, 37: 349–353.
Ball P: Emergent resistance to ciprofloxacin amongstPseudomonas aeruginosa andStaphylococcus aureus: clinical significance and therapeutic approaches. Journal of Antimicrobial Chemotherapy 1990, 26, Supplement F: 165–179.
Eliopoulos GM, Klimm K, Eliopoulos CT, Ferraro MJ, Moellering RC Jr: In vitro activity of CP-99,219, a new fluoroquinolone, against clinical isolates of gram-positive bacteria. Antimicrobial Agents and Chemotherapy 1993, 37: 366–370.
Spangler SK, Jacobs MR, Appelbaum PC: Activity of CP-99,219 compared with those of ciprofloxacin, grepafloxacin, metronidazole, cefoxitin, piperacillin, and piperacillin-tazobactam against 489 anaerobes. Antimicrobial Agents and Chemotherapy 1994, 38: 2471–2476.
Braveny I, Voeckl J, Machka K: Antimicrobial activity of netilmicin in comparison with gentamicin, sisomicin, tobramycin, and amikacin and their resistance patterns. Arzneimittel-Forschung 1980, 30: 491–495.
Gootz TD, Brighty KE, Anderson MR, Haskell SL, Sutcliffe JA, Castaldi MJ, McGuirk PR: In vitro activity of CP-99,219, a novel 7-(3-azabicyclo[3.1.0]hexyl)naphthyridone antimicrobial. Diagnostic Microbiology and Infectious Disease 1994, 19: 235–243.
Haller I: Comprehensive evaluation of ciprofloxacinaminoglycoside combinations againstEnterobacteriaceae andPseudomonas aeruginosa. Antimicrobial Agents and Chemotherapy 1985, 28: 663–666.
Bamberger DM, Peterson LR, Gerding DN, Moody JA, Fasching CE: Ciprofloxacin, azlocillin, ceftizoxime and amikacin alone and in combination against gram-negative bacilli in an infected chamber model. Journal of Antimicrobial Chemotherapy 1986, 18: 51–63.
Haller I: Comprehensive evaluation of ciprofloxacin in combination with beta-lactam antibiotics againstEnterobacteriaceae andPseudomonas aeruginosa. Arzneimittel-Forschung 1986, 36: 226–229.
Bustamente CI, Drusano GL, Wharton RC, Wade JC: Synergism of the combinations of imipenem plus ciprofloxacin and imipenem plus amikacin againstPseudomonas aeruginosa and other bacterial pathogens. Antimicrobial Agents and Chemotherapy 1987, 31: 632–634.
Moody JA, Gerding DN, Peterson LR: Evaluation of ciprofloxacin's synergism with other agents by multiple in vitro methods. American Journal of Medicine 1987, 82: 44–54.
Rudin JE, Norden CE, Shinners EM: In vitro activity of ciprofloxacin against aerobic gram-negative bacteria. Antimicrobial Agents and Chemotherapy 1984, 26: 597–598.
Meyer RD, Liu S: Synergy studies in vitro of the effect of ciprofloxacin and selected beta-lactam agents and aminoglycosides upon multidrug-resistantPseudomonas aeruginosa. Reviews of Infectious Diseases 1989, 11, Supplement 5: 1037.
Glamarellou H, Petrikkos G: Ciprofloxacin interactions with imipenem and amikacin against multiresistantPseudomonas aeruginosa. Antimicrobial Agents and Chemotherapy 1987, 31: 959–961.
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Milatovic, D., Wallrauch, C. In vitro activity of trovafloxacin in combination with ceftazidime, meropenem, and amikacin. Eur. J. Clin. Microbiol. Infect. Dis. 15, 688–693 (1996). https://doi.org/10.1007/BF01691162
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DOI: https://doi.org/10.1007/BF01691162