Skip to main content
Log in

In vitro activity of fosfomycin combined with ceftazidime, imipenem, amikacin, and ciprofloxacin againstPseudomonas aeruginosa

  • Notes
  • Published:
European Journal of Clinical Microbiology and Infectious Diseases Aims and scope Submit manuscript

Abstract

The in vitro activity of fosfomycin in combination with ceftazidime, imipenem, amikacin, or ciprofloxacin was studied by an agar plate checkerboard method against 40 clinical isolates ofPseudomonas aeruginosa with various antibiotic resistance profiles. Fosfomycin/ciprofloxacin appeared to be the most effective combination (synergy 15%, addition 80%, indifference 5%), followed by fosfomycin/amikacin (synergy 7.5%, addition 52.5%, indifference 40%), fosfomycin/imipenem (addition 37%, indifference 63%), and fosfomycin/ceftazidime (addition 20%, indifference 80%). The effects of the combinations were not significantly infl enced by the antibiotic susceptibility patterns of the strains.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Korvick JA, Yu VL: Antimicrobial agent therapy forPseudomonas aeruginosa. Antimicrobial Agents and Chemotherapy 1991, 35: 2167–2172.

    Google Scholar 

  2. Michel-Briand Y, Alkhalaf-Haddad B, Bonnin M:Pseudomonas aeruginosa et antibiotiques. Bulletin de l'Institut Pasteur 1989, 87: 125–170.

    Google Scholar 

  3. Thabaut A:Pseudomonas aeruginosa et antibiotiques. Journal de Pharmacie Clinique 1988, 7: 39–53.

    Google Scholar 

  4. Suarez JE, Mendoza MC: Plasmid-encoded fosfomycin resistance. Antimicrobial Agents and Chemotherapy 1991, 35: 791–795.

    Google Scholar 

  5. Kahan FM, Kahan JS, Cassidy PJ, Kropp H: The mechanism of action of fosfomycin (phosphonomycin). Annals of the New York Academy of Sciences 1974, 235: 364–385.

    Google Scholar 

  6. Chin NX, Neu NM, Neu HC: Synergy of fosfomycin with beta-lactam antibiotics against staphylococci and aerobic gram-negative bacilli. Drugs Under Experimental and Clinical Research 1986, 12: 943–947.

    Google Scholar 

  7. Combes T, Mas C, Sahli A: Activité bactéricide in vitro des associations de la fosfomycine vis-à-vis dePseudomonas aeruginosa. Semaine des Hôpitaux de Paris 1987, 45: 3567–3569.

    Google Scholar 

  8. Figueredo VM, Neu HC: Synergy of ciprofloxacin with fosfomycin in vitro againstPseudomonas isolates from patients with cystic fibrosis. Journal of Antimicrobial Chemotherapy 1988, 22: 41–50.

    Google Scholar 

  9. Reguera JA, Baquero F, Berenguer J, Martinez-Ferrer M, Martinez JL: β-lactam-fosfomycin antagonism involving modification of penicillin-binding protein 3 inPseudomonas aeruginosa. Antimicrobial Agents and Chemotherapy 1990, 34: 2093–2096.

    Google Scholar 

  10. Rodriguez A, Clay T, De Vicente MV: Synergic activity of fosfomycin in association with other antibacterial agents: a review. Drugs Under Experimental and Clinical Research 1980, 6: 281–288.

    Google Scholar 

  11. Heineman HS, Lofton WM: Unpredictable response ofPseudomonas aeruginosa to synergistic antibiotic combinations in vitro. Antimicrobial Agents and Chemotherapy 1978, 13: 827–831.

    Google Scholar 

  12. Krogstad DJ, Moellering RC: Antimicrobial combinations. In: Lorian V (ed): Antibiotics in laboratory medicine. Williams & Wilkins, Baltimore, 1986, p. 537–595.

    Google Scholar 

  13. Comité de l'Antibiogramme de la Société Française de Microbiologie: Communiqué 1995. Pathologie et Biologie 1995, 43: I-VIII.

    Google Scholar 

  14. Gevaudan MJ, Mallet MN, Gulian C, Dalmas N, Gevaudan P: Recherche de synergie entre la fosfomycine et divers autres antibiotiques. Médecine et Maladies Infectieuses 1978, 8: 657–665.

    Google Scholar 

  15. Morin JP, Bendirdjian JP, Fillastre JP, Vaillant R: Interference of fosfomycin with lysosomal membrane integrity of rat kidney cells. Drugs Under Experimental and Clinical Research 1978, 4: 63–66.

    Google Scholar 

  16. Kumon H, Ono N, Iida M, Nickel JC: Combination effect of fosfomycin and ofloxacin againstPseudomonas aeruginosa. Antimicrobial Agents and Chemotherapy 1995, 39: 1038–1044.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tessier, F., Quentin, C. In vitro activity of fosfomycin combined with ceftazidime, imipenem, amikacin, and ciprofloxacin againstPseudomonas aeruginosa . Eur. J. Clin. Microbiol. Infect. Dis. 16, 159–162 (1997). https://doi.org/10.1007/BF01709477

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01709477

Keywords

Navigation