| Literature DB >> 28052852 |
Justin R Lenhard1,2,3, Nicholas M Smith1,2, Zackery P Bulman1,2, Xun Tao4, Visanu Thamlikitkul5, Beom S Shin6, Roger L Nation7, Jian Li7, Jürgen B Bulitta4, Brian T Tsuji8,2.
Abstract
Acinetobacter baumannii is emerging with resistance to polymyxins. In 24-h time-kill experiments, high-dose ampicillin-sulbactam in combination with meropenem and polymyxin B achieved additivity or synergy against 108 CFU/ml of two clinical A. baumannii isolates resistant to all three drugs (maximum reductions, 1.6 and 3.1 logs). In a 14-day hollow-fiber infection model, high-dose ampicillin-sulbactam (8/4 g every 8 h, respectively) in combination with meropenem (2 g every 8 h) and polymyxin B (1.43 mg/kg of body weight every 12 h with loading dose) resulted in rapid (96 h) eradication of A. baumannii.Entities:
Keywords: Acinetobacter; antibiotic resistance; antimicrobial combinations; meropenem; polymyxins; sulbactam; synergism
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Year: 2017 PMID: 28052852 PMCID: PMC5328540 DOI: 10.1128/AAC.01268-16
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.191