| Literature DB >> 28648647 |
Wei Yu1, Ping Shen1, Zhang Bao2, Kai Zhou1, Beiwen Zheng1, Jinru Ji1, Lihua Guo1, Chen Huang1, Yonghong Xiao3.
Abstract
The increasing prevalence of KPC-producing Klebsiella pneumoniae (KPC-Kp) strains poses a serious threat to patients. Therapeutic options are limited to colistin, fosfomycin, tigecycline and selected aminoglycosides. Although the combination of fosfomycin with other antimicrobials is recommended, data regarding possible synergistic activity in vitro and in vivo appear inconsistent. Here we report that five drug combinations (fosfomycin combined with imipenem, ertapenem, tigecycline, colistin or amikacin) had a significant additive effect against 136 KPC-Kp strains in an in vitro chequerboard assay. In addition, time-kill assays revealed that fosfomycin enhanced the bactericidal activity of the five other antimicrobial agents. Moreover, owing to its persistent bactericidal effect, the combination of fosfomycin plus amikacin is an effective therapeutic candidate for infections by KPC-producing organisms.Entities:
Keywords: Bactericidal effect; Combination therapy; Fosfomycin; KPC-producing Klebsiella pneumoniae; Synergistic effect
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Year: 2017 PMID: 28648647 DOI: 10.1016/j.ijantimicag.2017.03.011
Source DB: PubMed Journal: Int J Antimicrob Agents ISSN: 0924-8579 Impact factor: 5.283