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阿莫西林、庆大霉素、利福平、环丙沙星和甲氧苄啶-磺胺甲恶唑单独或联合使用对单核细胞增生李斯特菌的体外杀菌活性。

In vitro bactericidal activity of amoxicillin, gentamicin, rifampicin, ciprofloxacin and trimethoprim-sulfamethoxazole alone or in combination against Listeria monocytogenes.

作者信息

Boisivon A, Guiomar C, Carbon C

机构信息

Laboratoire de Microbiologie, Centre Hospitalier de Saint Germain-en-Laye, France.

出版信息

Eur J Clin Microbiol Infect Dis. 1990 Mar;9(3):206-9. doi: 10.1007/BF01963839.

Abstract

The in vitro bactericidal activity of amoxicillin, gentamicin, rifampicin, ciprofloxacin and trimethoprim-sulfamethoxazole alone or in combination was determined against seven strains of Listeria monocytogenes by the killing curve method. Amoxicillin plus gentamicin was the most rapidly bactericidal combination, whereas trimethoprim-sulfamethoxazole was less bactericidal at 6 h but as bactericidal at 24 h. The combination of trimethoprim-sulfamethoxazole with either amoxicillin, ciprofloxacin or rifampicin did not result in antagonism, but the combinations were no more active than trimethoprim-sulfamethoxazole alone. The interaction of amoxicillin with rifampin was fairly antagonistic (1 log10 difference). The combination of amoxicillin and ciprofloxacin, although producing antagonism during the first 6 h, was more active at 24 h than amoxicillin alone and prevented the regrowth observed with ciprofloxacin alone. Ciprofloxacin and rifampicin interacted antagonistically during the first 6 h, and the combination was not very bactericidal (3 log10) but prevented the emergence of mutants, as observed with each drug alone, when used at concentrations greater than the MICs for the strain tested. These regimens merit evaluation in in vivo models of Listeria monocytogenes meningitis.

摘要

采用杀菌曲线法测定了阿莫西林、庆大霉素、利福平、环丙沙星和复方磺胺甲恶唑单独或联合使用时对7株单核细胞增生李斯特菌的体外杀菌活性。阿莫西林加庆大霉素是杀菌最快的联合用药组合,而复方磺胺甲恶唑在6小时时杀菌作用较弱,但在24小时时具有同等杀菌效果。复方磺胺甲恶唑与阿莫西林、环丙沙星或利福平联合使用均未产生拮抗作用,但这些联合用药并不比单独使用复方磺胺甲恶唑更具活性。阿莫西林与利福平的相互作用具有相当程度的拮抗作用(相差1个对数10)。阿莫西林和环丙沙星的联合用药虽然在最初6小时产生拮抗作用,但在24小时时比单独使用阿莫西林更具活性,并能防止单独使用环丙沙星时出现的细菌再生长现象。环丙沙星和利福平在最初6小时相互拮抗,联合用药的杀菌作用不强(相差3个对数10),但当使用浓度高于受试菌株的最低抑菌浓度时,可防止如单独使用每种药物时所观察到的突变菌出现。这些治疗方案值得在单核细胞增生李斯特菌脑膜炎的体内模型中进行评估。

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