Thabaut A, Meyran M
Service de Biologie Médicale, Hôpital d'Instruction des Armées Begin, Saint-Mandé.
Pathol Biol (Paris). 1988 May;36(5):361-5.
Bactericidal activity of cefotetan-gentamicin combinations was studied on 6 bacterial strains: S. aureus, K. pneumoniae, E. cloacae, S. marcescens, P. vulgaris, P. stuarti. Time kille curves technic was performed with final concentrations of cefotetan: 4 at 32 mg/l, and of gentamicin: 0.25; 0.5; 1; 2; 8 mg/l and with an 10(6) CFU/ml inoculum. Cefotetan at 4 mg/l was not able to obtain a 0.01% (percentage of survivors) bactericidal activity before 24 h. The combination cefotetan-gentamicin (0.25 to 2 mg/l according to the strains) were bactericidal (0.01% of survivors) before 24 h: 1 to 6 h according to the strains, more rapidly than with gentamicin alone at the same concentration. This more rapid bactericidal activity obtained by cefotetan-gentamicin combination seems to indicate this combination in the treatment of severe infections in immunocompromised patients.
研究了头孢替坦-庆大霉素联合用药对6种细菌菌株的杀菌活性:金黄色葡萄球菌、肺炎克雷伯菌、阴沟肠杆菌、黏质沙雷菌、普通变形杆菌、斯氏普罗威登斯菌。采用时间杀菌曲线技术,头孢替坦的终浓度为32mg/l时取4mg/l,庆大霉素的终浓度为0.25、0.5、1、2、8mg/l,接种量为10(6)CFU/ml。4mg/l的头孢替坦在24小时前未能达到0.01%(存活菌百分比)的杀菌活性。头孢替坦-庆大霉素联合用药(根据菌株不同为0.25至2mg/l)在24小时前具有杀菌作用(存活菌0.01%):根据菌株不同在1至6小时,比相同浓度的庆大霉素单用杀菌更快。头孢替坦-庆大霉素联合用药获得的这种更快的杀菌活性似乎表明该联合用药可用于治疗免疫功能低下患者的严重感染。