Kobayashi Y, Tomioka S, Hasegawa M
Jpn J Antibiot. 1977 Mar;30(3):209-14.
Majority of Pseudomonas aeruginosa strains were inhibited at 25 approximately 50 microng/ml of carbenicillin. There was no difference in MIC'S determined using either MUELLER-HINTON agar or Heart Infusion agar. All strains which showed one plus or more sensitivity in either of mono- or tri-disc test showed MIC of 100 microng/ml or less. In view of the high serum concentrations obtainable with 20 approximately 30 g per day dose of carbenicillin, the disc sensitivity test for this antibiotic should reasonably be interpreted as sensitive when it is one plus or more. The combination of carbenicillin with gentamicin or dibekacin showed marked synergism in vitro against Pseudomonas aeruginosa.
多数铜绿假单胞菌菌株在羧苄西林浓度约为25至50微克/毫升时受到抑制。使用穆勒-欣顿琼脂或心浸液琼脂测定的最低抑菌浓度(MIC)没有差异。在单碟或三碟试验中显示出一个加号或更高敏感性的所有菌株,其MIC为100微克/毫升或更低。鉴于每天使用20至30克剂量的羧苄西林可获得较高的血清浓度,当该抗生素的纸片敏感性试验为一个加号或更高时,合理地应解释为敏感。羧苄西林与庆大霉素或地贝卡星联合使用在体外对铜绿假单胞菌显示出明显的协同作用。