Shah L M, DeStefano M S, Cynamon M H
Veterans Affairs Medical Center, Syracuse, New York 13210, USA.
Antimicrob Agents Chemother. 1996 Nov;40(11):2644-5. doi: 10.1128/AAC.40.11.2644.
WR99210, a dihydrofolate reductase inhibitor, has promising in vitro activity against Mycobacterium avium complex (MAC). The in vitro activities of WR99210 alone and in combination with a fixed concentration of dapsone (0.5 microgram/ml) were evaluated against 35 clinical MAC isolates by a broth dilution method. The MIC at which 50% of isolates were inhibited (MIC50) and MIC90 of WR99210 alone were 2 and 8 micrograms/ml, respectively. The MIC50 and MIC90 of WR99210 in combination with dapsone were 0.25 and 4 micrograms/ml, respectively. Overall, 75% of the MAC isolates displayed enhanced susceptibility to the combination.
WR99210是一种二氢叶酸还原酶抑制剂,对鸟分枝杆菌复合群(MAC)具有良好的体外活性。采用肉汤稀释法评估了WR99210单独及与固定浓度(0.5微克/毫升)氨苯砜联合使用时对35株临床MAC分离株的体外活性。WR99210单独使用时,抑制50%分离株生长的最低抑菌浓度(MIC50)和MIC90分别为2微克/毫升和8微克/毫升。WR99210与氨苯砜联合使用时,MIC50和MIC90分别为0.25微克/毫升和4微克/毫升。总体而言,75%的MAC分离株对联合用药表现出更高的敏感性。