[Combination effect of vancomycin and cefpirome against methicillin-resistant Staphylococcus aureus in vitro--antimicrobial activities in postantibiotic phase].

H Hasegawa, A Kanai, K Otoguro, K Shimizu
Author Information
  1. H Hasegawa: Department of Pediatrics, Tokyo Women's Medical College Daini Hospital.

Abstract

The antimicrobial activities of vancomycin (VCM) or cefpirome (CPR) at sub- and above-MICs against clinical strains of methicillin-resistant Staphylococcus aureus (MRSA) during the postantibiotic phase (PAE-phase) induced by CPR or VCM were examined. Antimicrobial activities were determined growth suppression (post antibiotic sub-MIC effect: PA SME) at sub-MICs, and bactericidal activity at sub- and above-MICs. During the PAE-phase induced by VCM, growth suppression and bactericidal activity of CPR were enhanced at sub-MICs, compared with the non PAE-phase. On the other hand, during the PAE-phase induced by CPR, not only were growth suppression and bactericidal activity of VCM enhanced at sub-MICs, but bactericidal activity were enhanced at above-MICs compared with non PAE-phase. These suggest that enhancement of growth suppression and bactericidal activity during PAE-phase was a factor of combination effect of VCM and CPR against MRSA.

MeSH Term

Anti-Bacterial Agents
Cephalosporins
Drug Synergism
Humans
Methicillin Resistance
Microbial Sensitivity Tests
Staphylococcus aureus
Vancomycin
Cefpirome

Chemicals

Anti-Bacterial Agents
Cephalosporins
Vancomycin

Word Cloud

Created with Highcharts 10.0.0PAE-phaseVCMCPRbactericidalactivitygrowthsuppressionactivitiesabove-MICsinducedsub-MICsenhancedvancomycincefpiromesub-methicillin-resistantStaphylococcusaureusMRSApostantibioticcomparednoneffectantimicrobialclinicalstrainsphaseexaminedAntimicrobialdeterminedpostantibioticsub-MICeffect:PASMEhandsuggestenhancementfactorcombination[Combinationvitro--antimicrobialphase]

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