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Antimicrobial Susceptibility among Colistin, Sulbactam, and Fosfomycin and a Synergism Study of Colistin in Combination with Sulbactam or Fosfomycin against Clinical Isolates of Carbapenem-Resistant Acinetobacter baumannii
Joint Authors
Leelasupasri, Sombat
Santimaleeworagun, Wichai
Jitwasinkul, Tossawan
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-18
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
This in vitro study aimed to determine the activity of colistin plus sulbactam and colistin plus fosfomycin against carbapenem-resistant A.
baumannii (CRAB).
Fifteen clinical isolates were obtained from patients admitted to Phyathai II International Hospital, Bangkok, Thailand, from August 2014 to April 2015.
The antimicrobial susceptibilities of colistin, sulbactam, and fosfomycin were evaluated using the E-test or broth microdilution and the synergistic activity of the antibacterial combinations (colistin plus sulbactam or fosfomycin) was determined using the chequerboard method.
Clonal relationships were explored using repetitive element palindromic- (REP-) PCR.
The CRAB isolates were categorized by REP-PCR in 8 groups [A-H].
All CRAB isolates were universally susceptible to colistin but only 20.0% were susceptible to sulbactam.
The MIC ranges for colistin, sulbactam, and fosfomycin were 0.75–2 mg/L, 2–96 mg/L, and 64–256 mg/L, respectively.
A chequerboard assay revealed that the rates of synergistic and additive effect rates of colistin plus sulbactam and colistin plus fosfomycin were 53.3% and 73.3% of isolates, respectively.
No antagonistic effect in any colistin-based combination was observed.
However, almost CRAB strains in clone A showed the synergy or additive effects of colistin-sulbactam combination, whereas the other clone (B-H) mostly showed indifferent effects.
In conclusion, colistin plus sulbactam and colistin plus fosfomycin against CRAB seem to be interesting option but the efficacy in clinical use has to be evaluated.
American Psychological Association (APA)
Leelasupasri, Sombat& Santimaleeworagun, Wichai& Jitwasinkul, Tossawan. 2018. Antimicrobial Susceptibility among Colistin, Sulbactam, and Fosfomycin and a Synergism Study of Colistin in Combination with Sulbactam or Fosfomycin against Clinical Isolates of Carbapenem-Resistant Acinetobacter baumannii. Journal of Pathogens،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1197486
Modern Language Association (MLA)
Leelasupasri, Sombat…[et al.]. Antimicrobial Susceptibility among Colistin, Sulbactam, and Fosfomycin and a Synergism Study of Colistin in Combination with Sulbactam or Fosfomycin against Clinical Isolates of Carbapenem-Resistant Acinetobacter baumannii. Journal of Pathogens No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1197486
American Medical Association (AMA)
Leelasupasri, Sombat& Santimaleeworagun, Wichai& Jitwasinkul, Tossawan. Antimicrobial Susceptibility among Colistin, Sulbactam, and Fosfomycin and a Synergism Study of Colistin in Combination with Sulbactam or Fosfomycin against Clinical Isolates of Carbapenem-Resistant Acinetobacter baumannii. Journal of Pathogens. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1197486
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1197486