Activity of antimicrobial combinations against KPC-2-producing Klebsiella pneumoniae in a rat model and time-kill assay.

نویسندگان

  • Paula Virginia Michelon Toledo
  • Ayrton Alves Aranha Junior
  • Lavinia Nery Arend
  • Vanessa Ribeiro
  • Alexandre Prehn Zavascki
  • Felipe Francisco Tuon
چکیده

This study evaluated the efficacy of tigecycline (TIG), polymyxin B (PMB), and meropenem (MER) in 80 rats challenged with Klebsiella pneumoniae carbapenemase (KPC)-producing K. pneumoniae infection. A time-kill assay was performed with the same strain. Triple therapy and PMB+TIG were synergistic, promoted 100% survival, and produced negative peritoneal cultures, while MER+TIG showed lower survival and higher culture positivity than other regimens (P = 0.018) and was antagonistic. In vivo and in vitro studies showed that combined regimens, except MER+TIG, were more effective than monotherapies for this KPC-producing strain.

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عنوان ژورنال:
  • Antimicrobial agents and chemotherapy

دوره 59 7  شماره 

صفحات  -

تاریخ انتشار 2015