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Trimethoprim/sulfamethoxazole (co-trimoxazole) prophylaxis is effective against acute murine inhalational melioidosis and glanders.

Abstract
Burkholderia pseudomallei is the causative agent of the disease melioidosis, which is prevalent in tropical countries and is intractable to a number of antibiotics. In this study, the antibiotic co-trimoxazole (trimethoprim/sulfamethoxazole) was assessed for the post-exposure prophylaxis of experimental infection in mice with B. pseudomallei and its close phylogenetic relative Burkholderia mallei, the causative agent of glanders. Co-trimoxazole was effective against an inhalational infection with B. pseudomallei or B. mallei. However, oral co-trimoxazole delivered twice daily did not eradicate infection when administered from 6h post exposure for 14 days or 21 days, since infected and antibiotic-treated mice succumbed to infection following relapse or immunosuppression. These data highlight the utility of co-trimoxazole for prophylaxis both of B. pseudomallei and B. mallei and the need for new approaches for the treatment of persistent bacterial infection.
AuthorsKay B Barnes, Jackie Steward, Joanne E Thwaite, M Stephen Lever, Carwyn H Davies, Stuart J Armstrong, Thomas R Laws, Neil Roughley, Sarah V Harding, Timothy P Atkins, Andrew J H Simpson, Helen S Atkins
JournalInternational journal of antimicrobial agents (Int J Antimicrob Agents) Vol. 41 Issue 6 Pg. 552-7 (Jun 2013) ISSN: 1872-7913 [Electronic] Netherlands
PMID23517714 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCrown Copyright © 2013. Published by Elsevier B.V. All rights reserved.
Chemical References
  • Anti-Bacterial Agents
  • Trimethoprim, Sulfamethoxazole Drug Combination
Topics
  • Administration, Oral
  • Animals
  • Anti-Bacterial Agents (administration & dosage)
  • Burkholderia mallei (drug effects)
  • Burkholderia pseudomallei (drug effects)
  • Chemoprevention (methods)
  • Disease Models, Animal
  • Female
  • Glanders (prevention & control)
  • Inhalation Exposure (prevention & control)
  • Melioidosis (prevention & control)
  • Mice
  • Mice, Inbred BALB C
  • Post-Exposure Prophylaxis (methods)
  • Treatment Outcome
  • Trimethoprim, Sulfamethoxazole Drug Combination (administration & dosage)

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