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Comparative efficacy of ciprofloxacin, azlocillin, and tobramycin alone and in combination in experimental Pseudomonas sepsis.

Abstract
Ciprofloxacin, azlocillin, and tobramycin, used alone and in combination, were studied in a model of lethal pseudomonas sepsis in rats. Ciprofloxacin alone at all doses studied and tobramycin alone at the highest dose reduced mortality significantly compared with saline controls. In contrast, survival was not improved with either azlocillin alone at all doses studied or lower doses of tobramycin alone. The combination of ciprofloxacin and azlocillin was synergistic in rats with systemic pseudomonas infection. Ciprofloxacin was rapidly absorbed, and effective levels persisted for 1-4 hr relative to the dose administered. These data suggest that ciprofloxacin may be a potent agent, either alone or in combination with azlocillin, in the treatment of severe pseudomonas infections.
AuthorsM Johnson, P Miniter, V T Andriole
JournalThe Journal of infectious diseases (J Infect Dis) Vol. 155 Issue 4 Pg. 783-8 (Apr 1987) ISSN: 0022-1899 [Print] United States
PMID3102631 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Ciprofloxacin
  • Azlocillin
  • Tobramycin
Topics
  • Animals
  • Azlocillin (pharmacology, therapeutic use)
  • Ciprofloxacin (pharmacology, therapeutic use)
  • Drug Synergism
  • Drug Therapy, Combination
  • Female
  • Pseudomonas Infections (drug therapy)
  • Pseudomonas aeruginosa (drug effects)
  • Rats
  • Rats, Inbred Strains
  • Tobramycin (pharmacology, therapeutic use)

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