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Amdinocillin: interaction with other beta-lactam antibiotics for gram-negative bacteria.

Abstract
Amdinocillin was studied alone and in combination with three other beta-lactam antibiotics (aztreonam, cefoperazone, and ceftriaxone) for activity against gram-negative bacilli. These antibiotic combinations failed to show synergy by the checker-board double-dilution test or by killing kinetic studies. However, amdinocillin did show additive killing action when combined with the other beta-lactam antibiotics studied. Amdinocillin failed to induce or inhibit beta-lactamase production in species of Enterobacteriaceae, but with Pseudomonas aeruginosa, beta-lactamase production was induced. It is concluded that the activity of amdinocillin alone or in combination with another beta-lactam antibiotic should not be more effective in the treatment of infections by gram-negative bacilli than just using the beta-lactam antibiotic alone at a higher dose.
AuthorsR H Eng, R Liu, S M Smith, E S Johnson, C E Cherubin
JournalChemotherapy (Chemotherapy) Vol. 34 Issue 1 Pg. 18-26 ( 1988) ISSN: 0009-3157 [Print] Switzerland
PMID3258230 (Publication Type: Journal Article)
Chemical References
  • Anti-Bacterial Agents
  • beta-Lactamases
  • Amdinocillin
Topics
  • Amdinocillin (pharmacology)
  • Anti-Bacterial Agents (pharmacology)
  • Drug Synergism
  • Gram-Negative Bacteria (drug effects, enzymology)
  • Microbial Sensitivity Tests
  • beta-Lactamases (biosynthesis)

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