TY - JOUR
T1 - In vitro responses of Acinetobacter baumannii to two- and three-drug combinations following exposure to colistin and doripenem
AU - Oleksiuk, Louise M.
AU - Nguyen, M. Hong
AU - Press, Ellen G.
AU - Updike, Cassaundra L.
AU - O'Hara, Jessica A.
AU - Doi, Yohei
AU - Clancy, Cornelius J.
AU - Shields, Ryan K.
PY - 2014/2
Y1 - 2014/2
N2 - We compared in vitro killing of colistin, doripenem, and sulbactam by time-kill methods against Acinetobacter baumannii isolates collected from patients before and after colistin-doripenem treatment (initial and recurrent isolates, respectively). Colistindoripenem bactericidal activity against recurrent isolates was attenuated (mean log10 kill,-5.74 versus-2.88; P=0.01) but was restored by adding sulbactam. Doripenem MICs rather than colistin MICs correlated with the activity of colistin-doripenem. Among colistin-resistant isolates, colistin-doripenem-sulbactam combinations achieved greater killing than colistin-doripenem alone (-5.65 versus-2.43; P=0.04).
AB - We compared in vitro killing of colistin, doripenem, and sulbactam by time-kill methods against Acinetobacter baumannii isolates collected from patients before and after colistin-doripenem treatment (initial and recurrent isolates, respectively). Colistindoripenem bactericidal activity against recurrent isolates was attenuated (mean log10 kill,-5.74 versus-2.88; P=0.01) but was restored by adding sulbactam. Doripenem MICs rather than colistin MICs correlated with the activity of colistin-doripenem. Among colistin-resistant isolates, colistin-doripenem-sulbactam combinations achieved greater killing than colistin-doripenem alone (-5.65 versus-2.43; P=0.04).
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U2 - 10.1128/AAC.01779-13
DO - 10.1128/AAC.01779-13
M3 - Article
C2 - 24247139
AN - SCOPUS:84893488589
SN - 0066-4804
VL - 58
SP - 1195
EP - 1199
JO - Antimicrobial agents and chemotherapy
JF - Antimicrobial agents and chemotherapy
IS - 2
ER -