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2010 | 59 | 1 |

Tytuł artykułu

Evaluation of in vitro activities of tigecycline and various antibiotics against Brucella spp.

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Brucellosis is a zoonosis with a worldwide distribution and remains a significant public health problem mainly in the developing world. In this study we evaluated the in vitro activities and synergistic effects of antibiotic combinations against blood culture isolates of Brucella spp. In vitro susceptibilities of 76 blood culture isolates of Brucella melitensis and one blood culture isolate of Brucella abortus to doxycycline, streptomycin, gentamicin, trimethoprim-sulfamethoxazole, moxifloxacin, rifampin, ciprofloxacin, and tigecycline were examined by Etest method. For 37 patients with Brucella spp. isolates (36 B. melitensis, 1 B. abortus), antibiotic combinations used for treatment were identified with those tested in vitro for synergy using Etest method. Trimethoprim-sulfamethoxazole and tigecycline were the most active of the compounds tested with MIC₉₀ value of 0.094 mg/1. Among antibiotic combinations only streptomycin-rifampin combination was synergistic for one Brucella spp. isolate. The other antibiotic combinations revealed antagonistic or indifferent activity. Complete clinical response was achieved in all patients. Further studies are required to determine the correlation between the antimicrobial susceptibility and synergy test results with the clinical course of patients. Brucellosis can be adequately treated with existing regimens in our region.

Wydawca

-

Rocznik

Tom

59

Numer

1

Opis fizyczny

p.55-60,ref.

Twórcy

  • Akdeniz University, Faculty of Medicine, Antalya, Turkey
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Bibliografia

  • Akova M., D. Gur, D.M. Livermorc, T. Kocagoz and H.E. Akalýn. 1999. In vitro activities of antibiotics alone and in combination against Brucella melitensis at neutral and acidic pHs. Antimicrob. Agents. Chemother. 43: 1298-1300.
  • Al-Orainey I.O., E.N.S. Saeed, A.M.M. Kambal and M.E. Eltigani. 1991. Sensitivity of Brucella melitensis to chemothera-peutic agents. Saudi. Med. J. 12; 119-120.
  • Ariza J., J. Bosch, F. Gudiol, J. Liñares, P.F. Viladrich and R. Martin. 1986. Relevance of in vitro antimicrobial susceptibility of Brucella melitensis to relapse rate in human brucellosis. Anti-microb. Agents. Chemother. 30: 958-960.
  • Baykam N., H. Esener, O. Ergonul, S. Eren, A.K. Celikbas and B. Dokuzoguz. 2004. In vitro antimicrobial susceptibility of Brucella species. Int. J. Antimicrob. Agents. 23: 405-407.
  • Bodur H., N. Balaban, S. Aksaray, V. Yetener, E. Akýncý, A. Coplan and A. Erbay. 2003. Biotypes and antimicrobial susceptibilities of Brucella isolates. Scand. J. Infect. Dis. 35: 337-338.
  • Bosch J., J. Linares, M.J. Lopez de Goicoechea, J. Ariza, M.C. Cisnal and R. Martin. 1986. In vitro activity of ciprofloxacin, ceftriaxone and five other antimicrobial agents against 95 strains of Brucella melitensis. J. Antimicrob. Chemother. 17: 459-461.
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  • Clinical and Laboratory Standards Institute. 2006. Performance Standards for Antimicrobial Testing, Document M100-S16. Wayne, PA.
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  • Falagas M.E. and I.A. Bliziotis. 2006. Quinolones for treatment of human brucellosis: review of the evidence from microbiological and clinical studies. Antimicrob. Agents. Chemother. 50: 22-33.
  • Gur D., S. Kocagoz, M. Akova and S. Unal. 1999. Comparison of Etest to microdilution for determining in vitro activities of antibiotics against Brucella melitensis. Antimicrob. Agents. Chemother. 43:2337-2340.
  • Khan, M.Y., M. Dizon and F.W. Kiel. 1989. Comparative in vitro activities of ofloxacin, difloxacin, ciprofloxacin, and other selected antimicrobial agents against Brucella melitensis. Antimicrob. Agents. Chemother. 33: 1409-1410.
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  • Turan H., H. Arslan, O.K. Azap, K. Serefhanodlu and H. Uncu. 2007. In vitro antibacterial activity of tigecycline in comparison with doxycycline, ciprofloxacin and rifampicin against Brucella spp. Int. J. Antimicrob. Agents. 30: 186-187.
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Typ dokumentu

Bibliografia

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