In vitro activity effects of combinations of cephalothin, dicloxacillin, imipenem, vancomycin and amikacin against methicillin-resistant Staphylococcus spp. strains
2006

Combining Antibiotics to Fight Resistant Staphylococcus Infections

Sample size: 26 publication Evidence: moderate

Author Information

Author(s): Miranda-Novales Guadalupe, Leaños-Miranda Blanca E, Vilchis-Pérez Mariano, Solórzano-Santos Fortino

Primary Institution: Instituto Mexicano del Seguro Social

Hypothesis

The study aims to describe the interaction of beta-lactams in combination with vancomycin or amikacin against resistant Staphylococcus strains.

Conclusion

The study found that amikacin combined with cephalothin or dicloxacillin was effective against most resistant Staphylococcus strains, while vancomycin showed additivity with beta-lactams.

Supporting Evidence

  • Dicloxacillin plus amikacin was synergistic in 84.6% of cases.
  • Cephalothin plus amikacin was synergistic in 100% of cases.
  • Vancomycin plus amikacin showed a synergistic effect only against two isolates.

Takeaway

The researchers tested different combinations of antibiotics to see which worked best against superbugs, and found some combinations were really effective.

Methodology

The study used checkerboard synergy tests to evaluate the effectiveness of various antibiotic combinations against resistant Staphylococcus isolates.

Limitations

The clinical effectiveness of the combinations may not be achievable in practice, and the study was limited to in vitro conditions.

Participant Demographics

The study focused on 26 oxacillin and amikacin-resistant nosocomial Staphylococcus spp. isolates.

Digital Object Identifier (DOI)

10.1186/1476-0711-5-25

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