Abstract
The killing and postantibiotic effects (PAE) of cefotaxime, ciprofloxacin, and gentamicin against Escherichia coli were determined in Mueller-Hinton broth (MHB) and pooled human cerebrospinal fluid (CSF). MICs performed in MHB and CSF were within one dilution for all antimicrobial agent-organism combinations. At two times the MIC, CSF significantly (P less than 0.05) increased the duration of the PAE compared with MHB when cefotaxime, ciprofloxacin, and gentamicin were used against all strains tested. This effect occurred despite similar reductions in bacterial growth in both fluids after the 2-h antimicrobial agent exposure. We conclude that pooled human CSF markedly increases the PAE of cefotaxime, ciprofloxacin, and gentamicin against E. coli compared with MHB, without affecting bacterial killing.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Craig W. A., Ebert S. C. Killing and regrowth of bacteria in vitro: a review. Scand J Infect Dis Suppl. 1990;74:63–70. [PubMed] [Google Scholar]
- Craig W. A., Vogelman B. The postantibiotic effect. Ann Intern Med. 1987 Jun;106(6):900–902. doi: 10.7326/0003-4819-106-6-900. [DOI] [PubMed] [Google Scholar]
- Davidson R. J., Zhanel G. G., Phillips R., Hoban D. J. Human serum enhances the postantibiotic effect of fluoroquinolones against Staphylococcus aureus. Antimicrob Agents Chemother. 1991 Jun;35(6):1261–1263. doi: 10.1128/aac.35.6.1261. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Del Bigio M. R. Hydrocephalus-induced changes in the composition of cerebrospinal fluid. Neurosurgery. 1989 Sep;25(3):416–423. doi: 10.1097/00006123-198909000-00016. [DOI] [PubMed] [Google Scholar]
- Gilbert D. N. Once-daily aminoglycoside therapy. Antimicrob Agents Chemother. 1991 Mar;35(3):399–405. doi: 10.1128/aac.35.3.399. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Guseo A. Classification of cells in the cerebrospinal fluid. A review. Eur Neurol. 1977;15(3):169–176. doi: 10.1159/000114808. [DOI] [PubMed] [Google Scholar]
- Lorenzo A. V. Factors governing the composition of the cerebrospinal fluid. Exp Eye Res. 1977;25 (Suppl):205–228. doi: 10.1016/s0014-4835(77)80019-5. [DOI] [PubMed] [Google Scholar]
- Lowenthal A., Crols R., De Schutter E., Gheuens J., Karcher D., Noppe M., Tasnier A. Cerebrospinal fluid proteins in neurology. Int Rev Neurobiol. 1984;25:95–138. doi: 10.1016/s0074-7742(08)60678-9. [DOI] [PubMed] [Google Scholar]
- McDonald P. J., Craig W. A., Kunin C. M. Persistent effect of antibiotics on Staphylococcus aureus after exposure for limited periods of time. J Infect Dis. 1977 Feb;135(2):217–223. doi: 10.1093/infdis/135.2.217. [DOI] [PubMed] [Google Scholar]
- Parker R. F., Marsh H. C. Action of Penicillin on Staphylococcus. J Bacteriol. 1946 Feb;51(2):181–186. [PMC free article] [PubMed] [Google Scholar]
- Renneberg J., Walder M. Postantibiotic effects of imipenem, norfloxacin, and amikacin in vitro and in vivo. Antimicrob Agents Chemother. 1989 Oct;33(10):1714–1720. doi: 10.1128/aac.33.10.1714. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zhanel G. G., Ariano R. E. Once daily aminoglycoside dosing: maintained efficacy with reduced nephrotoxicity? Ren Fail. 1992;14(1):1–9. doi: 10.3109/08860229209039110. [DOI] [PubMed] [Google Scholar]
- Zhanel G. G., Hoban D. J., Harding G. K. The postantibiotic effect: a review of in vitro and in vivo data. DICP. 1991 Feb;25(2):153–163. doi: 10.1177/106002809102500210. [DOI] [PubMed] [Google Scholar]
- Zhanel G. G., Karlowsky J. A., Davidson R. J., Hoban D. J. Influence of human urine on the in vitro activity and postantibiotic effect of ciprofloxacin against Escherichia coli. Chemotherapy. 1991;37(3):218–223. doi: 10.1159/000238857. [DOI] [PubMed] [Google Scholar]
- Zhanel G. G., Karlowsky J. A., Hoban D. J., Davidson R. J. Antimicrobial activity of subinhibitory concentrations of aminoglycosides against Pseudomonas aeruginosa as determined by the killing-curve method and the postantibiotic effect. Chemotherapy. 1991;37(2):114–121. doi: 10.1159/000238842. [DOI] [PubMed] [Google Scholar]
