Abstract
We evaluated the in vitro activity of piperacillin alone or in combination with the beta-lactamase inhibitor tazobactam against clinical isolates of Legionella species. At an inoculum of approximately 10(4) CFU, tazobactam, piperacillin, and the 8:1 combination had equivalent activities against Legionella spp. At an approximately 10-fold higher inoculum, the following results were obtained, expressed as MICs for 50 and 90% of strains tested (MIC range): piperacillin, 4 and 16 (0.25 to 32) micrograms/ml; tazobactam, 0.5 and 1 (0.125 to 2) micrograms/ml; and piperacillin-tazobactam (expressed in terms of MIC of piperacillin) 0.5 and 1 (0.03 to 2) micrograms/ml. Tazobactam alone and the combination with piperacillin were more active than piperacillin alone at the higher inoculum.
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- Edelstein P. H., Meyer R. D. Susceptibility of Legionella pneumophila to twenty antimicrobial agents. Antimicrob Agents Chemother. 1980 Sep;18(3):403–408. doi: 10.1128/aac.18.3.403. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Eliopoulos G. M., Klimm K., Rice L. B., Ferraro M. J., Moellering R. C., Jr Comparative in vitro activity of WIN 57273, a new fluoroquinolone antimicrobial agent. Antimicrob Agents Chemother. 1990 Jun;34(6):1154–1159. doi: 10.1128/aac.34.6.1154. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Havlichek D., Saravolatz L., Pohlod D. Effect of quinolones and other antimicrobial agents on cell-associated Legionella pneumophila. Antimicrob Agents Chemother. 1987 Oct;31(10):1529–1534. doi: 10.1128/aac.31.10.1529. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Johnson D. M., Erwin M. E., Barrett M. S., Gooding B. B., Jones R. N. Antimicrobial activity of ten macrolide, lincosamine and streptogramin drugs tested against Legionella species. Eur J Clin Microbiol Infect Dis. 1992 Aug;11(8):751–755. doi: 10.1007/BF01989985. [DOI] [PubMed] [Google Scholar]
- Jones R. N., Thornsberry C., Wilson H. W., McDougal L. K. The in vitro activity of sulphones alone and in combination with ampicillin or amoxicillin against Legionella pneumophila and other Legionella spp. including beta-lactamase studies. Diagn Microbiol Infect Dis. 1985 Mar;3(2):179–183. doi: 10.1016/0732-8893(85)90029-x. [DOI] [PubMed] [Google Scholar]
- Loza E., Martínez Beltrán J., Baquero F., León A., Cantón R., Garijo B. Comparative in vitro activity of clarithromycin. Spanish Collaborative Group. Eur J Clin Microbiol Infect Dis. 1992 Sep;11(9):856–866. doi: 10.1007/BF01960892. [DOI] [PubMed] [Google Scholar]
- Pohlod D. J., Saravolatz L. D., Quinn E. L., Somerville M. M. Effect of clavulanic acid on minimal inhibitory concentrations of 16 antimicrobial agents tested against Legionella pneumophila. Antimicrob Agents Chemother. 1980 Aug;18(2):353–354. doi: 10.1128/aac.18.2.353. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ruckdeschel G., Ehret W., Ahl A. Susceptibility of Legionella spp. to imipenem and 27 other beta-lactam antibiotics. Eur J Clin Microbiol. 1984 Oct;3(5):463–467. doi: 10.1007/BF02017376. [DOI] [PubMed] [Google Scholar]
- Saito A., Sawatari K., Fukuda Y., Nagasawa M., Koga H., Tomonaga A., Nakazato H., Fujita K., Shigeno Y., Suzuyama Y. Susceptibility of Legionella pneumophila to ofloxacin in vitro and in experimental Legionella pneumonia in guinea pigs. Antimicrob Agents Chemother. 1985 Jul;28(1):15–20. doi: 10.1128/aac.28.1.15. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smith G. M., Abbott K. H., Wilkinson M. J., Beale A. S., Sutherland R. Bactericidal effects of amoxycillin/clavulanic acid against a Legionella pneumophila pneumonia in the weanling rat. J Antimicrob Chemother. 1991 Jan;27(1):127–136. doi: 10.1093/jac/27.1.127. [DOI] [PubMed] [Google Scholar]
- Smith G. M., Abbott K. H., Wilkinson M. J., Beale A. S., Sutherland R. Bactericidal effects of ticarcillin-clavulanic acid against Legionella pneumophila pneumonia in immunocompromised weanling rats. Antimicrob Agents Chemother. 1991 Jul;35(7):1423–1429. doi: 10.1128/aac.35.7.1423. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stokes D. H., Slocombe B., Sutherland R. Bactericidal effects of amoxycillin/clavulanic acid against Legionella pneumophila. J Antimicrob Chemother. 1989 Jan;23(1):43–51. doi: 10.1093/jac/23.1.43. [DOI] [PubMed] [Google Scholar]
- Stokes D. H., Wilkinson M. J., Tyler J., Slocombe B., Sutherland R. Bactericidal effects of amoxycillin/clavulanic acid against intracellular Legionella pneumophila in tissue culture studies. J Antimicrob Chemother. 1989 Apr;23(4):547–556. doi: 10.1093/jac/23.4.547. [DOI] [PubMed] [Google Scholar]