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. 1972 Dec;2(6):470–475. doi: 10.1128/aac.2.6.470

Clinical Significance of In Vitro Synergism Between Antibiotics in Gram-Negative Infections

J Klastersky 1, R Cappel 1, D Daneau 1
PMCID: PMC444341  PMID: 4596743

Abstract

Five combinations of antibiotics (ampicillin/gentamicin, cephalothin/gentamicin, carbenicillin/gentamicin, polymyxin/carbenicillin, and carbenicillin/cephalothin) were investigated in vitro and in 148 severe infectious episodes caused by gram-negative bacilli in patients with disseminated cancer. The use of combinations that were synergistic in vitro against the offending microorganism (synergy was defined as occurring when the minimal inhibitory concentration of each of the drugs in the combination was one-quarter or less of the minimal inhibitory concentration of each drug alone) was associated with a significantly better response to antibacterial therapy (P < 0.01) than the use of combinations that were not synergistic against the causative agent.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BULGER R. J., KIRBY W. M. GENTAMICIN AND AMPICILLIN: SYNERGISM WITH OTHER ANTIBIOTICS. Am J Med Sci. 1963 Dec;246:717–726. doi: 10.1097/00000441-196312000-00013. [DOI] [PubMed] [Google Scholar]
  2. Eickhoff T. C. In vitro effects of carbenicillin combined with gentamicin or polymyxin B against Pseudomonas aeruginosa. Appl Microbiol. 1969 Sep;18(3):469–473. doi: 10.1128/am.18.3.469-473.1969. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Freid M. A., Vosti K. L. The importance of underlying disease in patients with gram-negative bacteremia. Arch Intern Med. 1968 May;121(5):418–423. [PubMed] [Google Scholar]
  4. Jawetz E. The use of combinations of antimicrobial drugs. Annu Rev Pharmacol. 1968;8:151–170. doi: 10.1146/annurev.pa.08.040168.001055. [DOI] [PubMed] [Google Scholar]
  5. Klastersky J., Cappel R., Debusscher L., Stilmant M. Pneumonia caused by gram-negative bacilli in hospitalized patients presenting malignant disease. Eur J Cancer. 1971 Aug;7(4):329–336. doi: 10.1016/0014-2964(71)90076-4. [DOI] [PubMed] [Google Scholar]
  6. Klastersky J., Swings G., Daneau D. Antimicrobial activity of the carbenicillin-gentamicin combination against gram-negative bacilli. Am J Med Sci. 1970 Dec;260(6):373–380. doi: 10.1097/00000441-197012000-00006. [DOI] [PubMed] [Google Scholar]
  7. Tillotson J. R., Finland M. Bacterial colonization and clinical superinfection of the respiratory tract complicating antibiotic treatment of pneumonia. J Infect Dis. 1969 Jun;119(6):597–624. doi: 10.1093/infdis/119.6.597. [DOI] [PubMed] [Google Scholar]

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