Acinetobacter baumannii is an opportunistic Gram negative coccobacillus that can grow easily in moist as well as dry conditions. During the last decade, A. baumannii emerged as one of the most resistant opportunistic pathogens responsible for nosocomial infections including ventilator associated pneumonia. The bug remains an important and difficult to treat pathogen whose pan-drug resistant nature has created a serious challenge. This has restricted the choice of treatment modalities. Currently, it appears as if all the available antibiotics are failing against this pathogen while single antibiotic therapy is certainly not working anymore. Thus, there is a strong need, thus, to explore new regimens to combat this resistant organism. A wide range of various combinations of drugs should therefore be tested for their synergistic activity against this pathogen. This study was aimed to find some effective combinations against extensively drug resistant (XDR) A. baumannii by combining various antibacterials. The microdilution checkerboard titration method was used for this purpose and fractional inhibitory concentrations (FICs) were calculated. In-vitro synergy was found in polymyxin Bcolistin (n = 3; 15%) and polymyxin B-rifampin (n = 3; 15%) combinations. Only additive effect was noted with polymyxin B-doxycycline (n = 12; 60%), polymyxin B-rifampin (n = 11; 55%), and polymyxin Bcolistin (n = 13; 65%). However, antagonism was detected in the polymyxin B-rifampin combination in one of the 20 strains evaluated for the purpose. Polymyxin B in combination with rifampin and colistin may be exploited against XDR A. baumannii. Synergy between polymyxin B and colistin have been demonstrated in only 15% of strains, this fully warrants the testing of more combinations.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.