title: Bactericidal effect and regrowth of Streptococcus faecalis exposed to amoxicillin following beta-lactamase.
abstract: Streptococcus faecalis usually requires high concentrations of penicillin or ampicillin to achieve killing (i.e. a high MBC/MIC ratio). However, most strains show the Eagle or paradoxical effect. We subjected 12 strains of S. faecalis to 0.1, 1, 10 and 100 micrograms/ml of amoxicillin. Turbidometry studies have shown that 3 h after the inactivation of amoxicillin by penicillinase, there was a longer effect for 1 micrograms/ml following beta-lactamase (12 h 31 min +/- 2 h 09 min) than for 10 micrograms/ml (7 h 0 min +/- 1 h 12 min) or 100 micrograms/ml (5 h 22 min +/- 0 h 52 min). After 3 h, the reduction of CFU/ml (inoculum 10(6) CFU/ml) was -1.8 +/- 0.6 for 1 micrograms/ml, -0.56 +/- 0.56 for 10 micrograms/ml and -0.21 +/- 0.20 for 100 micrograms/ml. The more rapid killing at 3 h was not the only reason for the longer effect following beta-lactamase observed with 1 micrograms/ml. Indeed, the growth curve obtained with an inoculum of 10(3) CFU/ml was 2 h delayed from the control curve (10(6) CFU/ml). In conclusion, a paradoxical effect (killing curves and effect following beta-lactamase) was observed for all S. faecalis strains included in this series.
authors.affiliation: Department of Microbiology, Brugmann University Hospital, Brussels, Belgium.
authors.forename: E
authors.initials: E
authors.lastname: Yourassowsky
authors.forename: M P
authors.initials: MP
authors.lastname: Van der Linden
authors.forename: M J
authors.initials: MJ
authors.lastname: Lismont
authors.forename: F
authors.initials: F
authors.lastname: Crockaert
authors.forename: Y
authors.initials: Y
authors.lastname: Glupczynski
mesh_terms: D000658:Amoxicillin / Q000494:pharmacology*; D004305:Dose-Response Relationship, Drug; D013293:Enterococcus faecalis / Q000187:drug effects* / Q000254:growth & development; D008826:Microbial Sensitivity Tests; D010405:Penicillinase / Q000494:pharmacology*; D013997:Time Factors
chemical_list: D000658:Amoxicillin; D010405:Penicillinase