title: Influence of zinc on Pseudomonas aeruginosa susceptibilities to imipenem.
abstract: Serial dilution susceptibility testing of imipenem against 59 clinical isolates of Pseudomonas aeruginosa, conducted simultaneously on single lots of Difco and BBL Mueller-Hinton agar (MHA), resulted in MICs for 90% of strains tested of 8 and 16 micrograms/ml, respectively. MICs for Escherichia coli, Klebsiella pneumoniae, and Pseudomonas spp. were also higher on BBL MHA. Quantification of the cation content of the two MHAs by atomic absorption spectroscopy demonstrated that the zinc concentration in BBL MHA was 15 times greater than that measured in Difco MHA (2.61 and 0.17 micrograms/ml, respectively). Concentrations of calcium, magnesium, iron, manganese, and copper in the two agars were similar. Addition of zinc to Difco MHA resulted in increases in MICs of imipenem for P. aeruginosa but not in the MICs of ceftazidime or cefpirome for P. aeruginosa (P < 0.01). A lesser zinc effect was seen on the activity of imipenem against E. coli, K. pneumoniae, and Pseudomonas spp. The activities of ceftazidime and cefpirome were similar on both MHAs when tested against all gram-negative organisms in this study. Thus, the effect of zinc in MHA was clearly demonstrated by a significant increase in the MICs of imipenem for P. aeruginosa, and, to a lesser extent, for other gram-negative bacilli.
authors.affiliation: Department of Medicine, Stratton VA Medical Center, Albany, New York 12208.
authors.forename: G L
authors.initials: GL
authors.lastname: Cooper
authors.forename: A
authors.initials: A
authors.lastname: Louie
authors.forename: A L
authors.initials: AL
authors.lastname: Baltch
authors.forename: R C
authors.initials: RC
authors.lastname: Chu
authors.forename: R P
authors.initials: RP
authors.lastname: Smith
authors.forename: W J
authors.initials: WJ
authors.lastname: Ritz
authors.forename: P
authors.initials: P
authors.lastname: Michelsen
mesh_terms: D000362:Agar; D015378:Imipenem / Q000494:pharmacology*; D008826:Microbial Sensitivity Tests; D011550:Pseudomonas aeruginosa / Q000187:drug effects*; D015032:Zinc / Q000494:pharmacology*
chemical_list: D015378:Imipenem; D000362:Agar; D015032:Zinc