title: In vitro effect of minocycline and colistin combinations on imipenem-resistant Acinetobacter baumannii clinical isolates.
abstract: OBJECTIVE
  The study investigated the effect of colistin and minocycline when tested singly and in combination against Acinetobacter baumannii.
  
  
  METHODS
  Thirteen unrelated imipenem-resistant A. baumannii clinical isolates were included in the study. MICs of colistin sulphate and minocycline were determined by broth macrodilution and Etest. Organisms were also tested against the two antibiotics singly and in combination using time-kill methods and an Etest-based method.
  
  
  RESULTS
  Neither colistin nor minocycline when tested alone demonstrated bactericidal activity. However, the combination of colistin and minocycline demonstrated bactericidal activity against most of the isolates tested. At 24 h, the combination of antibiotics demonstrated synergy in 12 of the 13 isolates by time-kill methods. None of the isolates demonstrated synergy by Etest methods.
  
  
  CONCLUSIONS
  The combination of colistin and minocycline was found to be bactericidal and synergistic against A. baumannii by time-kill methods. There was no agreement between time-kill and Etest methods for synergy testing.
authors.affiliation: Laboratory Medicine Services, Changi General Hospital, 2 Simei Street 3, Singapore 529889. thean_yen_tan@cgh.com.sg
authors.forename: Thean Yen
authors.initials: TY
authors.lastname: Tan
authors.forename: Lily Siew Yong
authors.initials: LS
authors.lastname: Ng
authors.forename: Eugene
authors.initials: E
authors.lastname: Tan
authors.forename: Gary
authors.initials: G
authors.lastname: Huang
mesh_terms: D000151:Acinetobacter Infections / Q000382:microbiology; D040981:Acinetobacter baumannii / Q000187:drug effects*; D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D003091:Colistin / Q000494:pharmacology*; D024881:Drug Resistance, Bacterial; D024901:Drug Resistance, Multiple, Bacterial; D004357:Drug Synergism; D006801:Humans; D015378:Imipenem / Q000494:pharmacology*; D008826:Microbial Sensitivity Tests; D008911:Minocycline / Q000494:pharmacology*
chemical_list: D000900:Anti-Bacterial Agents; D015378:Imipenem; D008911:Minocycline; D003091:Colistin