title: Antimicrobial effects of drugs against multidrug-resistant Pseudomonas aeruginosa.
abstract: We evaluated the effects of antimicrobial drugs on four strains of Pseudomonas aeruginosa that are resistant to eight widely used antipseudomonal drugs (piperacillin, piperacillin-tazobactam, imipenem, meropenem, ceftazidime, aztreonam, amikacin, ciprofloxacin) and colistin. In the killing test, colistin (2 microg/ml) was the most effective, followed by aztreonam (48 microg/ml), piperacillin-tazobactam (192-4 microg/ml), piperacillin (192 microg/ml), and a three drug combination of azetreonam (16 microg/ml), ceftazidime (16 microg/ml), and amikacin (4 microg/ml). Six hours after drug addition, colistin (2 microg/ml), aztreonam (48 microg/ml), piperacillin-tazobactam (192-4 microg/ml), piperacillin (192 microg/ml), and the above three drug combination had bacteriostatic effects on all four strains. Colistin, three time breakpoint of aztreonam, piperacillin, or piperacillin-tazobactam, and the three drug combination of aztreonam, ceftazidime, and amikacin were effective in vitro.
authors.affiliation: Department of Pharmacy, Yamaguchi University Hospital, 1-1-1 Minamikogushi, Ube 755-8505, Japan.
authors.forename: Kumiko
authors.initials: K
authors.lastname: Maeda
authors.forename: Youko
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: Shigeharu
authors.initials: S
authors.lastname: Oie
authors.forename: Shiro
authors.initials: S
authors.lastname: Ishida
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Okano
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Kyoko
authors.initials: K
authors.lastname: Shikichi
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Mizuno
authors.forename: Akira
authors.initials: A
authors.lastname: Kamiya
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D003428:Cross Infection / Q000382:microbiology; D004269:DNA, Bacterial / Q000235:genetics; D004338:Drug Combinations; D024901:Drug Resistance, Multiple, Bacterial / Q000187:drug effects*; D006801:Humans; D008826:Microbial Sensitivity Tests; D011552:Pseudomonas Infections / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000187:drug effects*; D020133:Reverse Transcriptase Polymerase Chain Reaction
chemical_list: D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial; D004338:Drug Combinations