In vitro activity of the aerosolized agents colistin and tobramycin and five intravenous agents against Pseudomonas aeruginosa isolated from cystic fibrosis patients in southwestern Germany

J Antimicrob Chemother. 2002 Feb;49(2):403-6. doi: 10.1093/jac/49.2.403.

Abstract

Three hundred and eighty-five mucoid and non-mucoid strains of Pseudomonas aeruginosa isolated from 192 sputa from 57 adult cystic fibrosis patients were studied. Susceptibility testing using an agar dilution technique was performed for ceftazidime, ciprofloxacin, fosfomycin, meropenem and piperacillin, and the aerosolized agents colistin and tobramycin. Meropenem, ceftazidime and piperacillin were the most potent agents (susceptibility 86.2%, 84.2% and 84%, respectively). Tobramycin and colistin susceptibility rates were lower, but in light of higher intrabronchial concentrations of these drugs a greater percentage of strains might still be clinically susceptible. Only 46.2% and 41.8% of isolates were susceptible to ciprofloxacin and fosfomycin, respectively.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aerosols
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • Colistin / pharmacology*
  • Colistin / therapeutic use
  • Cystic Fibrosis / drug therapy
  • Cystic Fibrosis / epidemiology
  • Cystic Fibrosis / microbiology*
  • Drug Evaluation, Preclinical / methods
  • Drug Evaluation, Preclinical / statistics & numerical data
  • Germany / epidemiology
  • Humans
  • Injections, Intravenous
  • Microbial Sensitivity Tests / statistics & numerical data
  • Pseudomonas aeruginosa / drug effects*
  • Pseudomonas aeruginosa / isolation & purification
  • Tobramycin / pharmacology*
  • Tobramycin / therapeutic use

Substances

  • Aerosols
  • Anti-Bacterial Agents
  • Tobramycin
  • Colistin