Dynamics of ceftazidime-pefloxacin interaction shown by a new killing curve-chequerboard method

J Antimicrob Chemother. 1987 Feb;19(2):197-203. doi: 10.1093/jac/19.2.197.

Abstract

Since in-vitro methods for studying drug interactions are difficult to evaluate and different results occur with the chequerboard (isobolograms-FIC index) and killing curve methods, a new approach associating these two methods was used to study the ceftazidime-pefloxacin interaction. In 64 tubes in a chequerboard pattern, viable bacteria were counted at 0, 2.5, 5 and 24 h, by a microdilution method and a multiple inoculator replicating method. The bacterial inoculum consisted of 5 X 10(6)-10(7) cfu/ml. Twelve strains belonging to six genera were tested: Acinetobacter, Citrobacter, Enterobacter, Klebsiella, Serratia and Pseudomonas. During the first 5 h no antagonism was noted, but few differences in viable count equal to or greater than 2 log10 were observed. The results of the drug interaction were equivalent to those of the more rapid bactericidal antibiotic concentrations (ceftazidime or pefloxacin). At 24 h, synergy was observed: ceftazidime prevented the late regrowth noted with pefloxacin, but with Citrobacter spp. regrowth was also observed with ceftazidime and none of the combinations were bactericidal.

MeSH terms

  • Acinetobacter / drug effects
  • Anti-Bacterial Agents / pharmacology*
  • Bacteria / drug effects*
  • Ceftazidime / pharmacology*
  • Citrobacter / drug effects
  • Drug Interactions
  • Enterobacter / drug effects
  • Klebsiella pneumoniae / drug effects
  • Microbial Sensitivity Tests
  • Norfloxacin / analogs & derivatives*
  • Norfloxacin / pharmacology
  • Pefloxacin
  • Pseudomonas aeruginosa / drug effects
  • Serratia marcescens / drug effects

Substances

  • Anti-Bacterial Agents
  • Pefloxacin
  • Ceftazidime
  • Norfloxacin