In vitro activities of ampicillin-sulbactam and amoxicillin-clavulanic acid against Acinetobacter baumannii

J Clin Microbiol. 1998 Nov;36(11):3415-6. doi: 10.1128/JCM.36.11.3415-3416.1998.

Abstract

In vitro susceptibility patterns of newer beta-lactamase-inhibiting antibiotics ampicillin-sulbactam (A/S) and amoxicillin-clavulanic acid (A/C) for 100 consecutive isolates of Acinetobacter baumannii obtained from various clinical samples were studied. The A/C MIC for 86% of the strains was more than 16/8 microgram/ml, whereas there was an A/S MIC of more than 16/8 microgram/ml for only 38% of the strains. This showed that A/S has significantly superior in vitro activity compared to A/C against A. baumannii, although, theoretically, both should have similar activities. The therapeutic superiority of A/S over A/C needs to be studied, or else the breakpoints for these agents in in vitro tests need to be redefined.

Publication types

  • Comparative Study

MeSH terms

  • Acinetobacter / drug effects*
  • Acinetobacter / isolation & purification
  • Acinetobacter Infections / drug therapy
  • Acinetobacter Infections / microbiology
  • Amoxicillin / administration & dosage
  • Ampicillin / administration & dosage
  • Anti-Bacterial Agents / administration & dosage*
  • Clavulanic Acid / administration & dosage
  • Drug Therapy, Combination / administration & dosage*
  • Humans
  • In Vitro Techniques
  • Microbial Sensitivity Tests
  • Penicillins / administration & dosage*
  • Sulbactam / administration & dosage
  • beta-Lactam Resistance

Substances

  • Anti-Bacterial Agents
  • Penicillins
  • Clavulanic Acid
  • Ampicillin
  • Amoxicillin
  • Sulbactam