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187774

IN VITRO ACTIVITIES OF POLYMYXINS GROUP COMBINED WITH IMIPENEM OR MEROPENEM AGAINST CARBAPENEM-RESISTANT PSEUDOMONAS AERUGINOSA

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

Microbiology, immunology and bioengineering

Abstract

The evaluation of the combined effects between the antibiotics against P. aeruginosa is among the efforts to counteract its antimicrobial resistance. This study aimed to evaluate the possible combined effect of colistin or polymyxin-B with carbapenem antibiotic group against clinical isolates of multi-drug resistant P. aeruginosa. Strains were isolated from biological samples of hospitalized and non-hospitalized patients with any type of infection related to this pathogen. Only carbapenem-resistant strains were included in the study. After determining the minimum inhibitory concentration (MIC) of antibiotics against the strains by broth microdilution test, the checkerboard method was used for evaluation of any possible effect of both colistin or polymyxin-B with imipenem or meropenem. Fifty-nine strains of reduced susceptibility to carbapenems were recovered. It was noted that (45.7%) of strains had an imipenem MIC=1024 µg/ml and (28.8%) had a meropenem MIC=512 µg/ml. The checkerboard technique demonstrated that the ten representative strains showed reductions in their minimal inhibitory concentration (MIC) for at least one of the antibiotics in the combinations evaluated. These results from the in vitro evaluation suggest that combinations of colistin and polymyxin-B may significantly reduce the MICs of the carbapenem antibiotics tested.

DOI

10.21608/ajps.2021.187774

Keywords

Carbapenem-resistant P. aeruginosa, combination, polymyxin-B, Colistin

Authors

First Name

Amr

Last Name

Basha

MiddleName

-

Affiliation

Department of Microbiology, National Organization for Drug Control and Research, (Egyptian Drug Authority), Giza, Egypt.

Email

amohamadbasha@gmail.com

City

-

Orcid

-

Volume

64

Article Issue

2

Related Issue

27024

Issue Date

2021-09-01

Receive Date

2021-05-18

Publish Date

2021-09-01

Page Start

122

Page End

137

Print ISSN

1110-1644

Online ISSN

2535-1958

Link

https://ajps.journals.ekb.eg/article_187774.html

Detail API

https://ajps.journals.ekb.eg/service?article_code=187774

Order

8

Type

Original Article

Type Code

518

Publication Type

Journal

Publication Title

Al-Azhar Journal of Pharmaceutical Sciences

Publication Link

https://ajps.journals.ekb.eg/

MainTitle

IN VITRO ACTIVITIES OF POLYMYXINS GROUP COMBINED WITH IMIPENEM OR MEROPENEM AGAINST CARBAPENEM-RESISTANT PSEUDOMONAS AERUGINOSA

Details

Type

Article

Created At

22 Jan 2023