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2005, Cilt 19, Sayı 1, Sayfa(lar) 107-110
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INVESTIGATION OF IN VITRO INTERACTIONS OF AMPICILLIN/SULBACTAM – CIPROFLOXACIN, AMPICILLIN/SULBACTAM – AMIKACIN, IMIPENEM – CIPROFLOXACIN, IMIPENEM – AMIKACIN COMBINATIONS AGAINST MULTIPLE RESISTANT ACINETOBACTER STRAINS
Aslı Gamze ŞENER, Meral TÜRK, İlhan AFŞAR, Metin TÜRKER
Atatürk Eğitim ve Araştırma Hastanesi, Mikrobiyoloji ve Klinik Mikrobiyoloji Laboratuvarı, İzmir
Keywords: Acinetobacter spp., infection, combination therapy, synergy

Acinetobacter infections cause treatment failures especially in intensive care units because of multiple antibiotic resistance. The purpose of this study was to investigate the in-vitro effect of antibiotic combinations on 12 multiresistant Acinetobacter strains. The in vitro synergy of sulbactam-ampicillin + ciprofloxacin (SAM+CIP), sulbactam-ampicillin + amikacin (SAM+AK), imipenem + ciprofloxacin (IMP+CIP) and imipenem + amikacin (IMP+AK) combinations were studied by the checkerboard technique in multiresistant strains. The highest rates of synergy were detected with SAM+AK (3/12) combination. Indifference was found to be 91.6%, 75%, 75% and 83.3% in SAM+CIP, SAM+AK, IMP+CIP and IMP+AK combinations, respectively. In conclusion, combination therapy should be applied and in vitro synergy tests should be performed before starting treatment in multiresistant Acinetobacter infections.

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