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Efficacy of rifampin, in monotherapy and in combinations, in an experimental murine pneumonia model caused by panresistant Acinetobacter baumannii strains

The objective of this work was to evaluate the efficacy of rifampin, and its combinations with imipenem or sulbactam, in an experimental pneumonia model caused by two panresistant Acinetobacter baumannii strains (HUVR99 and HUVR113). Minimum inhibitory concentrations (MICs) and minimal bactericidal...

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Published in:European journal of clinical microbiology & infectious diseases 2011-07, Vol.30 (7), p.895-901
Main Authors: Pachón-Ibáñez, M. E., Docobo-Pérez, F., Jiménez-Mejias, M. E., Ibáñez-Martínez, J., García-Curiel, A., Pichardo, C., Pachón, J.
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container_title European journal of clinical microbiology & infectious diseases
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creator Pachón-Ibáñez, M. E.
Docobo-Pérez, F.
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Pichardo, C.
Pachón, J.
description The objective of this work was to evaluate the efficacy of rifampin, and its combinations with imipenem or sulbactam, in an experimental pneumonia model caused by two panresistant Acinetobacter baumannii strains (HUVR99 and HUVR113). Minimum inhibitory concentrations (MICs) and minimal bactericidal concentrations (MBCs) (μg/ml) of the strains were rifampin 128/>128 for both strains, imipenem 128/>256 and 256/>256 for HUVR99 and HUVR113, respectively, and sulbactam >256/>256 for both strains. In time–kill studies, at MICs, rifampin was bactericidal for both strains and sulbactam against the HUVR99 strain. Rifampin plus imipenem or sulbactam, at the MIC or mice C max , were synergistic. In vivo, against HUVR99 and HUVR113, rifampin (73% and 40%) and its combinations improved the survival with respect to the control group (20% and 0%, p  
doi_str_mv 10.1007/s10096-011-1173-6
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E. ; Docobo-Pérez, F. ; Jiménez-Mejias, M. E. ; Ibáñez-Martínez, J. ; García-Curiel, A. ; Pichardo, C. ; Pachón, J.</creator><creatorcontrib>Pachón-Ibáñez, M. E. ; Docobo-Pérez, F. ; Jiménez-Mejias, M. E. ; Ibáñez-Martínez, J. ; García-Curiel, A. ; Pichardo, C. ; Pachón, J.</creatorcontrib><description>The objective of this work was to evaluate the efficacy of rifampin, and its combinations with imipenem or sulbactam, in an experimental pneumonia model caused by two panresistant Acinetobacter baumannii strains (HUVR99 and HUVR113). Minimum inhibitory concentrations (MICs) and minimal bactericidal concentrations (MBCs) (μg/ml) of the strains were rifampin 128/&gt;128 for both strains, imipenem 128/&gt;256 and 256/&gt;256 for HUVR99 and HUVR113, respectively, and sulbactam &gt;256/&gt;256 for both strains. In time–kill studies, at MICs, rifampin was bactericidal for both strains and sulbactam against the HUVR99 strain. Rifampin plus imipenem or sulbactam, at the MIC or mice C max , were synergistic. In vivo, against HUVR99 and HUVR113, rifampin (73% and 40%) and its combinations improved the survival with respect to the control group (20% and 0%, p  &lt; 0.05), respectively. Rifampin (87% and 46%) and its combinations improved the sterilization of blood cultures with respect to the control groups (0%, p  &lt; 0.05). In regard to the bacterial clearance from lungs, rifampin (2.57 ± 2.47 and 5.35 ± 3.03 log 10 cfu/g) and its combinations with imipenem or sulbactam diminished the bacterial lung concentration with respect to the control group (10.89 ± 3.00 and 11.86 ± 0.49, p  &lt; 0.05) with both strains. 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E.</creatorcontrib><creatorcontrib>Docobo-Pérez, F.</creatorcontrib><creatorcontrib>Jiménez-Mejias, M. E.</creatorcontrib><creatorcontrib>Ibáñez-Martínez, J.</creatorcontrib><creatorcontrib>García-Curiel, A.</creatorcontrib><creatorcontrib>Pichardo, C.</creatorcontrib><creatorcontrib>Pachón, J.</creatorcontrib><title>Efficacy of rifampin, in monotherapy and in combinations, in an experimental murine pneumonia model caused by panresistant Acinetobacter baumannii strains</title><title>European journal of clinical microbiology &amp; infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>The objective of this work was to evaluate the efficacy of rifampin, and its combinations with imipenem or sulbactam, in an experimental pneumonia model caused by two panresistant Acinetobacter baumannii strains (HUVR99 and HUVR113). Minimum inhibitory concentrations (MICs) and minimal bactericidal concentrations (MBCs) (μg/ml) of the strains were rifampin 128/&gt;128 for both strains, imipenem 128/&gt;256 and 256/&gt;256 for HUVR99 and HUVR113, respectively, and sulbactam &gt;256/&gt;256 for both strains. In time–kill studies, at MICs, rifampin was bactericidal for both strains and sulbactam against the HUVR99 strain. Rifampin plus imipenem or sulbactam, at the MIC or mice C max , were synergistic. In vivo, against HUVR99 and HUVR113, rifampin (73% and 40%) and its combinations improved the survival with respect to the control group (20% and 0%, p  &lt; 0.05), respectively. Rifampin (87% and 46%) and its combinations improved the sterilization of blood cultures with respect to the control groups (0%, p  &lt; 0.05). 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Minimum inhibitory concentrations (MICs) and minimal bactericidal concentrations (MBCs) (μg/ml) of the strains were rifampin 128/&gt;128 for both strains, imipenem 128/&gt;256 and 256/&gt;256 for HUVR99 and HUVR113, respectively, and sulbactam &gt;256/&gt;256 for both strains. In time–kill studies, at MICs, rifampin was bactericidal for both strains and sulbactam against the HUVR99 strain. Rifampin plus imipenem or sulbactam, at the MIC or mice C max , were synergistic. In vivo, against HUVR99 and HUVR113, rifampin (73% and 40%) and its combinations improved the survival with respect to the control group (20% and 0%, p  &lt; 0.05), respectively. Rifampin (87% and 46%) and its combinations improved the sterilization of blood cultures with respect to the control groups (0%, p  &lt; 0.05). In regard to the bacterial clearance from lungs, rifampin (2.57 ± 2.47 and 5.35 ± 3.03 log 10 cfu/g) and its combinations with imipenem or sulbactam diminished the bacterial lung concentration with respect to the control group (10.89 ± 3.00 and 11.86 ± 0.49, p  &lt; 0.05) with both strains. In conclusion, rifampin alone or associated to imipenem or sulbactam were effective for the treatment of murine pneumonia caused by selected panresistant A. baumannii strains.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21336548</pmid><doi>10.1007/s10096-011-1173-6</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Acinetobacter baumannii
Acinetobacter baumannii - drug effects
Animals
Anti-Bacterial Agents - administration & dosage
Antibacterial agents
Antibiotics
Antibiotics. Antiinfectious agents. Antiparasitic agents
Bacterial Load
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Disease Models, Animal
Drug dosages
Drug Resistance, Multiple, Bacterial
Drug Therapy, Combination - methods
Experiments
Female
Imipenem - administration & dosage
Imipenem - pharmacology
Infections
Infectious diseases
Internal Medicine
Lung - microbiology
Medical Microbiology
Medical sciences
Mice
Mice, Inbred C57BL
Microbial Sensitivity Tests
Microbial Viability - drug effects
Pharmacology. Drug treatments
Pneumology
Pneumonia
Pneumonia, Bacterial - drug therapy
Respiratory system : syndromes and miscellaneous diseases
Ribosomal DNA
Rifampin - administration & dosage
Rifampin - pharmacology
Rodent Diseases - drug therapy
Sterilization
Sulbactam - administration & dosage
Sulbactam - pharmacology
Treatment Outcome
title Efficacy of rifampin, in monotherapy and in combinations, in an experimental murine pneumonia model caused by panresistant Acinetobacter baumannii strains
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