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Antimicrobial Agents and Chemotherapy, February 1998, p. 468-470, Vol. 42, No. 2
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Critical Importance of In Vivo Amoxicillin and Cefotaxime Concentrations for Synergy in Treatment of Experimental Enterococcus faecalis Endocarditis

Olivier Join-Lambert,1 Jean-Luc Mainardi,2 Catherine Cuvelier,3 Sophie Dautrey,3 Robert Farinotti,3 Bruno Fantin,1,* and Claude Carbon1

Institut National de la Santé et de la Recherche Médicale, Unité 13,1 and Service de Pharmacie Clinique et des Biomatériaux, Hôpital Bichat,3 75877 Paris Cedex 18, and Laboratoire de Microbiologie Médicale, Fondation-Hôpital Saint-Joseph, 75674 Paris Cedex 14,2 France

Received 5 May 1997/Returned for modification 6 August 1997/Accepted 27 October 1997

The synergy between amoxicillin and cefotaxime against two strains of Enterococcus faecalis (JH2-2 and 6370) in vitro and in rabbit endocarditis was investigated. In vitro synergy was obtained only when amoxicillin concentrations were below the MBC and when cefotaxime concentrations were above 1 µg/ml. No synergy was observed in vivo, because of the short period of time during which these pharmacologic requirements were achieved.


* Corresponding author. Mailing address: Unité de Médecine Interne, Hôpital Beaujon, 100, boulevard du général Leclerc, 92118 Clichy Cedex, France. Phone: 33 1 40 87 58 90. Fax: 33 1 40 87 54 95. E-mail: medecine.interne{at}bjn.ap-hop-paris.fr.


Antimicrobial Agents and Chemotherapy, February 1998, p. 468-470, Vol. 42, No. 2
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.



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