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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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