Previous Article | Next Article ![]()
Antimicrobial Agents and Chemotherapy, January 2000, p. 139-142, Vol. 44, No. 1
Division of Infectious Diseases, Department
of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, and the Research Service, VA Medical Center, Milwaukee, Wisconsin 53295
Received 3 March 1999/Returned for modification 23 June
1999/Accepted 22 October 1999
Abscess fluid supernatants have zinc-reversible microbial
growth-inhibitory activity that is mediated by calprotectin, a
zinc-binding protein. Because it inhibits microbial growth, this
activity might interfere with killing by antibiotics that require their
target organisms to be proliferating. In the present study, we cultured bacteria in human empyema fluid and used zinc to overcome the growth-inhibitory effect of calprotectin. We then compared the effect
of zinc on killing by the beta-lactams ampicillin and cefazolin with
that of the fluoroquinolone trovafloxacin, since the latter may be
better able to kill nonproliferating organisms. In empyema fluid
diluted 1:5 in normal saline, addition of zinc (30 µM) increased growth of two strains of Staphyloccocus aureus and two
strains of Escherichia coli but did not affect the MICs or
MBCs of the three antibiotics in Mueller-Hinton broth. For one strain
of S. aureus, no effect of zinc was found on killing by
either ampicillin or cefazolin. However, with the other strain of
S. aureus and both strains of E. coli,
significant enhancement of killing by both drugs was observed with zinc
addition. On the other hand, no effect on the killing of any of the
organisms was observed for trovafloxacin when zinc was added. These
results suggest that the zinc-reversible growth-inhibitory activity of
abscess fluid may interfere with the microbicidal activity of
antibiotics requiring proliferating target organisms, although
antibiotics better able to kill nonproliferating organisms may be less
affected by this phenomenon.
0066-4804/0/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Effect of Zinc-Reversible Growth-Inhibitory
Activity in Human Empyema Fluid on Antibiotic Microbicidal
Activity
*
Corresponding author. Mailing address: Research
Service/151, V.A. Medical Center, Milwaukee, WI 53295. Phone: (414)
384-2000, ext. 2878. Fax: (414) 383-8010. E-mail:
psohnle{at}mcw.edu.
This article has been cited by other articles:
Copyright © 2009 by the American Society for Microbiology. For an alternate route to Journals.ASM.org, visit: http://intl-journals.asm.org | More Info»