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Antimicrobial Agents and Chemotherapy, June 2006, p. 2228-2230, Vol. 50, No. 6
0066-4804/06/$08.00+0     doi:10.1128/AAC.01620-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

Mutant Prevention Concentrations of Levofloxacin Alone and in Combination with Azithromycin, Ceftazidime, Colistin (Polymyxin E), Meropenem, Piperacillin-Tazobactam, and Tobramycin against Pseudomonas aeruginosa

George G. Zhanel,1,2,3* Matthew Mayer,4 Nancy Laing,1 and Heather J. Adam1,3

Department of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada;,1 Departments of Medicine,2 Clinical Microbiology, Health Sciences Centre, Winnipeg, Manitoba, Canada,3 Department of Microbiology and Immunology, Dalhousie University, Halifax, Nova Scotia, Canada4

Received 21 December 2005/ Returned for modification 20 February 2006/ Accepted 17 March 2006

The mutant prevention concentrations (MPCs) of levofloxacin alone and in combination with ceftazidime, colistin (polymyxin E), meropenem, piperacillin-tazobactam, and tobramycin were established against Pseudomonas aeruginosa. Antibiotic combinations using levofloxacin with any antibiotic with individual activity against P. aeruginosa resulted in synergistic lowering (an at-least-fourfold reduction) of the isolate's MPC.


* Corresponding author. Mailing address: Clinical Microbiology, Health Sciences Centre, MS673-820 Sherbrook St., Winnipeg, Manitoba R3A 1R9, Canada. Phone: (204) 787-4902. Fax: (204) 787-4699. E-mail: ggzhanel{at}pcs.mb.ca.


Antimicrobial Agents and Chemotherapy, June 2006, p. 2228-2230, Vol. 50, No. 6
0066-4804/06/$08.00+0     doi:10.1128/AAC.01620-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.