Influence of Serum and Calcium on the Bactericidal Activity of Gentamicin and Carbenicillin on Pseudomonas aeruginosa

Author:

Davis Starkey D.1,Iannetta Antoinette1

Affiliation:

1. Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington 98105

Abstract

Because calcium was found to be antagonistic in vitro to the activity of colistin and polymyxin B on Pseudomonas aeruginosa , the effects of calcium and serum on gentamicin and carbenicillin were also examined. Serum was antagonistic to gentamicin in antibiotic tube dilution tests on five strains of P. aeruginosa . Serum was not antagonistic to carbenicillin in tube dilution tests. Physiologic concentrations of calcium antagonized the activity of gentamicin but not carbenicillin. The antagonism observed with gentamicin was less than that previously seen with colistin. The antagonistic effect of calcium and serum was removed by a chelating agent. Gentamicin and carbenicillin may be more active in vivo against P. aeruginosa than colistin or polymyxin B.

Publisher

American Society for Microbiology

Subject

General Pharmacology, Toxicology and Pharmaceutics,General Immunology and Microbiology,General Biochemistry, Genetics and Molecular Biology,General Medicine

Reference16 articles.

1. New semisynthetic penicillin active against Pseudomonas aeruginosa;Acred P.;Nature (London),1967

2. Carbenicillin: evaluation of antibacterial activity in vivo;Acred P.;Proc. Sixth Int. Congr. Chemotherapy,1970

3. Role of multivalent cations in the organization, structure, and assembly of the cell wall of Pseudomonas organisms;Asbell M. A.;J. Bacteriol.,1966

4. Loss of sensitivity to EDTA by Pseudomonas aeruginosa given under conditions of Mg-limitation;Brown M. R. W.;J. Gen. Microbiol.,1969

5. Paradoxical synergism and antagonism between serum and the antibacterial activity of colistin;Davis S. D.;J. Infect. Dis.,1971

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