In vitro and in vivo efficacy of the combination trimethoprim-sulfamethoxazole against clinical isolates of methicillin-resistant Staphylococcus aureus

Author:

Elwell L P,Wilson H R,Knick V B,Keith B R

Abstract

The in vitro susceptibilities of 16 independent, geographically distinct clinical isolates of methicillin-resistant Staphylococcus aureus to trimethoprim (TMP) in combination with sulfamethoxazole (SMX) were evaluated. Although methicillin-resistant S. aureus strains appear to be universally resistant to SMX, the combination TMP-SMX was found to be synergistic in vitro (in combination, the MICs of both drugs decreased 6- to 25-fold) as well as in vivo (5- to 6-fold reduction in TMP at 50% effective doses).

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference15 articles.

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4. In vitro effects of vancomycin, rifampicin and fusidic acid, alone and in combination against methicillin-resistant Staphylococcus aureus;Foldes M.;J. Antimicrob. Chemother.,1983

5. Gavan T. L. and A. L. Barry. 1980. Microdilution test procedures p. 459-462. In E. H. Lennette A. Balows W. J. Hausler Jr. and J. P. Truant (ed.) Manual of clinical microbiology 3rd ed. American Society for Microbiology Washington D.C.

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