Evaluation of the In Vitro Activity of Tobramycin as Compared with That of Gentamicin Sulfate

Author:

Traub Walter H.1,Raymond Ella A.1

Affiliation:

1. Department of Pathology, Bowman Gray School of Medicine, Winston-Salem, North Carolina 27103

Abstract

The in vitro activity of tobramycin was quantitatively compared with that of gentamicin sulfate against 195 bacterial isolates from clinical material. Tobramycin was found to be twice as active as gentamicin against isolates of Pseudomonas aeruginosa . Conversely, gentamicin proved fourfold more active than tobramycin against isolates of Serratia marcescens . Both drugs were of comparable activity against isolates of Staphylococcus aureus and the majority of the enterobacterial isolates other than S. marcescens . On the basis of the obtained data, the following criteria are proposed for the interpretation of diffusion susceptibility tests with 10-μg discs of gentamicin and tobramycin. Enterobacteriaceae and isolates of S. aureus are designated as susceptible to gentamicin and tobramycin if the zones of inhibition measure 15 mm or more in diameter; zones of 14 mm or less are indicative of resistance. Pseudomonadaceae are interpreted as sensitive to tobramycin and gentamicin if the inhibition zones measure at least 15 and 12 mm in diameter, respectively.

Publisher

American Society for Microbiology

Subject

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

Reference12 articles.

1. Antibiotic susceptibility testing by a standardized single disk method;Bauer A. W.;Amer. J. Clin. Pathol.,1966

2. Antibiotic susceptibility testing. Report of an International Collaborative Study;Ericsson H. M.;Acta Pathol. Microbiol. Scand. Suppl.,1971

3. Identification of staphylococci isolated from clinical material;Raymond E. A.;Appl. Microbiol.,1970

4. Medium-dependent activity of gentamicin against enterococci;Raymond E. A.;Appl. Microbiol.,1971

5. Susceptibility of Pseudomonas aeruginosa to gentamicin sulfate in vitro: lack of correlation between disc diffusion and broth dilution sensitivity data;Traub W. H.;Appl. Microbiol.,1970

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