Synergistic Meropenem-Tobramycin Combination Dosage Regimens against Clinical Hypermutable Pseudomonas aeruginosa at Simulated Epithelial Lining Fluid Concentrations in a Dynamic Biofilm Model
Author(s) -
Hajira Bilal,
Phillip J. Bergen,
Tae Hwan Kim,
Seung Eun Chung,
Anton Y. Peleg,
Antonio Oliver,
Roger L. Nation,
Cornelia B. Landersdorfer
Publication year - 2019
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.01293-19
Subject(s) - tobramycin , meropenem , pseudomonas aeruginosa , microbiology and biotechnology , biofilm , cystic fibrosis , medicine , chemistry , antibiotics , bacteria , biology , antibiotic resistance , genetics
Exacerbations of chronicPseudomonas aeruginosa infections are a major treatment challenge in cystic fibrosis due to biofilm formation and hypermutation. We aimed to evaluate different dosage regimens of meropenem and tobramycin as monotherapies and in combination against hypermutable carbapenem-resistantP. aeruginosa . A hypermutableP. aeruginosa isolate (meropenem and tobramycin MICs, 8 mg/liter) was investigated in the dynamic CDC biofilm reactor over 120 h.
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