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A Note on the Anti‐ Pseudomonas Activity of Cephalosporins with Chlorhexidine
Author(s) -
BARNHAM M.,
HUSBAND P.
Publication year - 1980
Publication title -
journal of applied bacteriology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.889
H-Index - 156
eISSN - 1365-2672
pISSN - 0021-8847
DOI - 10.1111/j.1365-2672.1980.tb05134.x
Subject(s) - cephaloridine , cefoxitin , cefuroxime , cefotaxime , cephalosporin , microbiology and biotechnology , agar dilution , antibiotics , chemistry , chlorhexidine , minimum inhibitory concentration , medicine , bacteria , staphylococcus aureus , biology , dentistry , genetics
Thirty clinical isolates of Pseudomonas aeruginosa were tested for susceptibility to cephaloridine, cefuroxime, cefotaxime and cefoxitin with and without chlorhexidine in agar dilution ‘chequerboard’ titrations and antibiotic disc tests. A synergistic response (σFIC = < 0.7) in combined titration with chlorhexidine was seen in 50% of the strains with cefuroxime and cefoxitin and 13% with cefotaxime. Cephaloridine MICs mostly exceeded the tested range but a definite reduction in combination was shown with 33% of strains. Susceptibility to cephaloridine, cefuroxime and cefoxitin was not enhanced to clinically useful levels and the effect was seen only in chlorhexidine concentrations close to the MIC. Disc tests failed to show the antibacterial activity of the combinations. It is suggested that the level of the principal lesion induced by chlorhexidine in the inner membrane might be too deep to affect the penetration of β‐lactam antibiotics to their site of action.