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多黏菌素-糖肽类联合用药治疗肺炎小鼠模型中的多重耐药菌

Colistin-glycopeptide combinations against multidrug-resistant in a mouse model of pneumonia.

机构信息

CRCINA, Inserm, Université de Nantes, Université d'Angers, Angers, 44200 Nantes, France.

Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire, 4 Rue Larrey, 49100 Angers, France.

出版信息

Future Microbiol. 2019 May;14:581-586. doi: 10.2217/fmb-2019-0022. Epub 2019 Jun 7.

Abstract

To assess the effect of colistin-glycopeptide combination against a multidrug-resistant strain of .  We used procedures (Etest method, checkerboard test and kill-time assays) and a mouse model of a carbapenem-resistant pneumonia. The colistin-teicoplanin combination allowed a 74% increase of the survival in the mouse model within the 4 days following bacterial inoculation as compared with saline or colistin alone (p = 0.06). Concurrently, the colistin-vancomycin combination presented a similar efficacy as compared with saline or colistin alone in the mouse model. According to those preliminary results, using the colistin-teicoplanin combination in therapeutic deadlocks encountered in certain multiresistant pneumonia could be envisaged if the results are confirmed.

摘要

为评估黏菌素-糖肽联合用药对耐多药 株的作用。我们采用了 (Etest 法、棋盘试验和杀菌时间测定法)和一种耐碳青霉烯肺炎的小鼠模型。与盐水或单独使用黏菌素相比,黏菌素-替考拉宁联合用药可使接种细菌后 4 天内的小鼠存活率提高 74%(p=0.06)。同时,黏菌素-万古霉素联合用药在小鼠模型中的疗效与盐水或单独使用黏菌素相似。根据这些初步结果,如果结果得到证实,在某些多重耐药 肺炎出现治疗僵局时,可以考虑使用黏菌素-替考拉宁联合用药。

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