Microbiological Assessment of Polymyxin B Components Tested Alone and in Combination

Antimicrob Agents Chemother. 2015 Dec;59(12):7823-5. doi: 10.1128/AAC.01021-15. Epub 2015 Sep 21.

Abstract

We investigated the antimicrobial activity of four polymyxin B components, B1, B2, B3, and isoleucine (Ile)-B1, individually and in combination. B3 was the most active agent against all organisms tested except Acinetobacter baumannii, for which Ile-B1 was most active. One combination met the criteria for synergy, B3 plus Ile-B1. No combinations exhibited antagonism. The dominant components of polymyxin B products (B1 and B2) were associated with the lowest probability of improved antibacterial activity when combined.

MeSH terms

  • Acinetobacter baumannii / drug effects
  • Acinetobacter baumannii / growth & development
  • Anti-Bacterial Agents / pharmacology*
  • Caprylates / chemistry*
  • Drug Synergism
  • Escherichia coli / drug effects
  • Escherichia coli / growth & development
  • Klebsiella pneumoniae / drug effects
  • Klebsiella pneumoniae / growth & development
  • Microbial Sensitivity Tests
  • Polymyxin B / analogs & derivatives
  • Polymyxin B / chemistry
  • Polymyxin B / pharmacology*
  • Pseudomonas aeruginosa / drug effects
  • Pseudomonas aeruginosa / growth & development
  • Structure-Activity Relationship*

Substances

  • Anti-Bacterial Agents
  • Caprylates
  • Polymyxin B