In vitro activity of fosfomycin combined with rifampin, pefloxacin and imipenem against staphylococci: a study by the time-kill curve method

Drugs Exp Clin Res. 1987;13(4):219-24.

Abstract

The in vitro activity of fosfomycin alone and in combination with rifampin, pefloxacin and imipenem was studied by the time-kill method against staphylococci. Fosfomycin, pefloxacin and imipenem used at concentrations within the therapeutic range, exerted a bactericidal effect, whereas rifampin acted as a bacteriostatic drug. The combination of fosfomycin and rifampin was found to be antagonistic against rifampin-susceptible strains and indifferent for rifampin-resistant isolates. Fosfomycin combined with pefloxacin usually produced an indifferent effect. The interaction between fosfomycin and imipenem was mainly indifferent but synergism occurred with methicillin-resistant strains and antagonism was observed for one methicillin-susceptible isolate of Staphylococcus aureus.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Drug Antagonism
  • Drug Interactions
  • Drug Synergism
  • Fosfomycin / pharmacology*
  • Imipenem
  • Microbial Sensitivity Tests
  • Norfloxacin / analogs & derivatives*
  • Norfloxacin / pharmacology
  • Pefloxacin
  • Rifampin / pharmacology*
  • Staphylococcus / drug effects*
  • Staphylococcus aureus / drug effects
  • Staphylococcus epidermidis / drug effects
  • Thienamycins / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Thienamycins
  • Pefloxacin
  • Fosfomycin
  • Imipenem
  • Norfloxacin
  • Rifampin