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Scientific
Publications - Work Done by Microbiology Reader
Odenholt-Tornqvist, I., Studies on the postantibiotic effect and the postantibiotic sub-MIC effect of meropenem, Journal of Antimicrobial Chemotherapy, 1993, vol. 31, pp. 881-892 ABSTRACT The postantibiotic effect (PAE), the postantibiotic sub-MIC
effect (PA SME) and the sub-MIC effect (SME) of a new carbapenem, meropenem,
were determined for different strains of Escherichia coli and Pseudomonas
aeruginosa. A PAE was induced by 10 x MIC of meropenem for 2 h. After induction,
the antibiotic was eliminated by washing and dilution. The strains in the
postantibiotic exposure phase and the controls were then exposed to no
antibiotic or to different sub-MICs concentrations (0.1-0.6 x MIC) of meropenem.
The growth curves were followed for 24 h with viable counts and/or measured by
continuous monitoring of optical density in a BioScreen C apparatus. Zero or
very low values for the PAE were seen in the strains studied. However, a long PA
SME and SME were seen for P. aeruginosa when determined by both methods, which
at 0.3 x MIC gave comparable results. At lower concentrations the PA SMEs
measured with BioScreen C were shorter, probably due to differences in the
definition between the two methods. The BioScreen C method was less laborious
than viable counting. However, one disadvantage of the BioScreen C method was
that manual viable counting still had to be used to determine bacterial killing.
No PA SME or SME against E. coli was observed, and the increased sensitivity of
P. aeruginosa to sub-MICs of carbapenems remains unexplained.
(order Full Text from publisher)
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