In vitro and in vivo efficacy of the combination trimethoprim-sulfamethoxazole against clinical isolates of methicillin-resistant Staphylococcus aureus

Antimicrob Agents Chemother. 1986 Jun;29(6):1092-4. doi: 10.1128/AAC.29.6.1092.

Abstract

The in vitro susceptibilities of 16 independent, geographically distinct clinical isolates of methicillin-resistant Staphylococcus aureus to trimethoprim (TMP) in combination with sulfamethoxazole (SMX) were evaluated. Although methicillin-resistant S. aureus strains appear to be universally resistant to SMX, the combination TMP-SMX was found to be synergistic in vitro (in combination, the MICs of both drugs decreased 6- to 25-fold) as well as in vivo (5- to 6-fold reduction in TMP at 50% effective doses).

MeSH terms

  • Animals
  • Anti-Bacterial Agents / pharmacology*
  • Drug Combinations / pharmacology
  • Drug Synergism
  • Methicillin / pharmacology*
  • Mice
  • Penicillin Resistance
  • Staphylococcal Infections / drug therapy*
  • Staphylococcus aureus / drug effects*
  • Sulfamethoxazole / pharmacology*
  • Trimethoprim / pharmacology*
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Vancomycin / pharmacology

Substances

  • Anti-Bacterial Agents
  • Drug Combinations
  • Vancomycin
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Trimethoprim
  • Sulfamethoxazole
  • Methicillin