Combined therapy with arbekacin and fosfomycin for methicillin-resistant Staphylococcus aureus infections

Jpn J Antibiot. 1994 Jun;47(6):798-803.

Abstract

We examined the clinical efficacy of a combination of arbekacin and fosfomycin in the treatment of various methicillin-resistant Staphylococcus aureus (MRSA) infections. The combination of arbekacin plus fosfomycin displayed 65.4% (17/26) clinical efficacy and 65.4% (17/26) bacteriological efficacy. This combination thus appeared to be an effective regimen for the treatment of MRSA infections. However, its bacteriological efficacy against concomitant Pseudomonas aeruginosa strains was only 16.7% (1/6). In addition, in 4 episodes of superinfection involving P. aeruginosa strains developed during the combination therapy.

MeSH terms

  • Aminoglycosides*
  • Anti-Bacterial Agents*
  • Dibekacin / analogs & derivatives
  • Dibekacin / therapeutic use
  • Drug Therapy, Combination / therapeutic use*
  • Fosfomycin / pharmacology
  • Fosfomycin / therapeutic use
  • Humans
  • Methicillin Resistance*
  • Microbial Sensitivity Tests
  • Pseudomonas Infections / complications
  • Pseudomonas Infections / drug therapy
  • Pseudomonas aeruginosa / drug effects
  • Staphylococcal Infections / complications
  • Staphylococcal Infections / drug therapy*
  • Staphylococcus aureus / drug effects*
  • Superinfection / drug therapy

Substances

  • Aminoglycosides
  • Anti-Bacterial Agents
  • Fosfomycin
  • Dibekacin
  • arbekacin