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Antipseudomonal activity and nephrotoxicity of cephradine-netilmicin combination
Authors:M A El Emam  W A El Naggar  T M Ibrahiem
Institution:1. Department of Microbiology, Faculty of Pharmacy, Mansoura University, Mansoura, Egypt
2. Department of Pharmacology & Biochemistry Faculty of Pharmacy, Mansoura University, Mansoura, Egypt
Abstract:The effects of intraperitoneal injections of cephradine in a dose of 75 mg/kg and netilmicin in dose of 50 mg/kg and their combination on creatinine and urea serum levels of rabbits were studied as well as the antipseudomonal activity against three multiresistant clinicial isolates. The antibacterial activity was investigated by two methods: Checkerboard titration method and time-kill studies. Finally, the antibacterial activity of the sera obtained from the rabbits receiving the used drugs in the previous regimen was studied using time-kill study method againstPseudomonas aeruginosa isolates. Results obtained from this study indicated that both creatinine and urea serum levels of the rabbits receiving both drugs were not significantly different from those of the rabbits receiving either cephradine or netilmicin alone. At the same time thein vitro antibactrial activity (either of the prepared solutions of the used drugs and their combination or of the sera obtained from the rabbits receiving these drugs as mentioned before) showed a synergistic effect against the tested strains ofPseudomonas aeruginosa
Keywords:Antimicrobial activity  nephrotoxicity            Pseudomonas aeruginosa            cephradine  nitromicin  synergism
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