Bactericidal activities of penicillins against
S. faecalis in single and mixed cultures with β-lactamase producing gram-negative bacilli were investigated by measurement of minimum bactericidal concen-tration (MBC).
Bactericidal effects of ampicillin and amoxicillin against
S. faecalis were remarkably reduced in most mixed cultures. That of piperacillin (PIPC) was reduced in mixed cultures with strains producing constitutive β-lactamase, but were not reduced in the case of mixed cultures with inducible β-lacta-mase producing strains.
The stability of these penicillins against β-lactamases of inducible β-lactamase producing strains used as the combination partner in mixed cultures and their inducer activities for β-lactamase production were also studied. Though all penicillins were stable to various β-lactamases, there was a appreciable difference in the inducibility of these penicillins. PIPC hardly induced β-lactamase production, while other penicillins showed very high inducer activities.
Accordingly, it seemed that the difference in the bactericidal effects of penicillins against
S. faecalis in mixed cultures was attributable to the degree of inactivation of penicillins by β-lactamase derived from the combination partner based on their inducer activities for β-lactamase production.
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