The antibacterial activity and/or synergistic effects of amniotic fluid alone, amniotic fluid+cefuzonam (CZON) and amniotic fluid+CZON+lysozyme on clinical isolates of the following three organisms were evaluated:
Staphylococcus aureus,
Escherichia coli and
Streptococcus agalactiae. The amniotic fluid was obtained from 20 pregnant women with no infection between weeks 26 and 42 of pregnancy.
1) Only 2 of the 20 amniotic fluid samples (10%) showed antibacterial activity against the three organisms when used alone.
2) CZON and amniotic fluid showed no synergistic effect on
E.coli, while bacteriostatic activity was noted against
S.aureus for 4 and 8 hours, respectively, when the drug was used in combination with heat-treated and untreated amniotic fluid.
3) The MIC of CZON remained unchanged upon addition of untreated amniotic fluid with respect to
E.coli, while it decreased (by one dilution) with respect to
S.agalactiae (2/20 samples or 10%) and
S.aureus (7/20 samples or 35%). The MIC of CZON increased (by one dilution) withrespect to
E.coli upon addition of heat-treated amniotic fluid (2/20 samples or 10%).
4) The MIC decreased with respect to the three organisms in some amniotic samples when lysozyme was added to mixtures of CZON and untreated amniotic fluid. However, lysozyme had no effect on heat-treated amniotic fluid.
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