4.7 Article

Synergistic Rifabutin and Colistin Reduce Emergence of Resistance When Treating Acinetobacter baumannii

期刊

出版社

AMER SOC MICROBIOLOGY
DOI: 10.1128/AAC.02204-20

关键词

Acinetobacter baumannii; antibiotic resistance; colistin; rifabutin

资金

  1. National Institute of Allergy and Infectious Diseases (NIAID) [R01AI139052, R01AI130060, R01AI117211]
  2. Food and Drug Administration (FDA) [HHSF223201710199C]

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The study found that rifabutin and colistin showed synergistic effects in combating Acinetobacter baumannii, with low-dose colistin significantly suppressing the emergence of rifabutin resistance. This combination presents a promising therapeutic option for highly resistant A. baumannii infections.
Recently, we reported rifabutin hyperactivity against Acinetobacter baumannii. We sought to characterize potential interactions between rifabutin and colistin, the last-resort drug for carbapenem-resistant infections. Rifabutin and colistin were synergistic in vitro and in vivo, and low-dose colistin significantly suppressed emergence of resistance to rifabutin. Thus, this combination is a promising therapeutic option for highly resistant A. baumannii infections.

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