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Journal of Antimicrobial Chemotherapy (1987) 20, 831-838
© 1987 The British Society for Antimicrobial Chemotherapy


research-article

A new method for the determination of bactericidal antibiotic synergy

A. Paull and J. Marks

Department of Medical Microbiology and Department of Surgery, University of Wales College of Medicine Heath Park, Cardiff CF4 4XN, U.K.

accepted 7 July 1987


Current methods of measuring bactericidal antibiotic synergy are particularly susceptible to error because of their use of arbitrary endpoints and criteria; their results are not easily tested for statistical significance and the procedures require considerable time and effort. A single-stage method is described in which bacteria are exposed to antibiotics for a short period and then transferred twice to drug-free medium by means of a filter membrane. The results are available the next day in the form of survival counts which can be compared statistically. In an examination of 21 strains of faecal streptococcus exposed to penicillin and gentamicin the bactericidal synergy observed was smoothly variable, a finding with a bearing on the management of infections with this organism, in that the recognition of strains showing an intermediate degree of synergy is possible.


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