Nw. Mclean et Ja. Mcgroarty, GROWTH-INHIBITION OF METRONIDAZOLE-SUSCEPTIBLE AND METRONIDAZOLE-RESISTANT STRAINS OF GARDNERELLA-VAGINALIS BY LACTOBACILLI IN-VITRO, Applied and environmental microbiology, 62(3), 1996, pp. 1089-1092
Metronidazole resistance was produced in susceptible Gardnerella vagin
alis after subculture in the presence of metronidazole. Metronidazole-
resistant gardnerellae were less susceptible to growth inhibition by L
actobacillus culture filtrates. A low pH (+/-4) and lactic acid accoun
ted for 60 to 95% of inhibitory activity, and H2O2 accounted for only
0 to 30%. However, in the presence of myeloperoxidase, H2O2-producing
lactobacilli decreased the viability of metronidazole-susceptible gard
nerellae 2,000-fold.