Ej. Baron et al., BACTERICIDAL ACTIVITY OF SELECTED ANTIMICROBIAL AGENTS AGAINST BILOPHILA-WADSWORTHIA AND BACTEROIDES-GRACILIS, Clinical infectious diseases, 16, 1993, pp. 190000339-190000343
Bactericidal assays of Bacteroides gracilis (six strains) and Bilophil
a wadsworthia (12 strains) in brucella broth with appropriate suppleme
nts were performed by the time-kill kinetic method. Antimicrobial agen
ts tested were ampicillin/sulbactam (final concentrations, 16/8 mug/mL
), ticarcillin/clavulanate (128/2 mug/mL), imipenem (8 mug/mL), cefoxi
tin (32 mug/mL), chloramphenicol (16 mug/mL), clindamycin (4 mug/mL),
and metronidazole (16 mug/mL). Although all antimicrobial agents teste
d inhibited growth of all Bilophila strains during the first 24 hours,
bactericidal activity was variable; only metronidazole was uniformly
bactericidal. Most strains of Bilophila showed 1-2 log increases in gr
owth at 6 hours with clindamycin and chloramphenicol. With chloramphen
icol, some Bilophila strains tested showed regrowth starting at 30 hou
rs. B. gracilis strains were generally more susceptible to all agents
tested. Metronidazole, ticarcillin/clavulanate, chloramphenicol, and i
mipenem were most active. Several strains of B. gracilis were not kill
ed by ampicillin/sulbactam, clindamycin, or cefoxitin. Activity was va
riable among strains and antimicrobial agents.