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American Society for Microbiology, Antimicrobial Agents and Chemotherapy, 6(55), p. 2597-2600, 2011

DOI: 10.1128/aac.01824-10

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Activity of Carbapenems Combined with Clavulanate against Murine Tuberculosis

Journal article published in 2011 by Nicolas Veziris ORCID, Chantal Truffot, Jean-Luc Mainardi, Vincent Jarlier
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

ABSTRACT Although beta-lactam antibiotics are not considered as antituberculous drugs, it has been recently shown that the combination of carbapenems and clavulanate is bactericidal in vitro . We evaluated in a murine model of tuberculosis the activity of carbapenems alone and combined with clavulanate against Mycobacterium tuberculosis . Swiss mice infected intravenously with 3 × 10 5 M. tuberculosis H37Rv were treated for 4 weeks with clavulanate alone or imipenem, meropenem, and ertapenem alone or combined with clavulanate, whereas a positive control group was treated with isoniazid, and a negative control group was held without treatment. The combination of imipenem or meropenem plus clavulanate significantly improved survival. Among groups of mice with 100% survival, only isoniazid reduced lung CFU counts; the carbapenem-clavulanate combinations did not prevent bacterial growth. Although less active than isoniazid, the combinations of imipenem or meropenem plus clavulanate improved the survival of mice infected with M. tuberculosis and should be further evaluated.