RESEARCH ARTICLE Activity of Colistin in Combination with Meropenem, Tigecycline, Fosfomycin, Fusidic Acid, Rifampin or Sulbactam against Extensively Drug-Resistant Acinetobacter baumannii in a Murine Thigh-Infection Model Bing Fan1,2☯, Jie Guan3☯, Xiumei Wang4, Yulong Cong1* 1 Clinical Laboratory of South Building, Chinese People’s Liberation Army General Hospital, Beijing 100853, a11111 China, 2 Clinical Laboratory of the Second Clinical District, the General Hospital of Chinese People’s Armed Police Forces, Beijing 100039, China, 3 Department of Clinical Laboratory, Peking University First Hospital, Beijing 100034, China, 4 Department of Clinical Laboratory, the General Hospital of Chinese People’s Armed Police Forces, Beijing 100039, China ☯ These authors contributed equally to this work. *
[email protected] OPEN ACCESS Citation: Fan B, Guan J, Wang X, Cong Y (2016) Abstract Activity of Colistin in Combination with Meropenem, Tigecycline, Fosfomycin, Fusidic Acid, Rifampin or Few effective therapeutic options are available for treating severe infections caused by Sulbactam against Extensively Drug-Resistant extensively drug-resistant Acinetobacter baumannii (XDR-AB). Using a murine thigh-infec- Acinetobacter baumannii in a Murine Thigh-Infection tion model, we examined the in vivo efficacy of colistin in combination with meropenem, tige- Model. PLoS ONE 11(6): e0157757. doi:10.1371/ journal.pone.0157757 cycline, fosfomycin, fusidic acid, rifampin, or sulbactam against 12 XDR-AB strains. Colistin, tigecycline, rifampin, and sulbactam monotherapy significantly decreased bacterial Editor: Digby F. Warner, University of Cape Town, SOUTH AFRICA counts in murine thigh infections compared with those observed in control mice receiving no treatment. Colistin was the most effective agent tested, displaying bactericidal activity Received: February 13, 2016 against 91.7% of strains at 48 h post-treatment.