Effect the combination of antibiotics on clinical isolates of Staphylococcus aureus

Sadique  Mohammed, Ali; Kareem  A.AL-Kazaz, Abdul; Ali Zaidan, Issra

	Effect the combination of antibiotics on clinical isolates of Staphylococcus aureus
Baghdad Science Journal
Article 1, Volume 6, Issue 4, 2009, Pages 683-692
Authors
Ali Sadique Mohammed; Abdul Kareem A.AL-Kazaz; Issra Ali Zaidan
Abstract
Atotal of 75 different clinical samples were collected from different hospitals in Baghdad Biochemical and morphological characterization tests showed that forty isolates were identified as Staphylococcus aureus Antibiotic susceptibility tests of all isolates towards ten antibiotics were carried out and results showed that many isolates (97.5 %) were resistant to β-lactam antibiotic , 70 % were resistant to Tetracyclinee , 62.5% were resistant to co-trimoxazole , 60 % were resistant to ciprofloxacin , 55% were resistant both of chloramphenicol and erythromycin , 52.5% were resistant to gentamicin , 35% were resistant to rifampicin , 10% were resistant to vancomycin . According to the above results the S.aureus I1 which is isolated from patients with osteomyelitis showed resistant to all ten antibiotics therefore was used in the followed experiments. The minimum inhibitory concentration (MIC) of S.aureus I1 vancomycin, cefotaxim , penicillin G, amoxicillin , ciprofloxacin , co-trimoxazole ,gentamicin, rifampicin was checked.The results showed that isolates had MIC between (390-12500) μg/ml. The combination of different antibiotics with vancomycin showed synergistic effect based on the Fractional inhibitory concentration index (FIC).
Keywords
Staphylococcus aureus; Antibiotic susceptibility and MIC tests; combination of antibiotics; MIC

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