Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Investigation of the Effectiveness of Metformin and Various Antibiotic Combinations against Pseudomonas aeruginosa Isolates

Version 1 : Received: 8 March 2024 / Approved: 8 March 2024 / Online: 8 March 2024 (10:57:55 CET)

How to cite: Çeylan, K.; Zer, Y.; Özen, G.K.; Karabulut, E.K. Investigation of the Effectiveness of Metformin and Various Antibiotic Combinations against Pseudomonas aeruginosa Isolates. Preprints 2024, 2024030521. https://doi.org/10.20944/preprints202403.0521.v1 Çeylan, K.; Zer, Y.; Özen, G.K.; Karabulut, E.K. Investigation of the Effectiveness of Metformin and Various Antibiotic Combinations against Pseudomonas aeruginosa Isolates. Preprints 2024, 2024030521. https://doi.org/10.20944/preprints202403.0521.v1

Abstract

Pseudomonas aeruginosa infections are the focus of new treatment alternatives due to their frequent development of resistance to antibiotics and formation of biofilms. Recently, emphasis has been placed on combinations of antibiotics with drugs used for different indications. In this study the combined effects of metformin with imipenem, ceftazidime, cefepime, ciprofloxacin and levofloxacin has been investigated. 50 P. aeruginosa isolates isolated from patients with cystic fibrosis come to Gaziantep University Microbiology Laboratory were included in the study. The susceptibilities of the isolates to antibiotics were investigated by the liquid microdilution method and the combined effect of metformin and antibiotics by the chequerboard synergy test. In our study, as a result of the chequerboard synergy test; synergy between ceftazidime and metformin 6%, partial synergistic 22% isolates; while no synergistic effect was detected between cefepime and metformin in any isolate, partially synergy 46%; synergy between imipenem and metformin 4%, partial synergy 10%; synergy between ciprofloxacin and metformin 6%, partial synergy 6%, antagonist effect 2%; synergy was detected between levofloxacin and metformin 2% and a partial synergy was detected 12%. This study shows that metformin could be a potential antibiotic in its current form or in different chemical forms to be produced synthetically.

Keywords

antibiotic resistance; chequerboard; metformin; pseudomonas aeruginosa; synergy

Subject

Medicine and Pharmacology, Epidemiology and Infectious Diseases

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.