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The In Vitro Antibacterial Effectiveness of Antibiotic-Detergent Combinations PRELIMINARY STUDIES USING ALEVAIRE, PENICILLIN G, METHICILLIN, AND OXACILLIN
ROBERT C. MOELLERINGJR.; GARY TRATT; ARNOLD N. WEINBERG
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Massachusetts General Hospital, Fruit Street, Boston, Massachusetts 02114 University Hospitals, Boston, Massachusetts 02118
1971 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1971; 53:30-36 
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Abstract

Several questions raised by the use of closed antibiotic-detergent irrigation in the treatment of chronic osteomyelitis were investigated by in vitro experiments. Although detergents are strongly alkaline and probably cause some inactivation of penicillin, methicillin, and oxacillin when mixed with them in irrigating solutions, the extent of this inactivation was not of sufficient magnitude to greatly reduce the in vitro effectivensess of these antibiotics against Staphylococcus aureus. Studies of penicillin-Alevaire combinations revealed no synergism of these two compounds against strains of penicillinase-producing Staphylococcus aureus; and, in fact these drugs did not inhibit the growth of such strains significantly.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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