What is it about?

Zidovudine (old anti-HIV drug), has unexploited antibacterial properties and has been considered for drug repurposing. We tested 36 MDR Enterobacterales for the combination zidovudine + fosfomycin. A synergistic effect was observed in 25 isolates and no antagonistic effect was observed. For 7 of 8 fosfomycin-resistant strains, zidovudine combination was able to restore fosfomycin susceptibility. Synergistic activity was observed for fosfomycin + zidovudine in 69.4% of the tested strains in the animal model.

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Why is it important?

It highlights the antibacterial potential of zidovudine

Perspectives

Studies on zidovudine against MDR bacteria are welcomed

Professor Stefano Di Bella
Universita degli Studi di Trieste

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This page is a summary of: Zidovudine in synergistic combination with fosfomycin: an in vitro and in vivo evaluation against multidrug-resistant Enterobacterales, International Journal of Antimicrobial Agents, July 2021, Elsevier,
DOI: 10.1016/j.ijantimicag.2021.106362.
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