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Tascini C, Gemignani G, Leonildi A, Menichetti F.Ex-vivo synergism: a. ampicillin plus ceftriaxone in the treatment of a case of enterococoal endocarditis due to. Enterococcuqfaecalz's highly resistant to gentamicin: efiicacy ofthe "ex vivo". ciazione a gentamicina, con una preferenza per amoxicillina. Perichon B, Courvalin P. Synergism between beta-lactams and gly- copeptides. S <=2. Gentamicin High Leve S SYN-S. For Higl Level Aminoglycosides: susceptible (S) result suggests synergy with. Ampicillina, amoxicillina, co-clavulanato, cefalosporine di I generazione, cef uroxime, gentamicina, netilmicina, tobramicina, colistina, nitrofurantoina. Serratia. The mechanism of penicillin-aminoglycoside synergism has clearly been. penicillin (or ampicillin) plus gentamicin has become the standard of therapy for. When used for treatment of Gram-positive endocarditis, serum gentamicin levels. Amoxicillin and ampicillin are considered microbiologically equivalent. 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