Influence of ionizing radiation on the antimicrobial activity of the antibiotics sulfamethoxazole and trimethoprim

J Environ Sci Health A Tox Hazard Subst Environ Eng. 2018 Jul 3;53(8):687-693. doi: 10.1080/10934529.2018.1439821. Epub 2018 Feb 27.

Abstract

The response of the antimicrobial compounds sulfamethoxazole (SMX) and trimethoprim (TMP) - individually and in mixtures - to ionizing radiation was investigated using laboratory prepared mixtures and a commercial pharmaceutical formulation. The residual antibacterial activity of the solutions was monitored using Staphylococcus aureus and Escherichia coli test strains. Based on antibacterial activity, SMX was more susceptible to ionizing radiation as compared to TMP. The antibacterial activity of SMX and TMP was completely eliminated at 0.2 kGy and 0.8 kGy, respectively. However, when SMX and TMP were in a mixture, the dose required to eliminate the antibacterial activity was 10 kGy, implying a synergistic antibacterial activity when these are present in mixtures. Only when the antibiotic concentration was below the Minimum Inhibitory Concentration of TMP (i.e., 2 µmol dm-3) did the antibacterial activity of the SMX and TMP mixture disappear. These results imply that the synergistic antimicrobial activity of antimicrobial compounds in pharmaceutical waste streams is a strong possibility. Therefore, antimicrobial activity assays should be included when evaluating the use of ionizing radiation technology for the remediation of pharmaceutical or municipal waste streams.

Keywords: Antibacterial activity; Escherichia coli; Staphylococcus aureus; ionizing radiation; sulfamethoxazole; trimethoprim.

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / radiation effects
  • Anti-Infective Agents / pharmacology
  • Anti-Infective Agents / radiation effects
  • Bacteria / drug effects*
  • Bacteria / growth & development
  • Bacteria / radiation effects*
  • Biological Oxygen Demand Analysis
  • Escherichia coli / drug effects
  • Escherichia coli / radiation effects
  • Humans
  • Microbial Sensitivity Tests
  • Radiation, Ionizing*
  • Staphylococcus aureus / drug effects
  • Staphylococcus aureus / radiation effects
  • Sulfamethoxazole / pharmacology*
  • Sulfamethoxazole / radiation effects
  • Trimethoprim / pharmacology*
  • Trimethoprim / radiation effects
  • Trimethoprim, Sulfamethoxazole Drug Combination

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Trimethoprim
  • Sulfamethoxazole