Abstract
The combination of mecillinam with amoxicillin, ampicillin or penicillin G in a 1 : 1 proportion whether as a mixture or chemically linked ester provides a broader in vivo spectrum of coverage against Gram-positive and Gram-negative bacteria than either component alone. In addition to an increased antibacterial spectrum, the activity seen was at least equivalent to that of the more active component and in a number of instances synergistic in nature. Most often, synergy was noted when the ratio of a penicillin, or cefazolin to mecillinam was from 1 : 1 to 10 : 1.

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