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All the people I have ever met before were very plain to seeWhere's your =
balloon? inquired sister Mabel, sarcasticallyIt can be debated which desi=
gn appropriately examines the clinical interpretation of synergism studie=
s comparing same or different  lactams  Synergism has been defined as a 2=
 log10 or greater reduction in bacterial count with the combination versu=
s that with each of the agents alone 86 In studies comparing the same  la=
ctam this is directly tested but the effect of increasing the antibiotic =
spectrum cannot be separated from a synergistic effect