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A combination antibiotic therapy consisting of ceftriaxone, a third-generation cephalosporin, and rifampin, an antimicrobial agent. Ceftriaxone inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins, while rifampin inhibits bacterial RNA synthesis by binding to the beta-subunit of DNA-dependent RNA polymerase. This combination is primarily used for treating bacterial meningitis, particularly pneumococcal meningitis, where it has been shown to decrease lipoteichoic acid concentrations in cerebrospinal fluid and reduce neuronal damage.
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