The combination of penicillin G and dihydrostreptomycin has additive action and in some cases synergistic action. Procaine and benzathine penicillin G are small-spectrum penicillins with a bactericidal action against mainly Gram-positive bacteria like
Clostridium spp.,
Corynebacterium spp.,
Erysipelothrix spp.,
Listeria spp., penicillinase-negative
Staphylococcus spp. and
Streptococcus spp.
Dihydrostreptomycin is an aminoglycoside with a bactericidal action against mainly Gram-negative bacteria like
E. coli,
Campylobacter spp.,
Klebsiella spp.,
Haemophilus spp.,
Pasteurella spp. and
Salmonella spp.