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新型头孢菌素GR69153的体外活性

In vitro activity of the novel cephalosporin GR69153.

作者信息

Clarke A M, Zemcov S J

机构信息

Division of Medical Microbiology, St. Paul's Hospital, Vancouver, British Columbia, Canada.

出版信息

Eur J Clin Microbiol Infect Dis. 1991 Aug;10(8):683-7. doi: 10.1007/BF01975826.

Abstract

The in vitro activity of GR69153 was compared to that of ceftazidime, ceftriaxone, imipenem and gentamicin against a total of 702 recent clinical isolates. MICs were determined by a standard agar dilution procedure and two inocula (10(4) and 10(8) cfu) were used throughout. GR69153 inhibited 90% of isolates of Escherichia coli, Klebsiella pneumonia and Proteus mirabilis at less than or equal to 0.25 mg/l and 90% of isolates of Pseudomonas aeruginosa at less than or equal to 1 mg/l. Citrobacter freundii (MIC90 16 mg/l), Morganella morganii (MIC90 128 mg/l) and Enterobacter spp. (MIC90 greater than 128 mg/l) were considerably more resistant to GR69153. GR69153 was four-fold more active than ceftazidime against methicillin-sensitive Staphylococcus aureus but was inactive against methicillin-resistant Staphylococcus aureus, Enterococcus faecalis and Bacteroides fragilis group.

摘要

将GR69153的体外活性与头孢他啶、头孢曲松、亚胺培南和庆大霉素针对总共702株近期临床分离株的活性进行了比较。通过标准琼脂稀释法测定最低抑菌浓度(MIC),并始终使用两种接种量(10⁴和10⁸ cfu)。GR69153在浓度小于或等于0.25mg/L时可抑制90%的大肠杆菌、肺炎克雷伯菌和奇异变形杆菌分离株,在浓度小于或等于1mg/L时可抑制90%的铜绿假单胞菌分离株。弗氏柠檬酸杆菌(MIC90为16mg/L)、摩根摩根菌(MIC90为128mg/L)和肠杆菌属(MIC90大于128mg/L)对GR69153的耐药性明显更高。GR69153对甲氧西林敏感金黄色葡萄球菌的活性比头孢他啶高四倍,但对甲氧西林耐药金黄色葡萄球菌、粪肠球菌和脆弱拟杆菌组无活性。

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