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替加环素在社区获得性肺炎3期临床试验入组患者分离菌株中的体外活性及四环素耐药决定因素的出现情况

In vitro activity of tigecycline and occurrence of tetracycline resistance determinants in isolates from patients enrolled in phase 3 clinical trials for community-acquired pneumonia.

作者信息

Bradford P A, Petersen P J, Tuckman M, Jones C H

机构信息

Infectious Diseases Discovery Research, Wyeth Research, Pearl River, NY 10965, USA.

出版信息

Clin Microbiol Infect. 2008 Sep;14(9):882-6. doi: 10.1111/j.1469-0691.2008.02063.x.

DOI:10.1111/j.1469-0691.2008.02063.x
PMID:18844692
Abstract

The in vitro activity of tigecycline was evaluated against baseline pathogens isolated from patients enrolled in phase 3 clinical trials for community-acquired pneumonia conducted in 29 countries worldwide. Tigecycline was active against the most prevalent pathogens, including Streptococcus pneumoniae (MIC(90) 0.06 mg/L), Staphylococcus aureus (MIC(90) 0.25 mg/L), Haemophilus influenzae (MIC(90) 0.5 mg/L) and Klebsiella pneumoniae (MIC(90) 1 mg/L). Twelve isolates of S. pneumoniae expressing tet(M) and two isolates of K. pneumoniae producing extended-spectrum beta-lactamases isolated during the study were susceptible to tigecycline. The excellent in vitro activity of tigecycline against these clinical isolates confirmed its potential utility against pathogens associated with community-acquired pneumonia.

摘要

对替加环素的体外活性进行了评估,受试对象为从全球29个国家开展的社区获得性肺炎3期临床试验入组患者中分离出的基线病原体。替加环素对最常见的病原体具有活性,包括肺炎链球菌(MIC90为0.06mg/L)、金黄色葡萄球菌(MIC90为0.25mg/L)、流感嗜血杆菌(MIC90为0.5mg/L)和肺炎克雷伯菌(MIC90为1mg/L)。研究期间分离出的12株表达tet(M)的肺炎链球菌菌株以及2株产超广谱β-内酰胺酶的肺炎克雷伯菌菌株对替加环素敏感。替加环素对这些临床分离株具有出色的体外活性,证实了其对社区获得性肺炎相关病原体的潜在效用。

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In vitro activity of tigecycline and occurrence of tetracycline resistance determinants in isolates from patients enrolled in phase 3 clinical trials for community-acquired pneumonia.替加环素在社区获得性肺炎3期临床试验入组患者分离菌株中的体外活性及四环素耐药决定因素的出现情况
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