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头孢他啶(一种对β-内酰胺酶稳定的头孢菌素)的体外活性

In-vitro activity of ceftazidime, a beta-lactamase stable cephalosporin.

作者信息

Neu H C

机构信息

Division of Infectious Diseases, Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.

出版信息

J Antimicrob Chemother. 1981 Sep;8 Suppl B:131-4. doi: 10.1093/jac/8.suppl_b.131.

Abstract

The in-vitro activity and beta-lactamase stability of ceftazidime were evaluated against 700 Gram-positive and Gram-negative bacteria. Ceftazidime was less active than penicillins or older cephalosporins against Staphylococcus spp. and Streptococcus spp., and it did not inhibit Streptococcusfaecalis. However, ceftazidime was as active as moxalactam and cefoperazone against Escherichia coli, Klebsiella and Proteus mirabilis with MICs less than 0.2 mg/l. Ceftazidime also inhibited Enterobacter, Citrobacter, Salmonella and Shigella at concentrations below 0.2 mg/l. Most Morganella, Pr. rettgeri, Pr. vulgaris and Pr. inconstans were inhibited at concentrations below 1 mg/l similar to concentrations for moxalactam, cefoperazone, and cefotaxime. Ceftazidime was the most active agent tested against Ps. aeruginosa, with a mean MIC of 1.6 mg/l. It inhibited carbenicillin, piperacillin, cefoperazone, cefsulodin resistant Pseudomonas.

摘要

针对700株革兰氏阳性和革兰氏阴性菌评估了头孢他啶的体外活性及β-内酰胺酶稳定性。头孢他啶对葡萄球菌属和链球菌属的活性低于青霉素或较老的头孢菌素,且不抑制粪肠球菌。然而,头孢他啶对大肠杆菌、克雷伯菌属和奇异变形杆菌的活性与拉氧头孢和头孢哌酮相当,其最低抑菌浓度(MIC)低于0.2mg/L。头孢他啶在浓度低于0.2mg/L时也能抑制肠杆菌属、柠檬酸杆菌属、沙门菌属和志贺菌属。大多数摩根菌属、雷氏普罗威登斯菌、普通普罗威登斯菌和殊异普罗威登斯菌在浓度低于1mg/L时被抑制,这与拉氧头孢、头孢哌酮和头孢噻肟的浓度相似。头孢他啶是测试的对铜绿假单胞菌活性最强的药物,平均MIC为1.6mg/L。它能抑制对羧苄西林、哌拉西林、头孢哌酮、磺苄西林耐药的铜绿假单胞菌。

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