Antibiotic Resistance Monitoring & Reference Laboratory, HPA Centre for Infections, London, United Kingdom.
Antimicrob Agents Chemother. 2011 Jan;55(1):390-4. doi: 10.1128/AAC.00756-10. Epub 2010 Nov 1.
Combinations of NXL104 with ceftazidime and aztreonam were tested against carbapenem-resistant members of the Enterobacteriaceae. Ceftazidime-NXL104 was active against strains with the OXA-48 enzyme or with combinations of impermeability and an extended-spectrum β-lactamase (ESBL) or AmpC enzyme and also against most Klebsiella spp. with the KPC enzyme, but metallo-β-lactamase producers were resistant. Aztreonam-NXL104 was active against all carbapenemase producers at 4 and 4 μg/ml, including those with metallo-β-lactamases.
NXL104 与头孢他啶和氨曲南联合用药,针对耐碳青霉烯类肠杆菌科成员进行了测试。头孢他啶-NXL104 对携带 OXA-48 酶或通透性与超广谱β-内酰胺酶(ESBL)或 AmpC 酶组合的菌株以及携带 KPC 酶的大多数克雷伯氏菌属具有活性,但对金属β-内酰胺酶产生菌具有耐药性。氨曲南-NXL104 在 4 和 4μg/ml 时对所有碳青霉烯酶产生菌均具有活性,包括携带金属β-内酰胺酶的产生菌。