Holt H A, Bywater M J, Reeves D S
Department of Medical Microbiology, Southmead Hospital, Bristol, UK.
J Antimicrob Chemother. 1990 Dec;26 Suppl E:7-12. doi: 10.1093/jac/26.suppl_e.7.
A total of 1834 non-copy, general practice or outpatient isolates were collected by 20 hospital laboratories within the British Isles, and identified and tested for susceptibility to nine antimicrobial agents available by oral administration at one centre. Against Enterobacteriaceae cefpodoxime was the most active beta-lactam agent tested, the MIC90s being: for Escherichia coli 1.0 mg/l, for Proteus mirabilis 1.0 mg/l, for Citrobacter spp. 2.0 mg/l, and for Enterobacter spp., Serratia spp., Morganella spp. and Klebsiella spp. 16-64 mg/l. Cefpodoxime also showed a certain amount of activity against staphylococci and high activity against streptococci, the MIC90s being for Staphylococcus aureus 2 mg/l, for coagulase negative staphylococci 8 mg/l, for Streptococcus pyogenes 0.015 mg/l, for Str. pneumoniae 0.06 mg/l and for Str. agalactiae 0.5 mg/l.
不列颠群岛内的20家医院实验室共收集了1834株非重复的全科医疗或门诊分离菌株,并在一个中心对其进行了鉴定,并检测了对九种口服抗菌药物的敏感性。对于肠杆菌科细菌,头孢泊肟是所测试的活性最强的β-内酰胺类药物,其MIC90分别为:大肠杆菌1.0mg/L、奇异变形杆菌1.0mg/L、柠檬酸杆菌属2.0mg/L,以及肠杆菌属、沙雷菌属、摩根菌属和克雷伯菌属16 - 64mg/L。头孢泊肟对葡萄球菌也显示出一定活性,对链球菌有高活性,其MIC90分别为:金黄色葡萄球菌2mg/L、凝固酶阴性葡萄球菌8mg/L、化脓性链球菌0.015mg/L、肺炎链球菌0.06mg/L和无乳链球菌0.5mg/L。