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The Cefazolin Inoculum Effect Is Associated With Increased Mortality in Methicillin-Susceptible Bacteremia.头孢唑林接种物效应与甲氧西林敏感菌血症死亡率增加有关。
Open Forum Infect Dis. 2018 May 23;5(6):ofy123. doi: 10.1093/ofid/ofy123. eCollection 2018 Jun 1.
2
Prevalence of a Cefazolin Inoculum Effect Associated with Gene Types among Methicillin-Susceptible Staphylococcus aureus Isolates from Four Major Medical Centers in Chicago.芝加哥四大医疗中心耐甲氧西林金黄色葡萄球菌分离株中与头孢唑林种属效应相关的基因类型的流行率。
Antimicrob Agents Chemother. 2018 Jul 27;62(8). doi: 10.1128/AAC.00382-18. Print 2018 Aug.
3
Comparative outcomes of cefazolin versus nafcillin for methicillin-susceptible Staphylococcus aureus bacteraemia: a prospective multicentre cohort study in Korea.头孢唑林与萘夫西林治疗甲氧西林敏感金黄色葡萄球菌菌血症的比较结果:韩国一项前瞻性多中心队列研究。
Clin Microbiol Infect. 2018 Feb;24(2):152-158. doi: 10.1016/j.cmi.2017.07.001. Epub 2017 Jul 8.
4
Efficacy of Ceftaroline against Methicillin-Susceptible Staphylococcus aureus Exhibiting the Cefazolin High-Inoculum Effect in a Rat Model of Endocarditis.头孢洛林对在大鼠心内膜炎模型中表现出头孢唑林高接种量效应的甲氧西林敏感金黄色葡萄球菌的疗效。
Antimicrob Agents Chemother. 2017 Jun 27;61(7). doi: 10.1128/AAC.00324-17. Print 2017 Jul.
5
Comparative Effectiveness of Cefazolin Versus Nafcillin or Oxacillin for Treatment of Methicillin-Susceptible Staphylococcus aureus Infections Complicated by Bacteremia: A Nationwide Cohort Study.头孢唑林与萘夫西林或苯唑西林治疗合并菌血症的耐甲氧西林金黄色葡萄球菌感染的疗效比较:一项全国性队列研究。
Clin Infect Dis. 2017 Jul 1;65(1):100-106. doi: 10.1093/cid/cix287.
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Cefazolin versus Nafcillin for Methicillin-Sensitive Staphylococcus aureus Bloodstream Infection in a California Tertiary Medical Center.在加利福尼亚一家三级医疗中心,头孢唑林与萘夫西林治疗甲氧西林敏感金黄色葡萄球菌血流感染的比较
Antimicrob Agents Chemother. 2016 Jul 22;60(8):4684-9. doi: 10.1128/AAC.00243-16. Print 2016 Aug.
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Antistaphylococcal penicillins versus cephalosporins for definitive treatment of meticillin-susceptible Staphylococcus aureus bacteraemia: a systematic review and meta-analysis.抗葡萄球菌青霉素与头孢菌素治疗耐甲氧西林金黄色葡萄球菌菌血症的比较:系统评价和荟萃分析。
Int J Antimicrob Agents. 2014 Dec;44(6):486-92. doi: 10.1016/j.ijantimicag.2014.09.002. Epub 2014 Sep 19.
9
Clinical implications of cefazolin inoculum effect and β-lactamase type on methicillin-susceptible Staphylococcus aureus bacteremia.头孢唑林接种物效应及β-内酰胺酶类型对甲氧西林敏感金黄色葡萄球菌菌血症的临床影响
Microb Drug Resist. 2014 Dec;20(6):568-74. doi: 10.1089/mdr.2013.0229.
10
National burden of invasive methicillin-resistant Staphylococcus aureus infections, United States, 2011.2011 年美国侵袭性耐甲氧西林金黄色葡萄球菌感染的国家负担。
JAMA Intern Med. 2013 Nov 25;173(21):1970-8. doi: 10.1001/jamainternmed.2013.10423.

辅助克拉维酸消除实验性耐甲氧西林金黄色葡萄球菌心内膜炎大鼠模型中的头孢唑林接种效应。

Adjunctive Clavulanic Acid Abolishes the Cefazolin Inoculum Effect in an Experimental Rat Model of Methicillin-Sensitive Staphylococcus aureus Endocarditis.

机构信息

Center for Antimicrobial Resistance and Microbial Genomics, UTHealth, McGovern Medical School, Houston, Texas, USA

Department of Internal Medicine, Division of Infectious Diseases, UTHealth, McGovern Medical School, Houston, Texas, USA.

出版信息

Antimicrob Agents Chemother. 2018 Oct 24;62(11). doi: 10.1128/AAC.01158-18. Print 2018 Nov.

DOI:10.1128/AAC.01158-18
PMID:30150459
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6201062/
Abstract

We tested the ability of clavulanic acid to restore the efficacy of cefazolin against TX0117, which exhibits the cefazolin inoculum effect (CzIE). In the rat infective endocarditis model, the coadministration of cefazolin plus clavulanic acid resulted in a significant reduction of bacterial counts (7.1 ± 0.5 log CFU/g) compared to that with cefazolin alone (2 ± 0.6 log CFU/g; < 0.0001). The addition of a β-lactamase inhibitor may be a viable strategy for overcoming the CzIE.

摘要

我们测试了克拉维酸恢复头孢唑林对 TX0117 疗效的能力,TX0117 表现出头孢唑林接种效应(CzIE)。在大鼠感染性心内膜炎模型中,与单独使用头孢唑林(2 ± 0.6 log CFU/g;< 0.0001)相比,头孢唑林加克拉维酸联合给药可显著降低细菌计数(7.1 ± 0.5 log CFU/g)。添加β-内酰胺酶抑制剂可能是克服 CzIE 的可行策略。