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新型头孢菌素头孢唑肟(FK 749)与其他头孢菌素类抗生素抗菌活性的比较。

Comparison of antibacterial activity of a new cephalosporin, ceftizoxime (FK 749) with other cephalosporin antibiotics.

作者信息

Nishida M, Kamimura T, Okada N, Matsumoto Y, Mine Y, Murakawa T, Goto S, Kuwahara S

出版信息

J Antibiot (Tokyo). 1979 Dec;32(12):1319-27. doi: 10.7164/antibiotics.32.1319.

Abstract

FK 749 is a distinctive new parenteral cephalosporin antibiotic with a broad antibacterial spectrum which is more potently active against a wide variety of Gram-negative bacilli, including the opportunistic pathogens such as Citrobacter and Enterobacter species and Serratia marcescens, than SCE 963, T 1551 and cefmetazole. The activity of FK 749 against Escherichia coli, Klebsiella pneumoniae, pyogenes was by far superior to that of the three other antibiotics. These test organisms were not resistant to FK 749. The antibacterial activity of FK 749 against Pseudomonas aeruginosa was almost the same as that of ticarcillin but was inferior to that of gentamicin and T 1551. The bactericidal activity of FK 749 against E. coli, K. pneumoniae and Proteus mirabilis was more potent than that of the three other antibiotics. FK 749, like cefmetazole, was extremely stable to beta-lactamases. In studies in mice, the therapeutic effect of subcutaneous injection of FK 749 against various infections due to Gram-negative bacilli was by far superior to that of SCE 963, T 1551 and cefmetazole, was almost the same as that of SCE 963 and cefmetazole against Staphylococcus aureus infection and that of ticarcillin against P. aeruginosa infection.

摘要

FK 749是一种独特的新型胃肠外头孢菌素抗生素,抗菌谱广,对多种革兰氏阴性杆菌,包括柠檬酸杆菌、肠杆菌属和粘质沙雷氏菌等机会致病菌的活性比SCE 963、T 1551和头孢美唑更强。FK 749对大肠杆菌、肺炎克雷伯菌、化脓性细菌的活性远比其他三种抗生素优越。这些测试菌株对FK 749不耐药。FK 749对铜绿假单胞菌的抗菌活性与替卡西林几乎相同,但低于庆大霉素和T 1551。FK 749对大肠杆菌、肺炎克雷伯菌和奇异变形杆菌的杀菌活性比其他三种抗生素更强。FK 749与头孢美唑一样,对β-内酰胺酶极其稳定。在小鼠研究中,皮下注射FK 749对革兰氏阴性杆菌引起的各种感染的治疗效果远比SCE 963、T 1551和头孢美唑优越,对金黄色葡萄球菌感染的治疗效果与SCE 963和头孢美唑几乎相同,对铜绿假单胞菌感染的治疗效果与替卡西林相同。

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