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新型头孢菌素的体外试验(作者译)

[In vitro testing of newer cephalosporins (author's transl)].

作者信息

Linzenmeier G, Rosenthal E

出版信息

Infection. 1979;7 Suppl 2:S225-7. doi: 10.1007/BF01641128.

Abstract

The spectrum of activity of the newer cephalosporins is considerably wider and includes a number of gram-negative bacteria. Test results using cephalothin as 'class disc' of a class of antibiotics is therefore no longer valid for the newer members. Like cefazoline, all of the above-mentioned antibiotics are more effective against Escherichia coli. Cefuroxin and cefoxitin also display increased effectiveness against Klebsiella, as do cefoxitin against Serratia and indolpositive Proteus species, and cefamandole and cefuroxime against Enterobacter. Cefotaxim is superior to all other agents, as was also demonstrated in our own inhibition zone tests; in addition cefotaxim is effective against Pseudomonas aeruginosa. Since the various pathogens do not exhibit a uniform pattern of resistance to these antibiotics, the four new agents should for the time being be tested independently of cephalothin and cefazoline.

摘要

新型头孢菌素的抗菌谱要宽得多,包括多种革兰氏阴性菌。因此,使用头孢噻吩作为一类抗生素的“标准药敏纸片”来进行测试,对新型头孢菌素已不再适用。与头孢唑林一样,上述所有抗生素对大肠杆菌的抗菌效果更佳。头孢呋辛和头孢西丁对克雷伯菌的抗菌效果也有所增强,头孢西丁对沙雷菌和吲哚阳性变形杆菌属也是如此,头孢孟多和头孢呋辛对肠杆菌属亦是如此。头孢噻肟优于所有其他药物,这在我们自己的抑菌圈试验中也得到了证实;此外,头孢噻肟对铜绿假单胞菌也有效。由于各种病原体对这些抗生素的耐药模式并不统一,这四种新药目前应独立于头孢噻吩和头孢唑林进行测试。

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