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[新型β-内酰胺类抗生素的活性]

[Activity of new beta-lactam antibiotics].

作者信息

Cullmann W, Stieglitz M

出版信息

Fortschr Med. 1982 May 20;100(19):888-92.

PMID:6807788
Abstract

The antibacterial activity of the newer beta-lactam compounds mezlocillin, cefuroxime, cefotaxime, ceftizoxime, cefoperazone, lamoxactam, and cefsulodin was evaluated in 335 strains of ampicillin-resistant (MIC greater than 16 mg/l) enterobacteria, 50 pseudomonas aeruginosa, 28 acinetobacter species, and 50 streptococcus faecalis isolates. With the exception of some strains, enterobacteria were inhibited by low levels of cefotaxime and ceftizoxime, respectively. Between these both compounds there was an almost complete cross-resistance. In each species lamoxactam inhibited at least 90% of the isolates. The antibacterial activity of cefoperazone against enterobacteria was decreased; however, it was active against pseudomonas aeruginosa exhibited antibacterial activity comparable to that of azlocillin. Cefsulodin proved to be the most active drug against pseudomonas aeruginosa exceeding to some extent even piperacillin. Ceftizoxime was the most active drug against acinetobacter species. Among the new cephalosporins, it was only cefoperazone that exhibitediting antibacterial activity comparable to that of azlocillin. Cefsulodin proved to be the most active drug against pseudomonas aeruginosa exceeding to some extent even piperacillin. Ceftizoxime was the most active drug against acinetobacter species. Among the new cephalosporins, it was only cefoperazone that exhibitediting antibacterial activity comparable to that of azlocillin. Cefsulodin proved to be the most active drug against pseudomonas aeruginosa exceeding to some extent even piperacillin. Ceftizoxime was the most active drug against acinetobacter species. Among the new cephalosporins, it was only cefoperazone that exhibited some activity against streptococcus faecalis, which was comparable to that of cephalothin, but markedly impaired to that of cefazedone. With respect to streptococcus faecalis, the penicillin derivatives still remain the by far most active compounds.

摘要

对335株耐氨苄西林(最低抑菌浓度大于16mg/L)的肠杆菌、50株铜绿假单胞菌、28株不动杆菌属细菌以及50株粪肠球菌分离株,评估了新型β-内酰胺类化合物美洛西林、头孢呋辛、头孢噻肟、头孢唑肟、头孢哌酮、拉氧头孢和头孢磺啶的抗菌活性。除部分菌株外,肠杆菌分别被低水平的头孢噻肟和头孢唑肟所抑制。这两种化合物之间几乎完全交叉耐药。在每个菌种中,拉氧头孢抑制了至少90%的分离株。头孢哌酮对肠杆菌的抗菌活性降低;然而,它对铜绿假单胞菌有活性,其抗菌活性与阿洛西林相当。头孢磺啶被证明是对铜绿假单胞菌最具活性的药物,甚至在一定程度上超过了哌拉西林。头孢唑肟是对不动杆菌属细菌最具活性的药物。在新型头孢菌素中,只有头孢哌酮表现出与阿洛西林相当的抗菌活性。头孢磺啶被证明是对铜绿假单胞菌最具活性的药物,甚至在一定程度上超过了哌拉西林。头孢唑肟是对不动杆菌属细菌最具活性的药物。在新型头孢菌素中,只有头孢哌酮表现出与阿洛西林相当的抗菌活性。头孢磺啶被证明是对铜绿假单胞菌最具活性的药物,甚至在一定程度上超过了哌拉西林。头孢唑肟是对不动杆菌属细菌最具活性的药物。在新型头孢菌素中,只有头孢哌酮对粪肠球菌表现出一定活性,与头孢噻吩相当,但明显低于头孢西丁。对于粪肠球菌,青霉素衍生物仍然是迄今为止最具活性的化合物。

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