Segreti J, Kraatz J, Goldman M, Trenholme G M
Department of Internal Medicine, Rush Medical College, Chicago, Illinois 60612.
Diagn Microbiol Infect Dis. 1994 Nov;20(3):175-9. doi: 10.1016/0732-8893(94)90114-7.
The in vitro activity of FK-037, a new extended spectrum cephalosporin, was determined against 398 recent clinical isolates consisting of ceftazidime-susceptible and -resistant, aerobic Gram-negative rods, penicillin-susceptible and resistant Streptococcus pneumoniae, methicillin-resistant Staphylococcus aureus, methicillin-susceptible S. aureus, methicillin-susceptible coagulase-negative staphylococci, and methicillin-resistant coagulase-negative staphylococci. Comparative drugs included ceftazidime, imipenem, and amikacin. Susceptibility testing was performed using a broth microdilution method. FK-037 showed greater activity than ceftazidime against ceftazidime-susceptible, aerobic Gram-negative rods. FK-037 showed enhanced activity compared with ceftazidime against Gram-positive organisms, including penicillin-resistant S. pneumoniae. Mutational frequencies for representative Gram-negative rods were comparable for FK-037 and ceftazidime.
新型广谱头孢菌素FK-037对398株近期临床分离菌进行了体外活性测定,这些分离菌包括对头孢他啶敏感和耐药的需氧革兰氏阴性杆菌、对青霉素敏感和耐药的肺炎链球菌、耐甲氧西林金黄色葡萄球菌、甲氧西林敏感金黄色葡萄球菌、甲氧西林敏感凝固酶阴性葡萄球菌以及耐甲氧西林凝固酶阴性葡萄球菌。对照药物包括头孢他啶、亚胺培南和阿米卡星。采用肉汤微量稀释法进行药敏试验。FK-037对头孢他啶敏感的需氧革兰氏阴性杆菌显示出比头孢他啶更强的活性。与头孢他啶相比,FK-037对革兰氏阳性菌(包括耐青霉素肺炎链球菌)的活性增强。FK-037和头孢他啶对代表性革兰氏阴性杆菌的突变频率相当。