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新型碳青霉烯类药物比阿培南(L-627)对厌氧菌的体外活性

In vitro activity of biapenem (L-627), a new carbapenem, against anaerobes.

作者信息

Aldridge K E, Morice N, Schiro D D

机构信息

Department of Medicine, Louisiana State University Medical Center, New Orleans 70112.

出版信息

Antimicrob Agents Chemother. 1994 Apr;38(4):889-93. doi: 10.1128/AAC.38.4.889.

Abstract

We tested 441 clinical strains of anaerobes by using a broth microdilution method to determine the in vitro activity of biapenem for comparison with those of other agents. Biapenem had activity comparable to those of imipenem and meropenem against all groups of anaerobes with MICs for 90% of the strains tested of 0.06 to 2 micrograms/ml. Against the Bacteroides fragilis group, biapenem was more active than ampicillin-sulbactam, ticarcillin-clavulanate, piperacillin, cefoxitin, cefotaxime, and ceftriaxone. Biapenem was also active against all of the B. capillosus, Prevotella, Clostridium, and Eubacterium strains and anaerobic cocci tested. Against all of the anaerobes tested, biapenem was 32- and 4-fold more active than clindamycin and metronidazole, respectively. These data indicate broad-spectrum activity by biapenem against anaerobes.

摘要

我们采用肉汤微量稀释法检测了441株厌氧菌临床菌株,以确定比阿培南的体外活性,并与其他药物进行比较。比阿培南对所有厌氧菌的活性与亚胺培南和美罗培南相当,90%受试菌株的MIC为0.06至2微克/毫升。在脆弱拟杆菌组中,比阿培南比氨苄西林-舒巴坦、替卡西林-克拉维酸、哌拉西林、头孢西丁、头孢噻肟和头孢曲松更具活性。比阿培南对所有检测的毛细拟杆菌、普雷沃菌属、梭菌属、真杆菌属菌株及厌氧球菌也有活性。在所有受试厌氧菌中,比阿培南的活性分别比克林霉素和甲硝唑高32倍和4倍。这些数据表明比阿培南对厌氧菌具有广谱活性。

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Eur J Clin Microbiol Infect Dis. 1992 Aug;11(8):757-60. doi: 10.1007/BF01989987.

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