Marshall S A, Jones R N
Department of Pathology, University of Iowa College of Medicine, Iowa City 52242.
Antimicrob Agents Chemother. 1993 Dec;37(12):2747-53. doi: 10.1128/AAC.37.12.2747.
DU-6859a was tested against 844 recent clinical isolates (most from bacteremias) by using reference MIC determination procedures. The activity of DU-6859a against members of the family Enterobacteriaceae was comparable to that of ciprofloxacin (range of MICs for 90% of isolates [MIC90], < or = 0.015 to 1 microgram/ml), and the highest MICs were observed among Serratia marcescens and Providencia rettgeri isolates. The DU-6859a MIC90 for Pseudomonas aeruginosa and Xanthomonas maltophilia was 0.5 microgram/ml. Pneumococci (MIC90, 0.06 microgram/ml), Haemophilus influenzae (MIC90, < or = 0.004 microgram/ml), Moraxella catarrhalis (MIC90, < or = 0.015 microgram/ml), and pathogenic neisseriae (MIC90, 0.015 to 0.03 microgram/ml) were very susceptible to DU-6859a. All staphylococci had DU-6859a MICs of < or = 1 microgram/ml, including oxacillin- and ciprofloxacin-resistant strains. DU-6859a was very active against isolates resistant to ceftazidime (MIC90, < or = 0.12 microgram/ml), ciprofloxacin (MIC90, < or = 8 micrograms/ml), and gentamicin (MIC90, < or = 1 microgram/ml).
采用参考性最低抑菌浓度(MIC)测定程序,对844株近期临床分离菌株(大多数来自菌血症)进行了DU - 6859a的测试。DU - 6859a对肠杆菌科细菌的活性与环丙沙星相当(90%分离菌株的MIC范围[MIC90],≤0.015至1微克/毫升),在粘质沙雷菌和雷氏普罗威登斯菌分离株中观察到最高MIC值。DU - 6859a对铜绿假单胞菌和嗜麦芽窄食单胞菌的MIC90为0.5微克/毫升。肺炎球菌(MIC90,0.06微克/毫升)、流感嗜血杆菌(MIC90,≤0.004微克/毫升)、卡他莫拉菌(MIC90,≤0.015微克/毫升)和致病性奈瑟菌(MIC90,0.015至0.03微克/毫升)对DU - 6859a非常敏感。所有葡萄球菌的DU - 6859a MIC值均≤1微克/毫升,包括对苯唑西林和环丙沙星耐药的菌株。DU - 6859a对头孢他啶耐药(MIC90,≤0.12微克/毫升)、环丙沙星耐药(MIC90,≤8微克/毫升)和庆大霉素耐药(MIC90,≤1微克/毫升)的分离菌株具有很高的活性。