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新型胃肠外头孢菌素E1077的体外和体内抗菌活性

In vitro and in vivo antibacterial activities of E1077, a novel parenteral cephalosporin.

作者信息

Toyosawa T, Miyazaki S, Tsuji A, Yamaguchi K, Goto S

机构信息

Department of Microbiology, Toho University School of Medicine, Tokyo, Japan.

出版信息

Antimicrob Agents Chemother. 1993 Jan;37(1):60-6. doi: 10.1128/AAC.37.1.60.

Abstract

E1077, a new injectable cephalosporin with a broad antibacterial spectrum and potent antibacterial activity, was evaluated for its in vitro and in vivo antibacterial activities in comparison with those of cefpirome, cefuzonam, ceftazidime, and cefotaxime. E1077 showed broad in vitro antibacterial activity against gram-positive and gram-negative bacteria. Against methicillin-susceptible Staphylococcus aureus, E1077 was as active as cefpirome; the MIC for 90% of strains tested (MIC90) was 1.0 microgram/ml. Against methicillin-resistant S. aureus, E1077 was less active (MIC90, 64 micrograms/ml). For Enterobacter cloacae and Pseudomonas aeruginosa, E1077 was fourfold more active than cefpirome, with MIC90s of 1.0 and 16 micrograms/ml, respectively. For Proteus vulgaris, the MIC90 of E1077 was 32 micrograms/ml, which was fourfold greater than that of cefpirome. Against other gram-negative strains tested, the in vitro activity of E1077 was comparable to that of cefpirome. The broad antibacterial spectrum of E1077 was reflected by its in vivo efficacy against experimental septicemia caused by gram-positive and gram-negative bacteria. Against S. aureus 90 and P. aeruginosa E7, E1077 had activity superior to those of the reference compounds; against most other bacterial strains, the efficacy of E1077 was similar to that of cefpirome. Levels of E1077 in plasma and tissue of mice were studied. At 15 min after a single subcutaneous administration, E1077 displayed high peak levels (mean, 31.8 +/- 3.1 micrograms/ml). These results indicate that the in vitro and in vivo efficacies of E1077 are similar to those of cefpirome except against P. aeruginosa and P. vulgaris.

摘要

E1077是一种新型注射用头孢菌素,具有广谱抗菌活性,将其体外和体内抗菌活性与头孢匹罗、头孢唑南、头孢他啶和头孢噻肟进行了比较。E1077对革兰氏阳性菌和革兰氏阴性菌均表现出广泛的体外抗菌活性。对于甲氧西林敏感金黄色葡萄球菌,E1077与头孢匹罗活性相当;90%受试菌株的最低抑菌浓度(MIC90)为1.0微克/毫升。对于耐甲氧西林金黄色葡萄球菌,E1077活性较低(MIC90为64微克/毫升)。对于阴沟肠杆菌和铜绿假单胞菌,E1077的活性比头孢匹罗高4倍,MIC90分别为1.0和16微克/毫升。对于普通变形杆菌,E1077的MIC90为32微克/毫升,比头孢匹罗高4倍。对于其他受试革兰氏阴性菌株,E1077的体外活性与头孢匹罗相当。E1077的广谱抗菌活性体现在其对革兰氏阳性菌和革兰氏阴性菌引起的实验性败血症的体内疗效上。对于金黄色葡萄球菌90和铜绿假单胞菌E7,E1077的活性优于参比化合物;对于大多数其他菌株,E1077的疗效与头孢匹罗相似。研究了小鼠血浆和组织中E1077的水平。单次皮下给药后15分钟,E1077呈现出较高的峰值水平(平均值为31.8±3.1微克/毫升)。这些结果表明,除对铜绿假单胞菌和普通变形杆菌外,E1077的体外和体内疗效与头孢匹罗相似。

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