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新型头孢菌素酯Ro 41-3399的活性代谢产物Ro 40-6890的抗菌活性及纸片扩散药敏试验

Antimicrobial activity and disk diffusion susceptibility testing of Ro 40-6890, the active metabolite of the new cephalosporin ester, Ro 41-3399.

作者信息

Pfaller M A, Barry A L, Fuchs P C

机构信息

Oregon Health Sciences University, Portland 97201.

出版信息

Antimicrob Agents Chemother. 1993 Apr;37(4):893-5. doi: 10.1128/AAC.37.4.893.

DOI:10.1128/AAC.37.4.893
PMID:8494387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC187802/
Abstract

Ro 40-6890, the active metabolite of Ro 41-3399, was tested against 391 gram-negative and gram-positive clinical isolates. Ro 40-6890 was active against members of the family Enterobacteriaceae, Moraxella catarrhalis, pneumococci, other Streptococcus spp., and methicillin-susceptible staphylococci. Preliminary disk diffusion interpretive zone criteria were calculated for 5-, 10-, and 30-micrograms Ro 40-6890 disks and several possible MIC susceptibility breakpoints. We recommend the use of the 5-micrograms disk and suggest that the following zone diameters be used as breakpoints in clinical trials: susceptible, > or = 21 mm (MIC, < or = 1 microgram/ml); intermediate, 18 to 20 mm (MIC, 2 micrograms/ml); and resistant, < or = 17 mm (MIC, > or = 4 micrograms/ml).

摘要

Ro 40-6890是Ro 41-3399的活性代谢产物,对391株革兰氏阴性和革兰氏阳性临床分离株进行了测试。Ro 40-6890对肠杆菌科细菌、卡他莫拉菌、肺炎球菌、其他链球菌属以及对甲氧西林敏感的葡萄球菌具有活性。针对5微克、10微克和30微克的Ro 40-6890药敏纸片以及几个可能的最低抑菌浓度(MIC)敏感断点计算了初步的纸片扩散法解释性抑菌圈标准。我们建议使用5微克的药敏纸片,并建议在临床试验中以下抑菌圈直径用作断点:敏感,≥21毫米(MIC,≤1微克/毫升);中介,18至20毫米(MIC,2微克/毫升);耐药,≤17毫米(MIC,≥4微克/毫升)。

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本文引用的文献

1
Susceptibility tests of anaerobic bacteria: statistical and clinical considerations.厌氧菌药敏试验:统计学与临床考量
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Characterization of beta-lactamases.β-内酰胺酶的特性分析
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Antibacterial properties of Ro 40-6890, a broad-spectrum cephalosporin, and its novel orally absorbable ester, Ro 41-3399.广谱头孢菌素Ro 40-6890及其新型口服吸收性酯Ro 41-3399的抗菌特性。
Antimicrob Agents Chemother. 1992 Dec;36(12):2825-34. doi: 10.1128/AAC.36.12.2825.
4
Orally active 2-(alkyloxycarbonyl)-2-alkylideneethyl esters of cephalosporins.头孢菌素的口服活性2-(烷氧羰基)-2-亚烷基乙酯。
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