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新型8-甲氧基喹诺酮类药物Bay 12-8039与其他11种口服抗菌药物对从人类和动物咬伤伤口皮肤及软组织感染中分离出的390株需氧菌和厌氧菌的体外活性比较。

In vitro activity of Bay 12-8039, a new 8-methoxyquinolone, compared to the activities of 11 other oral antimicrobial agents against 390 aerobic and anaerobic bacteria isolated from human and animal bite wound skin and soft tissue infections in humans.

作者信息

Goldstein E J, Citron D M, Hudspeth M, Hunt Gerardo S, Merriam C V

机构信息

R. M. Alden Research Laboratory, Santa Monica-University of California, Los Angeles 90404, USA.

出版信息

Antimicrob Agents Chemother. 1997 Jul;41(7):1552-7. doi: 10.1128/AAC.41.7.1552.

Abstract

The in vitro activity of Bay 12-8039, a new oral 8-methoxyquinolone, was compared to the activities of 11 other oral antimicrobial agents (ciprofloxacin, levofloxacin, ofloxacin, sparfloxacin, azithromycin, clarithromycin, amoxicillin clavulanate, penicillin, cefuroxime, cefpodoxime, and doxycycline) against 250 aerobic and 140 anaerobic bacteria recently isolated from animal and human bite wound infections. Bay 12-8039 was active against all aerobic isolates, both gram-positive and gram-negative isolates, at < or = 1.0 microg/ml (MICs at which 90% of isolates are inhibited [MIC90s < or = 0.25 microg/ml) and was active against most anaerobes at < or = 0.5 microg/ml; the exceptions were Fusobacterium nucleatum and other Fusobacterium species (MIC90s, > or = 4.0 microg/ml) and one strain of Prevotella loeschii (MICs, 2.0 microg/ml). In comparison, the other quinolones tested had similar in vitro activities against the aerobic strains but were less active against the anaerobes, including peptostreptococci, Porphyromonas species, and Prevotella species. The fusobacteria were relatively resistant to all the antimicrobial agents tested except penicillin G (one penicillinase-producing strain of F. nucleatum was found) and amoxicillin clavulanate.

摘要

将新型口服8-甲氧基喹诺酮Bay 12-8039的体外活性与其他11种口服抗菌剂(环丙沙星、左氧氟沙星、氧氟沙星、司帕沙星、阿奇霉素、克拉霉素、阿莫西林克拉维酸、青霉素、头孢呋辛、头孢泊肟和多西环素)对最近从动物和人类咬伤伤口感染中分离出的250株需氧菌和140株厌氧菌的活性进行了比较。Bay 12-8039对所有需氧菌分离株,包括革兰氏阳性菌和革兰氏阴性菌分离株,在≤1.0微克/毫升时具有活性(90%分离株被抑制的最低抑菌浓度[MIC90s]≤0.25微克/毫升),对大多数厌氧菌在≤0.5微克/毫升时具有活性;例外情况是具核梭杆菌和其他梭杆菌属菌种(MIC90s≥4.0微克/毫升)以及一株洛氏普雷沃菌(最低抑菌浓度为2.0微克/毫升)。相比之下,所测试的其他喹诺酮类药物对需氧菌菌株具有相似的体外活性,但对厌氧菌,包括消化链球菌、卟啉单胞菌属菌种和普雷沃菌属菌种的活性较低。除青霉素G(发现一株产青霉素酶的具核梭杆菌)和阿莫西林克拉维酸外,梭杆菌对所有测试的抗菌剂相对耐药。

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