Therapy of obstetrical infections with moxalactam

Author:

Gibbs R S,Blanco J D,Castaneda Y S,St Clair P J

Abstract

We evaluated moxalactam in 62 patients with puerperal or postabortal genital infections. In all patients, the initial dose was 6 g/day. In 84% of patients, we found anaerobes in genital specimens. Of aerobic isolates, only enterococci were resistant. Among anaerobes tested, only two isolates (a Clostridium leptum and a Bacteroides disiens) had minimal inhibitory concentrations of greater than or equal to microgram/ml. Good clinical responses occurred in 56 of 62 (90%). Moxalactam was well tolerated with little local irritation and minimal hepatic, renal, or hematological abnormalities.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference13 articles.

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1. Prospective cost analysis of moxalactam versus clindamycin plus gentamicin for endomyometritis after cesarean section;Antimicrobial Agents and Chemotherapy;1988-06

2. A review of the role of β-lactamase-producing bacteria in obstetric-gynecologic infections;American Journal of Obstetrics and Gynecology;1987-02

3. Pathophysiology and management of postcesarean endomyometritis;Obstetrics & Gynecology;1986-02

4. Infection After Cesarean Section;Clinical Obstetrics and Gynecology;1985-12

5. Acute Postpartum Infections;Emergency Medicine Clinics of North America;1985-02

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