Susceptibilities of 540 anaerobic gram-negative bacilli to amoxicillin, amoxicillin-BRL 42715, amoxicillin-clavulanate, temafloxacin, and clindamycin

Author:

Appelbaum P C1,Spangler S K1,Shiman R1,Jacobs M R1

Affiliation:

1. Department of Pathology (Clinical Microbiology), Hershey Medical Center, Pennsylvania 17033.

Abstract

Agar dilution MIC testing of amoxicillin, amoxicillin-BRL 42715, amoxicillin-clavulanate, temafloxacin, and clindamycin against 496 beta-lactamase-producing anaerobic gram-negative rods revealed MICs for 90% of the strains tested of 256.0 (amoxicillin), 2.0 (amoxicillin-BRL 42715 and amoxicillin-clavulanate), and 4.0 (temafloxacin and clindamycin) microgram/ml. Amoxicillin, temafloxacin, and clindamycin inhibited all 44 beta-lactamase-negative strains (MICs for 90% of the strains tested, less than or equal to 2.0 micrograms/ml). BRL 42715 will not be developed, but temafloxacin merits clinical evaluation.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference23 articles.

1. Appelbaum P. C. 1987. Anaerobic infections: nonsporeformers p. 45-109. In B. B. Wentworth (coordinating ed.) Diagnostic procedures for bacterial infections. American Public Health Association Washington D.C.

2. Comparative activity of 1-lactamase inhibitors YTR 830, clavulanate, and sulbactam combined with ,-lactams against P-lactamase-producing anaerobes;Appelbaum P. C.;Antimicrob. Agents Chemother.,1986

3. Characterization of 13-lactamases from non-Bacteroides fragilis group Bacteroides spp. belonging to seven species and their role in 1-lactam resistance;Appelbaum P. C.;Antimicrob. Agents Chemother.,1990

4. Evaluation of two methods for rapid testing for beta-lactamase production in Bacteroides and;Appelbaum P. C.;Fusobacterium. Eur. J. Clin. Microbiol. Infect. Dis.,1990

5. 1-Lactamase production and susceptibilities to amoxicillin, amoxicillin-clavulanate, ticarcillin, ticarcillin-clavulanate, cefoxitin, imipenem, and metronidazole of 320 non-Bacteroides fragilis Bacteroides isolates and 129 fusobacteria from 28 U.S. centers;Appelbaum P. C.;Antimicrob. Agents Chemother.,1990

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