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The sensitivity of gentamicin-resistant gram-negative bacilli to cefotaxime, other cephalosporins and aminoglycosides

Die Empfindlichkeit von Gentamicin resistenten, gramnegativen Bakterien gegenüber Cefotaxim, anderen Cephalosporinen und Aminoglykosiden

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Summary

The sensitivities of 80 gentamicin-resistant gramnegative bacilli to cefotaxime, cefuroxime, cefoxitin, cefamandole, cefazolin, tobramycin, netilmicin and amikacin were determined. Amikacin was the most active aminoglycoside. However, the percentage sensitivity to cefotaxime of most of the species was higher than, or equal to, any of the other antibiotics tested. Cefotaxime was particularly active againstProvidencia spp.,Serratia spp.,Klebsiella spp., andPseudomonas maltophilia, being 16 to 256 times more active than the next best cephalosporin or cephamycin. Clinical trials of cefotaxime are now required.

Zusammenfassung

Die Empfindlichkeit von 80 Gentamicin resistenten, gramnegativen Bakterien gegenüber Cefotaxim, Cefuroxim, Cefoxitin, Cefamandol, Cefazolin, Tobramycin, Netilmicin und Amikacin wurde bestimmt. Amikacin war das wirksamste Aminoglykosid. Jedoch war die prozentuale Empfindlichkeit gegenüber Cefotaxim bei den meisten Stämmen höher oder ebenso groß wie die der anderen untersuchten Antibiotika. Cefotaxim war besonders wirksam gegenProvidencia spp.,Serratia spp.,Klebsiella spp. undPseudomonas maltophilia, dabei war es 16- bis 256mal wirksamer als das nächst beste Cephalosporin oder Cephamycin. Klinische Untersuchungen über Cefotaxim sind jetzt vonnöten.

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Stephens, M., Potten, M. & Bint, A.J. The sensitivity of gentamicin-resistant gram-negative bacilli to cefotaxime, other cephalosporins and aminoglycosides. Infection 7, 109–112 (1979). https://doi.org/10.1007/BF01641308

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