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Killing kinetics of cefuroxime againstStreptococcus pneumoniae in an in vitro model simulating serum concentration profiles after intramuscular administration

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Abstract

The killing kinetics of cefuroxime against 25Streptococcus pneumoniae isolates with penicillin MICs of <0.1, 0.1–1.0 and 2 mg/l were studied in an in vitro model simulating the serum concentration profile in healthy adults following a single intramuscular injection of 500 mg. Cefuroxime was bactericidal against the isolates with exquisite or slightly diminished susceptibility to penicillin (−4 and −3.9 log10 cfu/ml killing, respectively) during the 6 h incubation period. In contrast, there was only a 2.8 log10 cfu/ml reduction in the initial inoculum of six of the eight isolates resistant to penicillin (MIC 2 mg/l). The two remaining penicillin-resistant isolates (cefuroxime MIC 8 mg/l) only showed a 2 log10 cfu reduction in the initial inoculum.

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References

  1. Feldman C, Kallenbach JM, Miller SD, Thorburn JR: Community-acquired pneumonia due to penicillin-resistant pneumococci. New England Journal of Medicine 1985, 313: 615–617.

    PubMed  Google Scholar 

  2. Geslin P, Buu-Hoi A, Frémaux A, Acar JF: Antimicrobial resistance inStreptococcus pneumoniae: an epidemiological survey in France, 1970–1990. Clinical Infectious Diseases 1992, 15: 95–98.

    PubMed  Google Scholar 

  3. Jacobs MR: Treatment and diagnosis of infections caused by drug-resistantStreptococcus pneumoniae. Clinical Infectious Diseases 1992, 15: 119–127.

    PubMed  Google Scholar 

  4. Marx MA, William KF: Cefuroxime axetil. Drug Intelligence and Clinical Pharmacy 1988, 22: 651–658.

    Google Scholar 

  5. Bingen E, Lambert-Zechovsky N, Doit C, Duvignaud P, Georges D, Mariani-Kurkdjian P: Killing kinetics of cefuroxime axetil againstHaemophilus influenzae in an in vitro model simulating serum concentration profiles after oral administration. Journal of Antimicrobial Chemotherapy 1991, 28: 533–536.

    PubMed  Google Scholar 

  6. Bingen E, Doit C, Lambert-Zechovsky N, Tod M, Petitjean O, Bourgeois F, Mariani-Kurkdjian P: Bactericidal activity of daptomycin against vancomycin-resistantEnterococcus faecium in an in vitro pharmacokinetic model. European Journal of Clinical Microbiology & Infectious Diseases 1991, 10: 1062–1065.

    Google Scholar 

  7. Foord RD: Cefuroxime: human pharmacokinetics. Antimicrobial Agents and Chemotherapy 1976, 9: 741–747.

    PubMed  Google Scholar 

  8. Austrian R, Gold J: Pneumococcal bacteremia with special reference to bacteremic pneumococcal pneumonia. Annals of Internal Medicine 1969, 60: 759.

    Google Scholar 

  9. Gransden WR, Eykyn SJ, Phillips I: Pneumococcal bacteraemia: 325 episodes diagnosed at St Thomas's Hospital. British Medical Journal 1985, 290: 505–508.

    PubMed  Google Scholar 

  10. Grasso S, Meinardi G, de Carneri I, Tamassia V: New in vitro model to study the effect of antibiotic and rate of elimination on antibacterial activity. Antimicrobial Agents and Chemotherapy 1978, 13: 570–576.

    PubMed  Google Scholar 

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Bingen, E., Doit, C., Farinotti, R. et al. Killing kinetics of cefuroxime againstStreptococcus pneumoniae in an in vitro model simulating serum concentration profiles after intramuscular administration. Eur. J. Clin. Microbiol. Infect. Dis. 12, 297–299 (1993). https://doi.org/10.1007/BF01967263

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