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cefotaxime pharmacokinetics and treatment of meningitis in neonates.pharmacokinetic studies on cefotaxime/desacetylcefotaxime were carried out in very low birth weight newborns (n = 18; 500-1500 g; 28.4 +/- 2.4 weeks gestational age) during the first week of life. we have previously reported that the elimination t 1/2 of cefotaxime (3.4-6.4 h) and desacetylcefotaxime (9.4 h) was longer than previously described in term infants and children. in very low birth weight neonates, a single 50 mg/kg daily dose of cefotaxime may produce accumulation of the metabolite de ...19892689352
intravenous sulbactam/ampicillin in the treatment of pediatric infections.a total of 82 patients involving 83 episodes of proven or presumed bacterial infection were treated with sulbactam/ampicillin. these included 36 cases of soft tissue infection or abscess, four cases of joint or bone infection, 20 cases of respiratory tract infection (17 cases of pneumonia, two of otitis media, and one of tonsillitis), 15 urinary tract infections, three cases of enterocolitis, one case of infective endocarditis, two cases of septicemia, and two of peritonitis. the causative patho ...19892686918
intravenous/oral ciprofloxacin therapy versus intravenous ceftazidime therapy for selected bacterial infections.the efficacy and toxicity of sequential intravenous and oral ciprofloxacin therapy was compared with intravenously administered ceftazidime in a prospective, randomized, controlled, non-blinded trial. thirty-two patients (16 patients receiving ciprofloxacin and 16 patients receiving ceftazidime) with 38 infections caused by susceptible pseudomonas aeruginosa, enteric gram-negative rods, salmonella group b, serratia marcescens, pseudomonas cepacia, and xanthomonas maltophilia at various sites wer ...19892686417
beta-lactamase-catalyzed aminolysis of depsipeptides: proof of the nonexistence of a specific d-phenylalanine/enzyme complex by double-label isotope trapping.the steady-state kinetics of the enterobacter cloacae p99 beta-lactamase-catalyzed aminolysis of the depsipeptide m-[[(phenylacetyl)glycyl]oxy]benzoic acid by d-phenylalanine were consistent with an ordered sequential mechanism with d-phenylalanine binding first [pazhanisamy, s., govardhan, c. p., & pratt, r. f. (1989) biochemistry (first of three papers in this issue)]. in terms of this mechanism, the kinetics data required that in 20 mm mops buffer, ph 7.5, the dissociation constant of the ini ...19892684267
epidemic of serratia marcescens bacteremia in a cardiac intensive care unit.from 16 july through 27 september 1988, seven cases of nosocomial serratia marcescens bacteremia occurred in a cardiac care unit. in all seven case patients, s. marcescens was isolated from blood cultures. two of the seven had other microorganisms identified in the blood culture in which s. marcescens was recovered; one had enterobacter cloacae, and one had klebsiella pneumoniae. a case-control study was conducted to identify risk factors for bloodstream infection. case patients were more likely ...19892681247
evaluation of numerical analysis of sds-page of protein patterns for typing enterobacter cloacae.twenty cultures comprising 13 clinical isolates of enterobacter cloacae from two hospitals, the type and another reference stain of e. cloacae and the type strains of four other enterobacter sp. and of escherichia coli, were characterized by one-dimensional sodium dodecyl sulphate-polyacrylamide gel electrophoresis (sds-page) of whole-cell proteins. the protein patterns were highly reproducible and were used as the basis of a numerical analysis which divided the clinical isolates into nine clear ...19892680547
electrophoretic typing of enterobacter cloacae with a limited set of enzyme stains.hospital isolates of enterobacter cloacae were analysed by polyacrylamide gel electrophoresis for enzyme polymorphism and the results were compared with established serotyping, phage typing and biotyping techniques. initially, the diversity of electromorphs of 13 enzymes was determined on a representative set of 62 distinct strains. two broad clusters of strains were found in the species, and analysis by serotype suggested a limited diversity within the most frequent o serotypes. a subset of thr ...19892680546
[antibacterial and bactericidal activities of japanese green tea].we found that extracts of japanese green tea leaves inhibited the growth of various bacteria causing diarrheal diseases. all tea samples tested showed antibacterial activity against staphylococcus aureus, s. epidermidis, vibrio cholerae o1, v. cholerae non o1. v. parahaemolyticus, v. mimicus, campylobacter jejuni and plesiomonas shigelloides. none of the tea samples had any effect on the growth of v. fluvialis, aeromonas sobria, a. hydrophila, pseudomonas aeruginosa, salmonella enteritidis, ente ...19892677434
the virulence of enterobacter cloacae and serratia marcescens in experimental bladder infection in diabetic mice.diabetic mice were significantly more susceptible than normal mice to bladder infection with enterobacter cloacae or serratia marcescens but not to intraperitoneal infection. normal urine inhibited the growth of e. cloacae and s. marcescens, whereas urine from diabetic mice permitted multiplication. the addition of urea to urine from diabetic mice restored its antibacterial properties for e. cloacae and s. marcescens. we consider that the decreased urea content of the urine of diabetic mice was ...19892677380
in-vitro activity of fce 22101 and other beta-lactam antibiotics against enterobacteriaceae resistant to third generation cephalosporins.the in-vitro activity of fce 22101 was compared with those of imipenem, aztreonam, cefotaxime, ceftriaxone and latamoxef against 225 enterobacteriaceae (209 clinical isolates and 16 derivatives of escherichia coli k12) chosen for their resistance (mic greater than or equal to 8 mg/l) to third-generation cephalosporins. the beta-lactamases produced by the strains of enterobacter cloacae, klebsiella pneumoniae and esch. coli were identified. the mean mics of fce 22101 were 2-8 mg/l for ent. cloaca ...19892676939
"spontaneous" pneumocephalus associated with aerobic bacteremia.three cases of "spontaneous" pneumocephalus suspected to have resulted from aerobic bacteremia caused by enterobacter cloacae, escherichia coli, and klebsiella aerogenes are reported. in two cases, the e. cloacae and k. aerogenes were isolated from the cerebrospinal fluid. these cases were characterized by a rapid accumulation of air, without niveau, in the subarachnoid space and ventricles.19892670144
[susceptibilities of clinical isolates to antibacterial agents. a study mainly focused on ofloxacin (the second report). reported by the research group for testing ofloxacin susceptibility on clinical isolates].susceptibilities of various clinical isolates to ofloxacin (oflx) and other antibacterial drugs were examined at 128 hospital laboratories in 36 prefectures throughout japan between april, 1986 and march, 1987. the results were totalized with an emphasis mainly on oflx and were compared with data obtained in the previous year. in this study, identification and susceptibility tests of the isolates were carried out at each hospital laboratory and the tests were performed according to the 1-dilutio ...19892664255
comparison of the in vitro and in vivo antibacterial activities of cefepime (bmy-28142) with ceftazidime, cefuzonam, cefotaxime and cefmenoxime.cefepime (bmy-28142), a new semisynthetic cephalosporin, was evaluated for in vitro and in vivo antibacterial activities in comparison with ceftazidime, cefuzonam, cefotaxime and cefmenoxime. cefepime showed a well-balanced, broad spectrum of activity against a number of clinical isolates collected in japan. the activity of cefepime against gram-positive bacteria was several times greater than that of ceftazidime, nearly comparable to cefotaxime and cefmenoxime, and slightly weaker than cefuzona ...19892663406
fce 22101 and fce 22891: in-vitro antibacterial activity at concentrations simulating human plasma levels following intravenous, intramuscular and oral administration.the plasma concentrations of fce 22101 observed following slow intravenous infusions (1 and 4 h), intramuscular injection and after oral administration of the prodrug fce 22891 were simulated in a glass chamber containing bacterial cultures. the bacteria used were staphylococcus aureus atcc 13709, staph. aureus 2101 (methicillin-resistant), streptococcus faecium atcc 8043, escherichia coli atcc 12407, enterobacter cloacae 1321e and ent. cloacae p99 (cefazolin-resistant). addition of fce 22101 wa ...19892659570
l-658,310, a new injectable cephalosporin. iii. experimental chemotherapeutics and pharmacokinetics in laboratory animals.the therapeutic activity of l-658,310 was demonstrated in experimental bacteremias in normal, diabetic and neutropenic mice. especially potent activity was shown against the usually difficult to control pathogens, enterobacter cloacae and pseudomonas aeruginosa, that were resistant to ceftazidime and/or gentamicin. pharmacokinetic studies in mice showed a linear dose response in serum after the 20 and 50 mg/kg subcutaneous dose and urinary recoveries of administered dose of about 60% in 6 hours. ...19892656617
spontaneous focal intestinal perforation in prematurity: report of three cases.three premature neonates with a localized perforation of the intestine, but not associated with necrotizing enterocolitis (nec) or gastrointestinal anomaly are reported. the birth weight of these babies was around 1500 g and they exhibited striking similarities in the clinical course. before laparotomy, nec was firstly impressed. abdominal distension, refusal of feedings, poor activity and respiratory distress were the major manifestations. pneumoperitoneum was all detected before operation. the ...19892637614
a clinical evaluation of sulbactam/ampicillin in the treatment of pediatric infections.we have treated 42 episodes of pediatric infections with sulbactam/ampicillin since 1987. included were 9 cellulitis, 9 urinary tract infections, 5 cervical lymphadenitis, 4 meningitis, 2 thoracic empyema, 2 osteomyelitis, 2 sepsis, 1 furuncle, 1 perianal abscess, 1 dental abscess, 1 peritonsillitis, 1 salmonellosis, 1 shigellosis, 1 peritonitis, 1 suppurative thyroiditis, 1 infective endocarditis. responsible pathogens were escherichia coli in 8, staphylococcus aureus in 6, hemophilus influenza ...19892637593
oral gram-negative bacilli in bone marrow transplant patients given chlorhexidine rinses.fifteen bone marrow transplant (bmt) patients who received three 0.12% chlorhexidine digluconate (chx) mouthrinses daily for eight weeks were monitored weekly for the occurrence of oral opportunistic gram-negative bacilli (gnb). tongue and buccal mucosa were sampled with use of culturette swabs that were streaked on plates containing selective macconkey agar. after incubation, colony-forming units were scored and putative gnb classified with use of the api 20e rapid identification system and sup ...19892632605
a comparison of aztreonam and imipenem induction of class i beta-lactamase in enterobacter cloacae atcc 13047.aztreonam and imipenem were shown to induce class i beta-lactamase in enterobacter cloacae atcc 13047 to a similar extent. quantitatively, however, aztreonam was far less efficient as an inducer than imipenem. optimum induction by aztreonam required a concentration of 200 mg/l, which was 800-fold greater than the concentration of 0.25 mg/l of imipenem which resulted in the optimum induction. the differences in the concentrations of aztreonam and imipenem that gave optimum induction were related ...19892621176
antibacterial activity of the new carbapenem meropenem (sm-7338) against clinical isolates.the in vitro antibacterial activity of the new carbapenem antibiotic meropenem (sm-7338) against 567 clinical isolates was evaluated. sm-7338 exhibited activity against a broad spectrum of organisms, including aerobes and anaerobes, and was superior to the other beta-lactam drugs tested (piperacillin, cefotaxime, ceftazidime, ceftriaxone, cefoxitin). sm-7338 was more active than imipenem, gentamicin and amikacin against enterobacter cloacae and pseudomonas aeruginosa. sm-7338 was less potent tha ...19892620673
enumeration of enterobacter cloacae after chloramine exposure.growth of enterobacter cloacae on various media was compared after disinfection. this was done to examine the effects of monochloramine and chlorine on the enumeration of coliforms. the media used were tly (nonselective; 5.5% tryptic soy broth, 0.3% yeast extract, 1.0% lactose, and 1.5% bacto-agar), m-t7 (selective; developed to recover injured coliforms), m-endo (selective; contains sodium sulfite), tlys (tly with sodium sulfite), and m-t7s (m-t7 with sodium sulfite). sodium sulfite in any medi ...19892619309
glutathione transferase in bacteria: subunit composition and antigenic characterization.the presence of glutathione transferase (gst; ec 2.5.1.18) in escherichia coli atcc 25922, e. coli atcc 25422, proteus vulgaris atcc 8427, pseudomonas aeruginosa atcc 27853, klebsiella oxytoca cip 666, k. oxytoca af 101, enterobacter cloacae cip 6085, serratia marcescens cip 6755, and proteus mirabilis af 2924 was investigated. using 1-chloro-2,4-dinitrobenzene as substrate, gst activity was found in the glutathione-(gsh-)affinity-purified fraction of all strains tested. sds-page analysis of gsh ...19892614380
regulation of enterobacterial cephalosporinase production: the role of a membrane-bound sensory transducer.in clinical isolates of enterobacter cloacae, resistance to the newer beta-lactam antibiotics often results from overproduction of a cephalosporinase encoded by the beta-lactam-inducible ampc gene. regulation of ampc is controlled by the divergently expressed activator gene, ampr, and a second unlinked locus. in this presentation we show that although escherichia coli has lost its ampr gene it has retained the second regulatory locus and that this comprises the bicistronic ampde operon. genetic ...19892607970
clavulanate and beta-lactamase induction.concern has been expressed that clavulanate can antagonize ticarcillin against enterobacteria and pseudomonads that have inducible expression of chromosomal 'class i' beta-lactamases. it is suggested that clavulanate-induced enzyme inactivates ticarcillin, which itself is a feeble inducer. we confirmed that this mechanism applied, showing that antagonism was abolished in beta-lactamase-basal mutants of inducible strains. antagonism has been reported in double disc tests with strains of pseudomon ...19892606817
in vitro activity of sulbactam in combination with various beta-lactam antibiotics.forty-three strains (beta-lactamase positive and negative) from the species of haemophilus influenzae, neisseria gonorrhoeae, staphylococcus aureus, escherichia coli, serratia marcescens, enterobacter cloacae, acinetobacter baumanii, and pseudomonas aeruginosa were studied for synergy between sulbactam and several beta-lactam antibiotics. using a checkerboard method, synergy was observed with 10 to 55% of the beta-lactamase negative strains. synergy was more frequent with the strains producing b ...19892591176
ciprofloxacin in neonatal enterobacter cloacae septicaemia.multiresistant enterobacter cloacae infection in six premature infants was eradicated with intravenous ciprofloxacin (10 mg/kg/day). bacterial resistance did not develop. adequate plasma ciprofloxacin concentrations were achieved in all treated patients. no clinical evidence of side effects was observed.19892589876
hygienic status of food handlers.the study demonstrated bacterial species on hands and nails of food-handlers before and after hand-washing. those were staphylococcus spp., streptococcus spp., micrococcus spp., bacillus spp., diphtheroid, aeromonas hydrophila, klebsiella pneumoniae, acinetobacter, enterobacter cloacae, escherichia coli, pseudomonas spp., proteus mirabilis, serratia spp., citrobacter freundii. before hand washing, each food-handler harboured one to eight bacterial species. after hand-washing (eight with water fr ...19892584903
diagnostic considerations and interpretation of microbiological findings for evaluation of chronic prostatitis.seventy-five patients attending a clinic for chronic prostatitis were evaluated by use of lower urinary tract localization cultures. coagulase-negative staphylococci, alpha-hemolytic streptococci, and diphtheroids were the most common isolates, but none of these organisms were pathogens, based on the absence of bacteriuria or evidence of an inflammatory response in prostatic secretions. recognized uropathogens were isolated in 12 (16%) of the 75 cases and included escherichia coli in 6 cases, en ...19892584375
construction and comparison of recombinant plasmids encoding type 1 fimbriae of members of the family enterobacteriaceae.the genes encoding type 1 fimbriae of salmonella typhimurium, enterobacter cloacae, and serratia marcescens were cloned in escherichia coli. all transformants possessing recombinant plasmids were shown to be fimbriate and demonstrated mannose-sensitive hemagglutinating activity. a comparison of the physical maps of these plasmids revealed little similarity among them, although plasmids encoding type 1 fimbriae of escherichia coli and klebsiella pneumoniae appeared similar with respect to restric ...19852580786
purification of legionella pneumophila major outer membrane protein and demonstration that it is a porin.we have purified the major outer membrane protein (momp) of legionella pneumophila, determined that it is associated with peptidoglycan, and characterized it as a porin. to purify the momp, we used a simple, rapid, three-step procedure that gave us the protein in high yield. the first step of the purification procedure involved selectively extracting the momp from whole bacterial cells with calcium and zwitterionic detergent. the second and third steps achieved purification by ion-exchange and m ...19852579942
enterobacter cloacae in a haematology/oncology ward--first impressions.the observation that enterobacter cloacae has emerged as a cause of infection in a haematology/oncology ward prompted a prospective study over an eight-month period. sensitivity to antibiotics, plasmid screening and typing methods were used to describe the epidemiology of the organism which was isolated from 22 patients. there was evidence of a limited amount of cross infection. no common sources were found. a large number of distinct strains were identified. e. cloacae infection was associated ...19892575626
type 3 fimbriae among enterobacteria and the ability of spermidine to inhibit mr/k hemagglutination.the distribution of the gene cluster encoding type 3 fimbriae among various isolates of the family enterobacteriaceae was investigated by using 112 clinical and nonclinical isolates. closely related dna sequences were detected in all klebsiella strains, in most enterobacter isolates, in a smaller number of escherichia coli and salmonella spp., and in a single isolate each of yersinia enterocolitica and serratia liquefaciens but not in isolates of morganella or providencia species or serratia mar ...19892562835
nucleotide sequence of the aacc2 gene, a gentamicin resistance determinant involved in a hospital epidemic of multiply resistant members of the family enterobacteriaceae.a gentamicin resistance determinant of a conjugative plasmid from enterobacter cloacae was cloned on a 3.2-kilobase fragment in the psti site of pbr322. substrate profiles for eight aminoglycosides at three concentrations showed that the resistance was due to aminoglycoside-(3)-n-acetyltransferase isoenzyme ii. insertion mapping by the gamma-delta transposon revealed that the size of the gene was approximately 1 kilobase. nucleotide sequencing of the aacc2 gene identified an open reading frame o ...19892552900
resistance emerging after pefloxacin therapy of experimental enterobacter cloacae peritonitis.resistance emerging after pefloxacin therapy was investigated in an experimental enterobacter cloacae infection. mice were inoculated intraperitoneally (mean inoculum, 0.9 x 10(8) cfu) with one of four strains initially susceptible to quinolones and treated with a single 25-mg/kg dose of pefloxacin. this therapy produced a net decrease of bacterial counts in the peritoneal fluid, but with the of the isolates, posttherapy (pt1) strains emerged with decreased susceptibilities to quinolones (4- to ...19892548441
[detection of hyperproduction of chromosomal beta-lactamase in strains of escherichia coli, enterobacter cloacae and pseudomonas aeruginosa].in order to show up the hyperproduction of chromosomic beta-lactamases in strains of enterobacteriaceae and pseudomonas aeruginosa we have tested a variant of a technique proposed by medeiros et al. it is a qualitative technique and, the modification introduced allows errors of interpretation to be avoided, when the strain is a producer of plasmidic beta-lactamase. it is based on evaluating the amount of beta-lactamase in a culture, measured in time taken for the hydrolysis of nitrocefin, with o ...19892518766
the microbial ecology of soybean soaking for tempe production.soybeans soaked in tap water for 24 to 36 h at 20, 30 or 37 degrees c underwent a natural fermentation that was characterized by the growth of microorganisms to 10(8)-10(10) cfu/ml (depending on temperature) and a reduction of ph from 6.5 to 4.5. lactobacillus casei, streptococcus faecium, staphylococcus epidermidis and streptococcus dysgalactiae dominated the fermentation but, significant contributions were also made by klebsiella pneumoniae, klebsiella ozaenae, enterobacter cloacae, enterobact ...19892518226
multiorgan failure from the inadvertent intravenous administration of enteral feeding.nasogastric tube-feeding was inadvertently administered parenterally to a 65-year-old woman with chronic lymphocytic leukemia. administration was discontinued after approximately 8 hr of infusion. the patient manifested acute renal failure, respiratory failure, hepatic insufficiency, and high-output septic shock requiring invasive hemodynamic monitoring, peritoneal dialysis, mechanical ventilation, and broad spectrum intravenous antibiotics. blood cultures were positive for alpha-hemolytic strep ...19892515314
antibacterial activity and beta-lactamase stability of mdl 19,592, an oral cephalosporin.we compared the in vitro activity and beta-lactamase stability of mdl 19,592, an orally absorbed cephalosporin, with that of cephalexin and cefaclor. it inhabited staphylococcus aureus at less than or equal to 4 micrograms/ml, streptococcus pyogenes at 0.25 microgram/ml, sero groups b, c and g streptococci at 1 microgram/ml, and streptococcus pneumoniae at 2 micrograms/ml. it was slightly more active than cefaclor and cephalexin. mdl 19,592 did not significantly inhibit enterobacteriaceae, enter ...19892515027
in vitro antibacterial activity and beta-lactamase stability of the new carbapenem sm-7338.the in vitro activity of the new carbapenem sm-7338 was tested in comparison with imipenem, ceftazidime, cefotaxime, flomoxef, cefuzonam and cefmetazole against 2850 clinical bacterial isolates. sm-7338 showed good activity against a broad spectrum of gram-positive and gram-negative bacteria. sm-7338 was very active against gram-negative bacteria, inhibiting all enterobacteriaceae, except 25% of serratia marcescens isolates, at a concentration of 0.78 mg/l. sm-7338 inhibited the majority of pseu ...19892512140
endotoxemia and human liver transplantation.ninety liver transplantations were performed in 81 patients. plasma endotoxin was measured preoperatively, at the end of the anhepatic phase, and on postoperative days 1, 3, and 7. the presence of high endotoxin levels preoperatively and at the end of the anhepatic period was associated with graft failure and a high mortality. patients with primary nonfunction of their transplants typically had severe endotoxemia. endotoxemia could be a cause rather than an effect of perioperative complications ...19892510378
the emergence of beta-lactam resistance among strains of enterobacter cloacae and pseudomonas aeruginosa.the development of multiresistant bacterial strains associated with the use of the new beta-lactam antibiotic agents has prompted investigation into the mechanisms involved. factors influencing beta-lactamase production, alterations of target-protein structure or production and decreases in bacterial outer membrane permeability have been identified as the three general mechanisms of beta-lactam resistance in aerobic gram-negative bacteria. because there is no dna interaction by beta-lactam agent ...19892510122
[susceptibility of clinical isolates to aztreonam].in vitro antibacterial activities of 9 antibiotics including aztreonam (azt) against clinically isolated gram-negative bacteria were determined using mic-2000 plus system. bacteria were isolated from clinical materials in saga medical school during a period from may 1987 to march 1988. summarized results were as follows: 1. azt showed excellent antibacterial activities against escherichia coli, klebsiella pneumoniae, proteus sp. and haemophilus influenzae, and mic80 values of azt against these o ...19892507799
[investigations on the etiology of sepsis by using an experimental mouse model with leukocytopenia. 2. the role of the reticuloendothelial system in the etiology of bacteremia].it has been recognized by clinical data that most of sepsis occurring in the immunocompromised host are endogenous infection. in recent years, we have investigated the mechanism of these bacteremia and sepsis by experimental studies using neutropenic mice treated with cyclophosphamide. and we evidenced that most pathogens causing bacteremia originated in the intestinal flora of the host. it has been shown that bacteria causing bacteremia were divided into two main groups, causing systemic bacter ...19892507683
in vitro activity of lomefloxacin against multiply resistant pseudomonas aeruginosa, enterobacter cloacae, and staphylococcus epidermidis.lomefloxacin is a promising new difluorinated quinolone with good antimicrobial activity and favorable pharmacokinetic properties. the in vitro activity of lomefloxacin was compared to other quinolones, expanded spectrum beta-lactams, and gentamicin. the lomefloxacin mic90 against multiply resistant strains of p. aeruginosa was 4 mcg/ml, comparable to norfloxacin and ofloxacin. lomefloxacin was also active against methicillin-resistant s. epidermidis and jk corynebacteria. the role of lomefloxac ...19892507220
dactimicin, a new aminoglycoside: in vitro activity, post-antibiotic effect and interaction with other antibiotics.the in vitro activity of the new aminoglycoside dactimicin in comparison to amikacin was tested alone and in combination with piperacillin, mezlocillin and ceftazidime against freshly isolated clinical pathogens. dactimicin was more active than amikacin against enterobacter cloacae, providencia rettgeri and salmonella spp., and less active than amikacin against escherichia coli, pseudomonas aeruginosa and acinetobacter anitratus. using the checkerboard technique, the combination of either dactim ...19892506028
in vitro antibacterial properties of cefetamet and in vivo activity of its orally absorbable ester derivative, cefetamet pivoxil.the in vitro activity of cefetamet, the microbiologically active metabolite of the orally administered prodrug cefetamet pivoxil, was compared with that of cephalexin, cefaclor, cefuroxime and amoxicillin. cefetamet was highly active against enterobacteriaceae, neisseria spp., vibrio spp., haemophilus influenzae and streptococci other than enterococci. cefetamet inhibited cefaclor-resistant species such as proteus vulgaris, providencia stuartii, providencia rettgeri and serratia marcescens. stap ...19892504597
contaminated enteral nutrition solutions as a cause of nosocomial bloodstream infection: a study using plasmid fingerprinting.in july 1984, two patients fed enteral nutrition solutions contaminated with enterobacter cloacae developed nosocomial bacteremia. despite careful review of the preparation procedures as well as repeated microbiological surveys, 83 (27%) of the 309 formula bottles tested over a 1-yr period were contaminated and the source of contamination remained unknown. e. cloacae was the most frequent organism isolated (34%). the plasmid profiles of e. cloacae recovered from enteral nutrition solutions remai ...19892503632
product of the lactococcus lactis gene required for malolactic fermentation is homologous to a family of positive regulators.malolactic fermentation is a secondary fermentation that many lactic acid bacteria can carry out when l-malate is present in the medium. the activation of the malolactic system in lactococcus lactis is mediated by a locus we call mler. induction of the genes necessary to perform malolactic fermentation occurs only in bacteria with a functional copy of mler. the mler gene consists of one open reading frame capable of coding for a protein with a calculated molecular mass of 33,813 daltons. the ami ...19892498286
sequence of the pseudomonas aeruginosa trpi activator gene and relatedness of trpi to other procaryotic regulatory genes.in pseudomonas aeruginosa, the trpi gene product regulates the expression of the trpba gene pair encoding tryptophan synthase. trpi and trpba are transcribed divergently. the trpi dna sequence and deduced amino acid sequence were determined. the trpi start codon was found to be 103 base pairs from that of trpb. trpi encodes a 293-residue protein and the size of the trpi gene product, measured on sodium dodecyl sulfatepolyacrylamide gels, was close to that calculated from the amino acid sequence. ...19892492495
[activity of cefpirome against bacteria isolated from hospitalized patients].the activity of cefpirome (hr 810) was evaluated against 247 strains isolated from patients developing their infections while in a hospital in buenos aires. its activity against gram negative bacilli was compared with ceftriaxone, ceftazidime, cephalotin, piperacillin, amikacin, gentamicin and norfloxacin. in terms of mic50 and mic90 (mg/l) it was as follows: klebsiella pneumoniae: less than 0.125, less than 2.0; pseudomonas aeruginosa: less than 8, less than 16; escherichia coli: less than 0.01 ...19892487748
[a microbial growth study in parenteral nutrition].study on the behaviour of five microorganisms in different formulations of parenteral nutrition (pn) different from each other with regard to the presence or absence of lipids and the addition of vitamins or oligoelements. the bacteria investigated were staphylococcus aureus (atcc 12600), bacillus subtilis (atcc 6051), pseudomonas aeruginosa (atcc 9027) and enterobacter cloacae (atcc 13047), as well as candida albicans (lsh 3156 d). it was observed that c. albicans grew well in all types of pn t ...19892485358
[the bacteriological control of tpn mixtures at the hospital de bellvitge].the complications of sepsis often make it necessary to suspend nutritional therapy. the origin of these is the nutritive mixture as well as the catheter connection and/or point where it has been inserted. the aim of this study is to show the need for bacteriological control of the whole process, in order to evaluate the effectiveness of the methods used, dilucidate the origin of the sepsis and establish an internal quality control. study of different methods for bacteriological control of the nu ...19892485355
purification of a class c a-type beta-lactamase from a derepressed strain of enterobacter cloacae. comparison of the wild-type and mutant enzyme with those from strains p99, 208 and gn7471.enterobacter cloacae strain 5822 expresses low levels of a class c beta-lactamase which can be induced 100-fold by imipenem. mutants that constitutively express high levels of beta-lactamase can be selected on aztreonam or cefotaxime. the beta-lactamase from one such mutant (5822m2) has been purified to homogeneity and compared on the basis of subunit mr, pi, substrate specificity, inhibitor sensitivity and immunological cross-reactivity with the enzyme from strains p99, gn7471 and 208, which ha ...19892475102
structure of the o-specific polysaccharide from enterobacter cloacae strain n.c.t.c. 11579 (serogroup o10).the o-specific polysaccharide from the reference strain (n.c.t.c. 11579) for enterobacter cloacae serogroup o10 has been isolated and characterised. by means of n.m.r. spectroscopy and methylation analysis, and by studies of the products obtained by smith degradation or by n-deacetylation-deamination, the repeating unit of the polysaccharide could be allocated the structure shown. the polysaccharides from two cross-reacting serogroups (o9 and o11) have the same monosaccharide composition. (formu ...19892472202
effects of increased major histocompatibility complex dosage on chicken monocyte-macrophage function.the influence of major histocompatibility complex (b complex) dosage on monocyte-macrophage function was examined using 4- to 6-week-old trisomic strain chickens. di- (b15b15), tri- (b15b15b15), and tetrasomic (b15b15b15b15) progeny were produced from trisomic x trisomic crosses. although mononuclear leukocytes from tetrasomics exhibited enhanced chemotactic activity in response to both f-met-leu-phe and enterobacter cloacae culture supernatant as compared with that of cells from other groups, t ...19892464833
bacterial lysis of fibrin seal in vitro.we performed an in vitro study to determine whether certain bacteria may lyse a commercially available fibrin seal (beriplast, behringwerke, marburg, frg). fibrinogen solution was mixed with actively growing bacterial cultures, and thrombin was added. during 20 days of incubation at 37 degrees c complete lysis was observed with a number of different bacteria, however, at different rates. complete lysis within 1-5 days was observed for the following species (number of strains in parentheses): str ...19882456934
pore formation by pho-controlled outer-membrane proteins of various enterobacteriaceae in lipid bilayers.the structural genes of the phoe porins of klebsiella pneumonia, enterobacter cloacae and escherichia coli c, cloned in multicopy plasmids, were transfered into a porin-deficient e. coli k-12 strain, which was constitutive for the pho regulon, and the phoe porins were isolated and purified. phoe of salmonella typhimurium could not be cloned but was isolated from a pho-constitutive strain. reconstitution experiments with artificial lipid bilayer membranes showed that the different phoe proteins f ...19882453363
non-ige-dependent bacteria-induced histamine release from human lung and tonsillar mast cells.a wide spectrum of formalin-killed bacteria have been tested for their ability to release histamine from human dispersed lung and tonsillar mast cells. escherichia coli, enterobacter cloacae, staphylococcus epidermidis, proteus vulgaris, klebsiella oxytoca and k. pneumoniae were the most effective histamine releasers. further studies on tonsillar mast cells showed that e. coli-induced histamine release differed from ige-dependent release with respect to its kinetics, temperature and ph profiles ...19872441900
pericarditis in the course of acute leukemia.among 140 patients with acute leukemia (al) diagnosed according to fab criteria, pericarditis was diagnosed clinically in 5 of them. they were 2 women and 3 men with different types of al (l2-in one, m2-in one, m3-in one and m4-in two persons). it occurred in one patient at the onset of the disease and was associated with hyperuricemia, in another one--in complete remission, in the third--during partial remission, and in remaining two patients--during induction therapy. in all patients pericardi ...19872440778
induction of germ-line anti-alpha 1-3 dextran antibody responses in mice by members of the enterobacteriaceae family.a large panel of enteric organisms was screened for agglutination with a panel of lambda monoclonal antibodies of different heavy chain isotypes specific for alpha 1-3 dextran (dex). two strains were initially isolated that were bound by most of the anti-dex antibodies. one organism, enterobacter cloacae strain mk7, which was characterized in detail, induced a typical lambda anti-dex response in igh-ca mice that had a fine idiotope profile comparable with that induced by purified b1355s dextran ...19852413122
comparison of the exoproducts of gram-negative bacteria by sds-page.the protein exoproducts released during exponential growth of gram-negative bacteria were analysed and compared by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (sds-page). the following bacterial strains were tested: escherichia coli, klebsiella pneumoniae, citrobacter freundii, enterobacter cloacae, serratia liquefaciens, serratia rubidaea, proteus mirabilis, proteus vulgaris, salmonella minnesota, pseudomonas aeruginosa and pseudomonas fluorescens. it is demonstrated by sds-page t ...19852408403
three-year experience with sonicated vascular catheter cultures in a clinical microbiology laboratory.using a quantitative sonication method, we cultured 1,681 consecutive vascular catheters submitted to a clinical microbiology laboratory in a 36-month period. a total of 46% of the cultures were positive; the most common organisms isolated were coagulase-negative staphylococci (36.4%), pseudomonas aeruginosa (13.9%), enterococci (10.0%), yeasts (9.2%), staphylococcus aureus (5.8%), and enterobacter species (4.4%). the frequencies of positive blood cultures within 48 h prior to a positive cathete ...19902405016
in vitro comparison of mezlocillin and piperacillin plus tobramycin or gentamicin versus 100 gram-negative nosocomial bloodstream isolates.we compared the in vitro activity of mezlocillin and piperacillin, alone and in combination with tobramycin or gentamicin, against clinical isolates of gram-negative bacilli from hospitalized patients with 100 distinct episodes of nosocomial bacteremia. the minimum inhibitory concentrations (mics) necessary to inhibit 50% and 90% of isolates showed that piperacillin was most active against pseudomonas aeruginosa. the mic needed to inhibit 90% of isolates also showed that mezlocillin was more act ...19902403216
antimicrobial effect of chlorhexidine in a controlled release delivery system.chlorhexidine is widely used as a mouth rinse in the prevention and treatment of periodontal diseases and dental caries. the purpose of the present study was to evaluate the in vitro antimicrobial effect of chlorhexidine in a controlled release delivery system. the controlled release dispenser comprised a polymeric inner core matrix containing the medicament with an outer vinyl membrane controlling the drug release. the effect on the following bacteria was studied: actinobacillus actinomycetemco ...19902390965
direct introduction of a formamido group into the 7 alpha (6 alpha)-position of cephalosporins (penicillins).a novel direct introduction of a formamido group into the 7 alpha (6 alpha)-position of cephalosporins (penicillins) was achieved by treatment of 7 beta (6 beta)-[(3,5-di-tert-butyl-4-oxo-2,5-cyclohexadien-1- ylidene)methylimino]cephem (penam) esters with n,n-bis(trimethylsilyl)formamide, followed by deblocking with girard reagent t to give the corresponding 7 alpha (6 alpha)-formamido-7 beta (6 beta)-amino derivatives. three 7 alpha-formamidocephalosporins were prepared by the conventional n-ac ...19902387776
a prospective study of long-term use of amikacin in a paediatrics department. indications, administration, side-effects, bacterial isolates and resistance.amikacin (amikin; b-m) was used as the only aminoglycoside for 18 months in a paediatric department within a general hospital because of high levels of resistance of klebsiella pneumoniae, pseudomonas aeruginosa and enterobacter cloacae isolates to tobramycin, gentamicin and netilmicin. between 1 february 1987 and 31 july 1988, 816 children were treated with a slow intravenous injection at a standardised dose adjusted for weight and age. respiratory disease was present in 35.8% of 537 neonates, ...19902382175
[clinical and pharmacokinetic studies on aztreonam in neonates].clinical and pharmacokinetic studies on aztreonam (azt) were performed in neonates. the results are summarized as follows: a total of 6 cases consisting of 5 mature and 1 low-birth-weight infants was clinically evaluated. azt 20 mg/kg was administered 2-3 times daily, via 1 hour intravenous drip infusion for 6-21 days. concomitantly, vancomycin (vcm) 15 mg/kg was administered to 1 case 3 times daily, via 1 hour intravenous drip infusion for 3 days and ampicillin (abpc) 20-50 mg/kg to 3 cases 3 t ...19902374292
influence of amoxycillin on microbial colonization resistance in healthy volunteers. a methodological study.the influence of amoxycillin 500 mg tid on microbial colonization resistance was investigated in 11 healthy volunteers. analysis was performed in each volunteer individually. in the first five volunteers we investigated the influence of amoxycillin on the faecal concentration of gram-negative bacilli, enterococci and yeasts and on spontaneously occurring secondary colonization. in the next six volunteers we also investigated the influence of amoxycillin on colonization resistance against amoxyci ...19902373668
emergence of resistance to multiple beta-lactams in enterobacter cloacae during treatment for neonatal meningitis with cefotaxime. 19902371083
[hiv-associated infections: indications and importance of fiberoptic bronchoscopy].in 32 patients infected with hiv with unclear fever and/or pulmonary infiltraes, a fiberbronchoscopy (fb), with transbronchial lung biopsies (tbb) and bronchoalveolar lavage (bal) was carried out. thirteen of these patients had pneumocystis carinii pneumonia (pcp), three patients tuberculosis of the lungs, two patients pneumococcal pneumonia, and one patient each had a staphylococcal pneumonia, an enterobacter cloacae pneumonia, and an unspecific alveolitis. thus, 66% of the patients proved diag ...19902367404
chromate-resistance in a chromate-reducing strain of enterobacter cloacae.resistance to toxic hexavalent chromium (chromate: cro4(2)) in enterobacter cloacae strain ho1, isolated from an activated sludge sample, was investigated under aerobic and anaerobic conditions. decreased uptake of 51cro4(2-) in e. cloacae strain ho1 was observed under aerobic conditions, when compared with a standard laboratory e. cloacae strain (iam 1624). under anaerobic conditions e. cloacae strain ho1 was able to reduce hexavalent chromium to the less toxic trivalent form. when e. clocacae ...19902328912
molecular epidemiology of tem-3 (ctx-1) beta-lactamase.a total of 33 clinical isolates encoding tem-3 (ctx-1) from four french hospitals were studied. the strains belonged to seven species, klebsiella pneumoniae (n = 24), escherichia coli (n = 3), serratia marcescens (n = 2), citrobacter freundii (n = 1), enterobacter aerogenes (n = 1), enterobacter cloacae (n = 1), and klebsiella oxytoca (n = 1). all the strains harbored an inc7 or m self-transferable plasmid with a size of approximately 85 kilobases. the plasmids had closely related ecori, hincii, ...19902327769
in vitro activity of ro 23-9424, a dual-action cephalosporin, compared with activities of other antibiotics.the in vitro activity of ro 23-9424, which is desacetyl-cefotaxime linked to fleroxacin, was compared with the activities of cefotaxime, desacetyl-cefotaxime, fleroxacin, ofloxacin, and ciprofloxacin. it inhibited the majority of members of the family enterobacteriaceae, except for some serratia marcescens, citrobacter freundii, and enterobacter cloacae strains, at less than or equal to 0.25 microgram/ml and had an mic for 90% of strains tested (mic90) of 8 micrograms/ml against pseudomonas aeru ...19902327765
eclxi, a novel isoschizomer of xmaiii from enterobacter cloacae 590 recognizing 5'-c/ggccg-3'. 19902326178
manganese as a controlling factor in mixed cultures of lactobacillus plantarum and enterobacteriaceae.addition of manganese, at levels of 50 ppm, to a liquid growth medium simulating adverse silage conditions had no effect on the growth or on the fermentation pattern of enterobacter cloacae and proteus vulgaris. yet, the manganese strongly enhanced the growth of lactobacillus plantarum. co-cultures of l. plantarum and e. cloacae or p. vulgaris were, by addition of manganese ions, significantly altered in the favour of the former. this finding can be of use in mixed cultures where enterobacteriac ...19902321928
[enterobacter cloacae infections at the regional hospital in tromsø].enterobacter cloacae was isolated from 69 patients hospitalized at the university hospital of tromsø, norway, during a period of 18 months. the total lethality was 11.6% (8/69) and death occurred most often in patients with a serious underlying condition. death due to septicaemia occurred in 4/10 patients. multiple beta-lactam resistant strains were present in 15 patients and were associated with septicaemiae (7/10, p less than 0.0005). cephalosporin treatment had been given to every third patie ...19902309176
in vitro activity against clinically important gram-positive and gram-negative bacteria of sulbactam, alone and in combination with ampicillin, cefotaxime, mezlocillin, and piperacillin.the in vitro effects of the single agents, and the synergistic/antagonistic action of three different combinations of ampicillin (amp, cas 69-53-4), cefotaxime (ctx, cas 63527-52-6), mezlocillin (mez, cas 51481-65-3), and piperacillin (pip, cas 61477-96-1) with the beta-lactamase inhibitor sulbactam (sul, cas 68373-14-8) were determined against 675 gram-positive and gram-negative, both aerobic and anaerobic bacteria. all the combinations of sulbactam and the antibiotics (1: 1, 1:2 and 1:4) exhib ...19902291754
[susceptibilities of clinical bacterial isolates to antimicrobial agents. a study mainly focused on imipenem. reported by the research group for testing imipenem susceptibility on clinical isolates].this study was conducted to investigate susceptibilities of clinical bacterial isolates to imipenem (ipm) and other antibacterial agents at 64 hospital laboratories throughout japan from september to december of 1988. in this study, identification and susceptibility testing were carried out at each laboratory and the tests were performed according to the disk dilution method recommended by nccls in which susceptibilities are classified into "s", "ms", "i" and "r". ipm showed markedly high in vit ...19902287060
[susceptibility of clinically isolated bacterial strains to imipenem/cilastatin sodium].in vitro antibacterial activities of imipenem/cilastatin sodium (imipenem) and other beta-lactams against clinically isolated 353 bacterial strains were investigated. the results obtained in this study are summarized as follows: 1. imipenem (ipm) showed potent antibacterial activities against gram-positive cocci such as staphylococcus aureus, staphylococcus epidermidis, enterococcus faecalis, streptococcus agalactiae. 2. ipm had inferior or equivalent antibacterial activities to beta-lactams aga ...19902287059
[clinical study of s 6472 in urinary tract infection].clinical studies on s 6472, a longer lasting preparation of cefaclor (ccl), were performed and the following results were obtained. s 6472 was administered orally to 102 patients with urinary tract infections including 16 with acute uncomplicated pyelonephritis, 32 with acute uncomplicated cystitis, 31 with complicated pyelonephritis and 23 with complicated cystitis. 95 patients were treated with 375 mg of s 6472 2 times daily and 7 patients were treated with 750 mg of s 6472 2 times daily. the ...19902287054
[nosocomial infection by new quinolone resistant enterobacter cloacae].for the past two years, five strains of new quinolone resistant enterobacter cloacae have been isolated from three patients in our hospital; strain a was isolated from patient a, strain b from patient b, and strains c1, c2, c3 from patient c. these five strains were resistant to new quinolones and other antimicrobial agents including ampicillin, piperacillin, methicillin, cefotaxime, cefoperazone, kanamycin, gentamicin, tetracycline, minocycline, and chloramphenicol. plasmid dna profiles on agar ...19902286783
intravenous ofloxacin in severe infections.the efficacy and tolerance of intravenous ofloxacin was studied in 70 patients suffering from soft tissue infections (n = 33), intra-abdominal abscesses (n = 14), septicaemia (n = 12), pneumonia (n = 9) and brucellosis (n = 2). the average daily dose was 6 mg/kg divided into two doses. pathogens treated included enterobacter cloacae (n = 14), escherichia coli (n = 12), staphylococcus aureus (n = 13), pseudomonas aeruginosa (n = 11), klebsiella pneumoniae (n = 10), enterococcus faecalis (n = 8) a ...19902286587
the role of microorganisms in psoriasis.the microflora of 297 psoriasis patients was extensively examined. throat, urine, and skin surfaces from scalp, ears, chest, face, axillary, submammary, umbilical, upper back, inguinal crease, gluteal-fold, perirectal, vaginal, pubis, penis, scrotal, leg, hands, feet, finger, and toenail areas were cultured for aerobic bacteria, yeast, and dermatophytes. antibody levels to streptococcal enzymes were performed (streptolysin-o, dnase-b, hyaluronidase, streptozyme). giemsa smears and koh preparatio ...19902285571
induction of beta-lactamases: in vitro phenomena and clinical relevance.an in vitro model was used to stimulate the plasma concentration-time curves for cefotaxime and cefoxitin as they would appear during treatment of patients with infections due to enterobacter cloacae and proteus vulgaris. the data showed that the induction of the chromosomally mediated beta-lactamase took place in both bacteria but that it had little or no effect on the bacterial kill. it is concluded that treatment failures in these settings were due to the selection of resistant mutants.19902282970
[cefoperazone--possibility of safer treatment for infections in patients with chronic renal failure].cefoperazone was used in the treatment of infections in 13 cases of chronic renal failure. in 8 cases recurrent urinary tract infections were diagnosed, septicaemia in 3 cases, pneumonia in 2. cefoperazone 2-4 g daily was a very effective and well tolerated drug. only one therapeutic failure was noted in a patient with mixed urinary tract infection (strains of enterobacter cloacae and klebsiella pneumoniae). no side effects developed, and in patients in the phase of moderate renal failure some d ...19902275197
antibacterial activity in the hemolymph of myriapods (arthropoda).the hemolymphs of two diplopod (chicobolus sp. and rhapidostreptus virgator) and two chilopod species (lithobius forficatus and scolopendra cingulata) were tested for the presence of antibacterial substances using petri dish tests. the native hemolymph of all species had substances acting on living micrococcus luteus, whereas only rhapidostreptus, scolopendra, and lithobius were effective against lyophilized micrococcus. the antibacterial activity against living micrococcus increased after inocu ...19902273286
microbial transformation of styrene by anaerobic consortia.methanogenic microbial consortia, originally enriched from anaerobic sewage sludge with ferulic acid or styrene (vinylbenzene) as sole organic carbon and energy sources, were used to study transformation of styrene under strictly anaerobic conditions. styrene, which was added as the substrate in a range of concentrations from 0.1 to 10 mmol/l, was extensively degraded but no methane production was observed during incubation for eight months. the addition of yeast extract during the enrichment st ...19902272946
the effect of physical and microbiological factors on food container leakage.the effect of physical and microbiological factors on food container leakage was investigated in a container leakage model system (clms). the leakage of acinetobacter calcoaceticus, staphylococcus sp., pseudomonas sp., bacillus sp., a coryneform, staph. aureus, and two biotest organisms (enterobacter cloacae nc1b 8151 and ent. aerogenes mb31) was studied. the rate of bacterial leakage (log10 cells/channel/s) was greater in the presence of a partial vacuum of 51-305 mm hg than at atmospheric pres ...19902272940
use of electrospray mass spectrometry to directly observe an acyl enzyme intermediate in beta-lactamase catalysis.electrospray mass spectrometry was used to directly observe intact acyl enzyme complexes formed between a class c beta-lactamase (from enterobacter cloacae p99) and four poor substrates/inhibitors. in each case the molecular weight difference between the unreacted and the reacted beta-lactamase was consistent with the formation of an acyl enzyme.19902269358
survival of bacteria during aerosolization.one form of commercial application of microorganisms, including genetically engineered microorganisms is as an aerosol. to study the effect of aerosol-induced stress on bacterial survival, nonrecombinant spontaneous antibiotic-resistant mutants of four organisms, enterobacter cloacae, erwinia herbicola, klebsiella planticola, and pseudomonas syringae, were sprayed in separate experiments in a greenhouse. samples were collected over a distance of 15 m from the spray site for enumeration. spores o ...19902268156
cefotaxime and aminoglycoside treatment of meningitis caused by gram-negative enteric organisms.we reviewed cases of gram-negative enteric bacillary meningitis in infants and children treated with cefotaxime at texas children's hospital from january, 1984, through june, 1989. seventeen of 20 children had an underlying condition predisposing to the development of meningitis. the etiologic organisms in these 20 children (2 days to 12 years old; median, 12 days old) were klebsiella sp, 9; escherichia coli, 4; enterobacter cloacae, 3; citrobacter diversus, 2; other, 2. with the exception of on ...19902263430
in vitro effect of chlorhexidine and amikacin on oral gram-negative bacilli from bone marrow transplant recipients.prophylactic use of chlorhexidine (chx) mouthrinses has been shown to benefit the oral health status of bone marrow transplant recipients and other immunosuppressed persons and to reduce systemic complications of oral origin. however, a problem that often emerges with these patients is oropharyngeal and lower respiratory tract colonization by opportunistic aerobic or facultative gram-negative bacilli (gnb). trends in four studies indicated that chx rinses may predispose these persons to oral col ...19902263328
influence of freezing-thawing and refrigeration on r-plasmid (prpj24) stability in enterobacter cloacae 94r.the effect of twenty freezing (-20 degrees c) and thawing cycles of enterobacter cloacae 94r cells containing the r-plasmid prpj24 inoculated into broth and ground beef meat samples revealed no loss of resistance due to plasmid instability. in addition, low temperature storage at 4 degrees c did not produce any significant loss of the tetracycline and kanamycin resistances encoded on the prpj24 plasmid. the results of this study indicated that indigenous r-plasmids like prpj24 are stable in resi ...19902261316
double-blind comparison of pefloxacin and cefazolin as prophylaxis in elective cardiovascular surgery.a total of 162 patients (134 males and 28 females) scheduled for coronary artery bypass grafting (144) or valve surgery (18) were randomly assigned to receive, under double-blind conditions, either pefloxacin 400 mg iv or cefazolin 1.0 g 30 min before the surgical incision and then post-operatively 12-hourly x 4 or 6-hourly x 8, respectively. positive per- and post-operative cultures were seen in 27 patients (11 pefloxacin, 16 cefazolin) and 47 micro-organisms were isolated: 34 per-operatively ( ...19902258355
pefloxacin efficacy in gram-negative bacillary meningitis.sixteen patients with acute meningitis caused by gram-negative bacteria were treated with pefloxacin intravenously. the age range of the patient group was six months to 85 years with a mean age of 40 years; three patients were children. in all but two patients meningitis was a complication of neurosurgical operations and fourteen of the sixteen had received prior therapy which was not successful. the causative organisms were: pseudomonas aeruginosa (5), acinetobacter calcoaceticus (4), klebsiell ...19902258348
[studies on respiratory infections in primary care clinic (iv). antibiotic sensitivity of bacteria isolated from patients with respiratory infections visiting 21 private clinics in the tohoku district of japan].we determined the mics of ampicillin, methicillin, cefaclor, cefixime, cefteram, ofloxacin and ciprofloxacin against a total of 1,448 strains from 11 species: 464 strains of staphylococcus aureus, 306 strains of streptococcus pneumoniae, 114 strains of streptococcus pyogenes, 37 strains of branhamella catarrhalis, 329 strains of haemophilus influenzae, 32 strains of escherichia coli, 66 strains of klebsiella pneumoniae, 26 strains of enterobacter cloacae, 20 strains of serratia marcescens, 12 st ...19902243194
effect of ceftazidime and gentamicin on the oropharyngeal and faecal flora of patients with haematological malignancies.thirty-four patients with haematological malignancies were studied to investigate the effect of empirical broad-spectrum antibiotic therapy (ceftazidime and gentamicin) on the gastro-intestinal flora. twenty-five patients with acute myeloid leukaemia or post-autologous bone-marrow transplantation were given framycetin, nystatin and colistin (fracon), and two patients with non-hodgkin's lymphoma were on co-trimoxazole, as long-term gut prophylaxis. semi-quantitative microbiology was carried out o ...19902228830
in-vitro antibacterial activity of dq-2556 and its stability to various beta-lactamases.dq-2556, a new cephalosporin, showed a broad antibacterial spectrum over gram-positive and -negative organisms. the activity of dq-2556 against recent clinical isolates of gram-positive cocci and enterobacteriaceae was comparable with that of cefpirome, and superior to that of ceftazidime. dq-2556 was almost as active as cefpirome against pseudomonas aeruginosa, but was less active than ceftazidime. with the exception of ps. aeruginosa, dq-2556 was bactericidal against various organisms at eithe ...19902228824
nucleotide sequence of the serratia marcescens sr50 chromosomal ampc beta-lactamase gene.the serratia marcescens sr50 chromosomal beta-lactamase gene (ampc) was cloned and sequenced. it contains 1128 nucleotides encoding a protein of 355 amino acids preceded by 21 amino acids which probably constitutes the signal peptide. the mature protein has a predicted molecular mass of 38,901 da. about 40% of the amino acid sequence was identical among ampc beta-lactamases resided in s. marcescens, citrobacter freundii os60, escherichia coli k12 and enterobacter cloacae p99. all of these enzyme ...19902227364
in vitro activity and beta-lactamase stability of the new oral cephalosporin bay v 3522.the activity of the new oral cephalosporin bay v 3522 was compared to that of six other beta-lactam agents. bay v 3522 inhibited methicillin-susceptible staphylococcus aureus and staphylococcus epidermidis at less than or equal to 2 micrograms/ml, compared to mics of greater than or equal to 8 micrograms/ml for the other cephalosporins tested. it was more active against streptococcus pyogenes (mic less than or equal to 0.06 microgram/ml) than cefuroxime, cefixime, cephalexin and cefaclor. groups ...19902226499
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