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in vitro antimicrobial activity of fluoroquinolones against clinical isolates obtained in 1989 and 1990.the in vitro activity of nine fluoroquinolones, enoxacin, norfloxacin, ofloxacin, ciprofloxacin, lomefloxacin, tosufloxacin, sparfloxacin, fleroxacin and levofloxacin, and two earlier quinolones, nalidixic acid and pipemidic acid, against 1,346 bacterial strains isolated clinically between 1989 and 1990, was evaluated by agar dilution method. the bacteria studied were staphylococcus aureus (including methicillin-susceptible and -resistant strains), staphylococcus epidermidis, enterococcus specie ...19937911351
cloning and characterization of the napa acid phosphatase/phosphotransferase of morganella morganii: identification of a new family of bacterial acid-phosphatase-encoding genes.the gene encoding a minor phosphate-irrepressible acid phosphatase (named napa) of morganella morganii was cloned and sequenced, and its product characterized. napa is a secreted acid phosphatase composed of four 27 kda polypeptide subunits. the enzyme is active on several organic phosphate monoesters but not on diesters, and is also endowed with transphosphorylating activity from organic phosphoric acid esters to nucleosides and other compounds with free hydroxyl groups. its activity is inhibit ...19957894706
comparative microbiological activity and pharmacokinetics of cefprozil.in vitro studies on the activity of cefprozil have been conducted in europe and north america. against gram-negative bacilli, cefprozil and cefaclor are at least two to four times more active than cephalexin. cefixime is more active against these organisms. against gram-positive cocci, cefprozil is at least two to four times more active than cefaclor and cephalexin; cefixime has limited gram-positive activity, and is particularly inactive against staphylococci (mic90 32 mg/l). cefprozil is highl ...19947889957
morganella morganii meningitis in a patient with aids. 19947884233
microbiological surveillance during selective decontamination of the digestive tract (sdd)the use of selective decontamination of the digestive tract (sdd) as prophylaxis against nosocomial respiratory tract infection remains controversial, largely because of concerns that, in the long term, it may promote the emergence of antibiotic-resistant strains. this report describes the results of surveillance cultures and susceptibility testing undertaken during the course of a 2-year, double-blind study of the efficacy of sdd which was conducted in a respiratory intensive care unit (icu). s ...19947868405
comparative in vitro activity of fk-037, a new cephalosporin antibiotic.the in vitro activity of fk-037, a novel parenteral oxime-type cephalosporin, was compared with that of cefepime, cefpirome, ceftazidime, imipenem, and gentamicin against a total of 668 recent clinical isolates. minimum inhibitory concentrations were determined by a standard agar dilution procedure, and all isolates were tested at two inocula (10(4) and 10(6) colony forming units). fk-037 inhibited 90% of isolates of escherichia coli, klebsiella species, proteus mirabilis, p. vulgaris, morganell ...19947867295
[clinical study of a new injectable cephem, fk037, for acute bacterial prostatitis].fk037, a new injectable cephem antibiotic, was administered in the treatment of 13 acute bacterial prostatitis (mean age 53.5, range 30-79), and its effectiveness and safety were evaluated. the human prostatic fluid (pf) concentration of fk037 on 7 specimens 1 hour after 1 g i.v.d., was in the range of 0.87-7.47 micrograms/ml (mean +/- sd, 3.43 +/- 2.23 micrograms/ml), whereas, the serum concentration averaged 45.3 +/- 2.88 micrograms/ml, the ratio of pf/serum consequently being 0.08 +/- 0.05. i ...19947863869
in vitro activity of cp-99,219, a novel 7-(3-azabicyclo[3.1.0]hexyl) naphthyridone antimicrobial.the in vitro activity of cp-99,219 was compared with that of ciprofloxacin and sparfloxacin against 814 clinical bacterial isolates using a microdilution method with brain-heart infusion broth. cp-99,219 was the most potent agent tested against methicillin-resistant, ciprofloxacin-susceptible staphylocci (minimum inhibitory concentration [mic]90 < or = 0.25 microgram/ml). cp-99,219 was 32-fold and fourfold more potent than ciprofloxacin and sparfloxacin, respectively, against streptococcus pneum ...19947851087
in vitro activity of subinhibitory concentrations of quinolones on urea-splitting bacteria: effect on urease activity and on cell surface hydrophobicity.the effect of subinhibitory concentrations of ciprofloxacin, lomefloxacin, norfloxacin, ofloxacin, and sparfloxacin on urease activity and on cell surface hydrophobicity of urea-splitting bacteria was examined. quinolones at 0.5 mics demonstrated variable effects on bacterial-urease activity. norfloxacin inhibited enzyme activity in proteus vulgaris and proteus mirabilis, while other quinolones had no effects. in morganella morganii, sparfloxacin and ciprofloxacin enhanced urease activity, parti ...19957844396
in vitro antimicrobial activity of cefpirome against ceftazidime-resistant isolates from two multicenter studies.the in vitro activity of cefpirome against ceftazidime-resistant (mic > 16 mg/l) isolates from two multicenter studies was analyzed. the first investigation carried out in the usa, was an in vitro comparison of cefpirome and five third-generation cephalosporins in which more than 6,000 isolates were evaluated, including 97 enterobacteriaceae and 1,509 staphylococci resistant to ceftazidime. the second study was a multicenter international study (> 5,000 strains total) in which 160 ceftazidime-re ...19947813503
isolation of three hexahydro-1,3,5-trinitro-1,3,5-triazine-degrading species of the family enterobacteriaceae from nitramine explosive-contaminated soil.three species of the family enterobacteriaceae that biochemically reduced hexahydro-1,3,5-trinitro-1,3,5-triazine (rdx) and octahydro-1,3,5,7-tetranitro-1,3,5,7-tetrazocine (hmx) were isolated from nitramine explosive-contaminated soil. two isolates, identified as morganella morganii and providencia rettgeri, completely transformed both rdx and the nitroso-rdx reduction intermediates. the third isolate, identified as citrobacter freundii, partially transformed rdx and generated high concentratio ...19947811097
in vitro antibacterial activity and beta-lactamase stability of sy5555, a new oral penem antibiotic.the antibacterial activity of sy5555, a new oral penem antibiotic, was compared with those of cefaclor, cefixime, and cefteram. sy5555 was more active than the comparison agents against methicillin-susceptible staphylococcus aureus, staphylococcus epidermidis, streptococcus pneumoniae, enterococcus faecalis, citrobacter freundii, enterobacter cloacae, morganella morganii, acinetobacter calcoaceticus, clostridium spp., and bacteroides fragilis. against providencia spp., proteus spp., and haemophi ...19947811005
purification and properties of crystalline 3-methylaspartase from two facultative anaerobes, citrobacter sp. strain yg-0504 and morganella morganii strain yg-0601.3-methylaspartase (3-methylaspartate ammonia-lyase, ec 4.3.1.2) from two facultative anaerobes from soil, citrobacter sp. strain yg-0504 and morganella morganii strain yg-0601, were purified and crystallized from their crude extracts. both of the citrobacter and morganella enzymes appeared to be a dimer of subunits of m(r) 40,000 and 44,000, respectively. the enzymes had similar enzymological properties: optimum ph for the deamination reaction of (2s,3s)-3-methylaspartic acid, substrate specific ...19957765982
a histidine decarboxylase gene encoded by the vibrio anguillarum plasmid pjm1 is essential for virulence: histamine is a precursor in the biosynthesis of anguibactin.we have identified and sequenced an hdc gene in the vibrio anguillarum plasmid pjm1 which encodes a histidine decarboxylase enzyme and is an essential component for the biosynthesis of anguibactin. the open reading frame corresponds to a protein of 386 amino acids with a calculated molecular mass of 44,259.69 da. the amino acid sequence has extensive homology with the pyridoxal-p-dependent histidine decarboxylases of morganella morganii, klebsiella planticola, and enterobacter aerogenes. tn3-hoh ...19957752899
[comparison of mics of new quinolones obtained using agar-dilution and broth-microdilution procedures].minimum inhibitory concentrations (mic) of new quinolones against both gram-positive and gram-negative bacteria obtained using agar-dilution and broth-microdilution procedures were compared. a primary regression curve and a correlation coefficient (r) between 2 mics for each of ofloxacin, ciprofloxacin, tosufloxacin, sparfloxacin or balofloxacin were calculated. for the 5 quinolones, average correlation coefficients were 0.891 for the gram-positive bacteria tested, and 0.865 for the gram-negativ ...19957752452
neonatal brain abscess caused by morganella morgagni. 19957742461
bactericidal activity of normal human serum against morganella, proteus, and providencia strains.the susceptibility od proteus, providencia, and morganella strains to bactericidal action of human serum was examined. the percentage of survival was determined after one and three hours incubation with 50% human serum. the susceptible strains were treated by serum preparations with blocked classical or alternative complement activation pathways as well as with lysozyme removed. following mechanisms of the bactericidal action of serum were found: complement activated by the classical or alternat ...19957660859
laboratory data which differentiate meropenem and imipenem.meropenem and imipenem are carbapenems which are distinguishable from all other currently available beta-lactam antibiotics by breadth of antibacterial spectrum and stability to beta-lactamases, but can be differentiated one from another. meropenem is relatively stable to human renal dehydropeptidase-i (dhp-i); it does not require to be co-administered with cilastatin and consequently, unlike imipenem, will be administered as a single agent. in vitro both meropenem and imipenem are active agains ...19957652504
head and neck infections in pediatric cardiac transplant patients.a retrospective chart review was undertaken at columbia presbyterian medical center to assess the incidence, etiology and management of head and neck infections in pediatric cardiac transplant patients on immunosuppression. from june 1984 to february 1992, 59 cardiac transplants were performed on 57 pediatric patients. standard immunosuppressive therapy was used. thirteen of these patients died within three months of transplant and were not included. of the 44 patient charts reviewed, 82 head an ...19957628334
comparative antibacterial activity of l-695,256, a carbapenem active against methicillin-resistant staphylococci.the activity of a new prototype carbapenem, l-695,256, against clinical isolates of gram-positive and gram-negative aerobes was studied in vitro by agar dilution. l-695,256 was highly active against methicillin-resistant and -susceptible isolates of staphylococci (mics, 0.016 to 2 micrograms/ml) and against penicillin-resistant pneumococci (mics, 0.016 to 0.064 micrograms/ml), irrespective of penicillin susceptibility. activity against members of the family enterobacteriaceae was less than that ...19957625810
toc-39, a novel parenteral broad-spectrum cephalosporin with excellent activity against methicillin-resistant staphylococcus aureus.toc-39, a new parenteral cephalosporin, is a hydroxyimino-type cephem antibiotic with vinylthio-pyridyl moiety at the 3 position. toc-39 was evaluated for antibacterial activity against various clinically isolated strains. toc-39 had excellent activity, stronger than that of methicillin, oxacillin, the cephalosporins tested, imipenem, gentamicin, minocycline, tobramycin, ofloxacin, and ciprofloxacin against methicillin-resistant staphylococcus aureus (mrsa) and had an mic comparable to that of v ...19957625799
proteus mirabilis amino acid deaminase: cloning, nucleotide sequence, and characterization of aad.proteus, providencia, and morganella species produce deaminases that generate alpha-keto acids from amino acids. the alpha-keto acid products are detected by the formation of colored iron complexes, raising the possibility that the enzyme functions to secure iron for these species, which do not produce traditional siderophores. a gene encoding an amino acid deaminase of uropathogenic proteus mirabilis was identified by screening a genomic library hosted in escherichia coli dh5 alpha for amino ac ...19957592338
ceftibuten: a review of antimicrobial activity, spectrum and other microbiologic features.ceftibuten is a new, orally administered cephalosporin with exceptional beta-lactamase stability and potency against commonly isolated gram-negative pathogens. more than 90% of recent enterobacteriaceae clinical isolates were inhibited by < or = 8 micrograms/ml of ceftibuten. in only five enteric species (citrobacter freundii, enterobacter aerogenes, enterobacter cloacae, morganella morganii, serratia marcescens) were more than 15% of strains resistant (minimal inhibitory concentrations (mic, wi ...19957567314
[in vitro activity of six beta-lactams against 295 strains of enterobacteriaceae and p. aeruginosa isolated from neutropenic patients].the in vitro activity of two new beta-lactam agents, cefpirome (cpo) and cefepime (fep), was investigated against 295 gram-negative bacilli (250 enterobacteriaceae and 45 p. aeruginosa) isolated from neutropenic patients. they were compared with ceftazidime (caz), piperacillin-tazobactam (tzp), imipenem (ipm) and cefotaxime (ctx). all enterobacteriacae were susceptible to ipm, 16 strains were intermediately susceptible or resistant to caz (1 strain of e. coli, 4 of morganella morganii and 11 of ...19957567110
the in-vitro activity of cp 99,219, a new naphthyridone antimicrobial agent: a comparison with fluoroquinolone agents.the in-vitro activity of a new fluoroquinolone, cp 99,219 was compared with that of ciprofloxacin, du 6859, sparfloxacin and levofloxacin. cp 99,219 showed generally similar in-vitro activity to the other compounds tested against the enterobacteriaceae (mic90 of all agents < 0.5 mg/l except morganella morganii). it was found to be more active than ciprofloxacin, sparfloxacin and levofloxacin against the strains of acinetobacter calcoaceticus tested (mic90 1 mg/l). cp 99,219 was found to be four- ...19957559198
commensal enteric bacteria engender a self-limiting humoral mucosal immune response while permanently colonizing the gut.we have employed a germfree mouse model to study the development and persistence of a humoral mucosal immune response to a gram-negative murine commensal organism, morganella morganii. m. morganii bacteria rapidly colonize the gut, resulting in hypertrophy of peyer's patches (pp), including germinal center reactions (gcr), and the development of specific immunoglobulin a (iga) responses detected in vitro in pp fragment cultures and by elispot assays of lamina propria cells. the gcr peaks 14 days ...19957558298
pore formation in artificial membranes by the secreted hemolysins of proteus vulgaris and morganella morganii.lipid-bilayer experiments were performed with the related hemolysins from proteus vulgaris and morganella morganii (hlya). the addition of the toxins to the aqueous phase bathing lipid-bilayer membranes composed of different lipids resulted in the formation of transient ion-permeable channels. membranes formed of pure lipids were rather inactive targets for the hemolysins as compared with lipid mixtures such as asolectin. the channels had several different substrates. the major open state had si ...19947510229
hospital cluster epidemic with morganella morganii.a cluster epidemic of 13 morganella morganii infections involving 11 patients occurred over a 3-month period in 1977. this epidemic was unusual in that it involved four services and five hospital floors. the outbreak was effectively terminated when strict asceptic techniques were reinforced.19817309851
[antibiograms in ambulatory medical practice. results with a group of gram-negative bacilli strains isolated by uroculture].during the april 1979--june 1978 period, 1161 tests were carried out on the sensitivity to antibiotics and chemotherapeutical agents of gram-negative bacillus strains isolated from 7632 urocultures. resistance was tested under qualitative control against 13 antimicrobial agents by the kirby-bauer diffusimetric method. the resistance sensitivity and the presence of intermediary strains is shown for e. coli citrobacter, enterobacter, klebsiella, proteus, morganella, providencia, and pseudomonas. a ...19827156696
hand carriage of aerobic gram-negative rods by health care personnel.a quantitative culture technique (hand washed in a glove containing broth for 30 s) was used to determine the frequency of hand carriage of aerobic gram-negative rods by various groups of health care workers and 104 control subjects. overall, 31% of health care workers carried aerobic gram-negative rods on their hands compared to 59% of control subjects (p < 0.001). enterobacter agglomerans accounted for 40% of the isolates, and other enterobacter spp. 7%. other organisms included acinetobacter ...19827097001
comparison of two methods for same-day identification of enterobacteriaceae.two commercial methods, api 20e (as modified for same-day enterobacterial identification) and micro-id, were evaluated for ability to provide useful same-day information of 368 clinically isolated enterobacteriaceae. organisms included escherichia coli (54), shigella (7), edwardsiella tarda (1), salmonella enteritidis (10), citrobacter (30), klebsiella (55), enterobacter (68), hafnia alvei (2), serratia (33), proteus (64), morganella morganii (24), providencia (18), and yersinia enterocolitica ( ...19827051807
penem derivatives: beta-lactamase stability and affinity for penicillin-binding proteins in escherichia coli.penem derivatives, a new group of beta-lactam antibiotics with potent activities against a wide range of bacteria, including pseudomonas aeruginosa, were tested for their stability against hydrolysis by beta-lactamases purified from clinical isolates of morganella morganii. proteus vulgaris, and escherichia coli and by a penicillinase from bacillus cereus. penems having 6 alpha substituents, such as hydroxyethyl, hydroxymethyl, and ethyl groups, were very stable against hydrolysis by each of the ...19827049076
comparison of micro-id and api 20e in rapid identification of enterobacteriaceae.the effectiveness of micro-id and api 20e as same-day identification systems for enterobacteriaceae was evaluated in comparison with conventional identification by using 315 clinical isolates and 90 stock strains. the api 20e system was heavily inoculated according to manufacturer's recommendations for same-day identification. we found that 83 and 81% of isolates provided adequate inocula for micro-id and api 20e, respectively, and purity of the heavy inocula was not a problem with either system ...19827047556
evaluation of the four-hour micro-id technique for direct identification of oxidase-negative, gram-negative rods from blood cultures.a 4-h micro-id technique for direct identification of oxidase-negative gram-negative rods from positive blood cultures was compared to subculture and species identification of single colonies by api 20e and micro-id, using standardized inocula. a total of 127 patients (220 positive cultures) were studied. isolates included 96 escherichia coli, 46 klebsiella pneumoniae, 7 klebsiella oxytoca, 8 enterobacter aerogenes, 17 enterobacter cloacae, 19 serratia marcescens, 2 serratia liquefaciens, 8 prot ...19806999020
bacteriological studies of the enteric flora of patients treated with bicozamycin (cgp 3543/e) for acute nonparasitic diarrhea.during a therapeutic trial of bicozamycin (bi) for traveler's diarrhea, aerobically grown, gram-negative bacteria, predominantly escherichia coli, were decreased by 2 to 3 logs per g of stool; the number of bi-resistant gram-negative bacteria did not increase. resistant species were most often citrobacter freundii, klebsiella pneumoniae, and morganella morganii, and few bi-resistant e. coli strains were isolated. cross-resistance between bi and other antimicrobial agents was not found. resistanc ...19836859842
the in-vitro activity of o-demethylfortimicin.the activity of o-demethylfortimicin against ampicillin, cefazolin and carbenicillin resistant bacteria was determined. o-demethylfortimicin showed excellent in-vitro activity against escherichia coli, klebsiella pneumoniae, enterobacter cloacae, ent. agglomerans, ent. aerogenes, citrobacter freundii, proteus vulgaris, morganella, and providencia inhibiting these organisms at less than or equal to 3.1 mg/l. it was particularly effective against ent. cloacae and serratia marcescens that were resi ...19836833173
antibacterial activity and beta-lactamase stability of ceftazidime, an aminothiazolyl cephalosporin potentially active against pseudomonas aeruginosa.the in vitro activity and beta-lactamase stability of ceftazidime were evaluated against 700 gram-positive and gram-negative bacteria. ceftazidime was less active than penicillins or older cephalosporins against staphylococcus spp. and streptococcus spp., and it did not inhibit streptococcus faecalis, listeria, or anaerobic species. ceftazidime was as active as ceftizoxime and moxalactam and more active than cefoperazone against escherichia coli. klebsiella, and proteus mirabilis with minimal in ...19826805421
unusual groups of morganella ("proteus") morganii isolated from clinical specimens: lysine-positive and ornithine-negative biogroups.morganella ("proteus") morganii is the only species in the recently proposed genus morganella, but we suspect there are yet undescribed species in the genus. two candidates for new species were recently investigated. nineteen strains isolated from clinical specimens resembled m. morganii but were lysine positive and nonmotile and fermented glycerol within 24 h. typical m. morganii are lysine negative and motile and ferment glycerol slowly or not at all. the three-test variance from typical m. mo ...19806775010
comparison of three methods for identification of enterobacteriaceae.this study compares the ability of three commercial overnight methods, api 20e, minitek and enteric-tek, to accurately and completely identify 368 clinically isolated enterobacteriaceae without supplemental tests. organisms included escherichia coli (54 strains), shigella spp. (7), edwardsiella tarda (1), salmonella enteritidis (10), citrobacter spp. (30), klebsiella spp. (55), enterobacter spp. (68), hafnia alvei (2), serratia spp. (33), proteus spp. (64), morganella morganii (24), providencia ...19826756905
reliability of early identifications obtained with enterobacteriaceae-plus biochemical cards in the automicrobic system.the automicrobic system (ams) is capable of identifying most enterobacteriaceae within 8 h and many glucose-nonfermenting, gram-negative bacilli after 13 h of incubation. early preliminary results can be readily obtained from the computer as the tests incubate. data with 1,023 bacterial isolates were reviewed to determine the relative accuracy of 4-, 6-, 8-, 10-, and 13-h identifications. all automicrobic system identifications with probability (p) values of less than 0.80 were considered equivo ...19826749890
the effect of piperacillin prophylaxis on the colonic microflora in patients undergoing colorectal surgery.piperacillin was given parenterally in doses of 4 g every 8 h for two days to 20 patients undergoing colorectal surgery. a series of serum and fecal specimens were taken to analyse piperacillin concentrations. tissue samples from the gut wall were taken during surgery. the maximum serum concentrations during surgery were reached 15 min after piperacillin administration. on day 0 the mean half-life was 1.9 h and the mean area under the serum concentration curve was 536.8 mg/l. the piperacillin co ...19836642676
influence of spontaneous and inducible beta-lactamase production on the antimicrobial activity of recently developed beta-lactam compounds.the activity of 9 recently developed beta-lactam compounds was evaluated in 185 ampicillin-resistant isolates of enterobacteriaceae. moreover, in all strains, spontaneous and inducible beta-lactamase production was quantified and correlated with the minimal inhibitory concentration (mic) of each compound. in most species, no correlation could be observed between spontaneously produced beta-lactamase and the mics, with the only exceptions of serratia spp. and morganella morganii isolates for meth ...19846610539
in vitro antibacterial activity and beta-lactamase stability of e-0702, a new cephalosporin.the in vitro activity of e-0702 was compared with the in vitro activity of cefotaxime, ceftazidime, moxalactam, and aztreonam against 600 gram-positive and gram-negative aerobic and anaerobic isolates. e-0702 had a minimal inhibitory concentration for 50% of isolates (mic50) of 25 micrograms for staphylococcus aureus, 50 micrograms for staphylococcus epidermidis, and 1.6 to 3.1 micrograms for streptococci, with streptococcus faecalis resistant. e-0702 had mic50s against escherichia coli, klebsie ...19836605718
nonspecific induction of beta-lactamase in enterobacter cloacae.since the introduction of the new beta-lactamase-stable beta-lactam compounds, inducible beta-lactamases have become increasingly important clinically [1]. it has recently been pointed out that most beta-lactam antibiotics appear to be affected by these derepressed enzymes either by hydrolysis or by the nonhydrolytic barrier mechanism [2]. until now, it has generally been assumed that beta-lactamases are induced only by the beta-lactam compounds themselves. we investigated an e cloacae strain th ...19836605393
effect of 7 alpha substitution of cephems on their beta-lactamase stability and affinity for penicillin-binding proteins in morganella morganii.cephamycins, which have a methoxy group at the 7 alpha position of their cephalosporin nuclei, were highly stable against hydrolysis by a beta-lactamase purified from a clinical isolate of morganella morganii, whereas their 7 alpha-h analogs were rapidly hydrolyzed by the enzyme. the high stability of the cephamycins was not due to their low affinity for the enzyme, since the cephamycins strongly inhibited the enzyme in a competitive manner. in cases in which the 7 alpha-methoxy group was substi ...19836602587
in vitro antagonism between n-formimidoyl thienamycin and aztreonam, ticarcillin and ticarcillin/clavulanic acid.one-hundred eighty-seven bacterial strains were tested by the two-disk-agar diffusion method for the interaction between n-formimidoyl thienamycin and aztreonam, ticarcillin and ticarcillin-clavulanic acid. an antagonism between n-formimidoyl thienamycin and the other 3 beta-lactams was noted in half of the evaluable tests, especially against pseudomonas, escherichia coli and morganella.19846594965
treatment of experimental chronic osteomyelitis caused by morganella morganii with mezlocillin and cloxacillin.mezlocillin was used alone and in combination with cloxacillin in the treatment of chronic experimental osteomyelitis due to morganella morganii. this combination showed in vitro synergy as measured by the checkerboard technique. a marked inoculum affect was demonstrated in vitro with mezlocillin and the infecting strain of m. morganii. in therapeutic trials, mezlocillin administered for 28 days was totally ineffective. the combination of mezlocillin and cloxacillin (at 800 and 400 mg/kg, respec ...19846563980
morganella morganii: epidemiology of bacteremic disease.a retrospective review of microbiology records revealed 19 documented episodes of m. morganii bacteremia in 18 patients at a veterans administration hospital during a 5.5 year period. thirteen of 19 bacteremias were related to nosocomial infections; 11 of the 13 nosocomial bacteremias occurred in surgical patients. nine of the 13 patients with nosocomial bacteremia had received recent therapy with a beta-lactam antibiotic. the most common source of bacteremia was a postoperative wound infection ...19846561180
comparative in-vitro activity of quinolone carboxylic acids against proteeae.the in-vitro susceptibilities of 198 isolates of precisely identified proteeae species to six quinolone antimicrobials were determined. significant differences in susceptibility patterns among various proteeae to the quinolones examined were demonstrated. although providencia stuartii was found to be the most resistant to quinolones including the very active agent ciprofloxacin, fully speciated prov. rettgeri were also markedly resistant as well. in contrast prov. alcalifaciens was extremely sen ...19846511707
comparative evaluation of the eiken and api 20e systems and conventional methods for identification of members of the family enterobacteriaceae.to evaluate the accuracy and utility of the eiken systek no. 1 (eiken system; eiken chemical co., ltd., tokyo, japan), we conducted a clinical comparison, with 345 enterobacteriaceae isolates, of the eiken system with api 20e (analytab products, inc., plainview, n.y.) and conventional methods. the eiken system is a 21-biochemical-test battery tray stored at 25 degrees c and inoculated in one step. it is similar to the api 20e except that the eiken system contains malonate, adonitol, and maltose; ...19846490860
worldwide clinical experience with cefoperazone.the safety and clinical efficacy of cefoperazone 1 to 2g 12-hourly was evaluated in clinical trials conducted in the united states, europe, south and latin america, and japan. 1046 patients were treated in 4 comparative and 9 non-comparative studies. an overall satisfactory clinical response for cefoperazone therapy was achieved in 540 (88%) of the 615 evaluable patients. cefoperazone was effective in 92% of lower respiratory tract infections, 81% of urinary tract infections, 98% of gynaecologic ...19816456884
third-generation cephalosporins: a critical evaluation.six third-generation cephalosporins--cefotaxime, moxalactam, cefoperazone, ceftizoxime, ceftriaxone, and cefmenoxime--are reviewed; covered are chemistry and structure-activity relationships, mechanism of action, spectra of activity, pharmacokinetics, clinical utility, adverse effects, and cost effectiveness. the third-generation cephalosporins have a similar mechanism of action to that of other beta-lactam antibiotics. none of the agents is particularly active against certain gram-positive bact ...19846432420
rapid test for determination of urea hydrolysis.a urease test for the rapid determination of urea hydrolysis is described in which diluted urea agar concentrate was used in small amounts with dense inoculum of the test organisms. the method was evaluated and compared with christensen's urea agar slants by using 728 clinical isolates of gram-negative bacteria. of the 325 strains of urease-positive proteus-providencia-morganella, 282 (87%) gave positive results within 5 min with the rapid test. urease activity of 97% of these organisms became e ...19846395804
simple spot test for rapid detection of urease activity.a spot test for the detection of urease activity was developed and evaluated with 761 strains of gram-negative bacteria. the test was compared with the conventional christensen urea agar slants and urease test on the vitek enterobacteriaceae card (vitek systems, inc., st. ana, mo.). of the 348 strains of the proteus-providencia-morganella group that were urease positive, 327 (94%) yielded positive results within 1 min, and all strains yielded positive results within 2 min. all these organisms al ...19846394623
evaluation of a two-hour method for screening pathogens from stool specimens.the 2-h stool-screening test (sst) (api system s.a., montalieu-vercieu, france) was used to screen 231 organisms yielding suspicious colonies on stool differential agars for potential pathogens. all 54 salmonellae yielded correct screens. of 14 shigellas, 9 keyed as possible shigella spp.-yersinia enterocolitica-rare salmonella spp. (sys), and 5 (all shigella sonnei) keyed as possible s. sonnei-y. enterocolitica-arizona spp. (sya). three arizona strains were identified as probable salmonella spp ...19846386849
serious nosocomial infection caused by morganella morganii and proteus mirabilis in a cardiac surgery unit.in july and august 1981, five patients in the cardiac surgery unit of the bristol royal infirmary developed septicemia caused by morganella morganii, proteus mirabilis, or both of these species. three of the patients had serious wound infections, and three of the patients died. typing of the m. morganii isolates by o-serotyping and of the p. mirabilis isolates by o-serotyping, proticine production and sensitivity, and the dienes reaction confirmed cross infection by both species. although m. mor ...19836350354
comparative activity of cefotetan on escherichia coli k12 possessing plasmid-mediated beta-lactamases.the antibacterial activity of cefotetan, a new cephamycin, was compared with that of cephalothin, cefoxitin, cefamandole, cefoperazone and cefotaxime on 12 substrains of escherichia coli k12 bm13 harbouring single and multi-copy plasmids coding for plasmid-mediated beta-lactamases tem, shvi, oxa-i and oxa-iii. the 99% inhibitory concentrations (ic99) for the recipient strain were increased in proportion to the enzyme activity in the case of cefamandole and cefoperazone. in contrast, the activity ...19836341349
susceptibility of gram-negative bacteria to polymyxin b nonapeptide.subinhibitory concentrations of polymyxin b nonapeptide sensitized all 21 polymyxin-susceptible gram-negative bacterial strains studied to hydrophobic antibiotics such as fusidic acid, novobiocin, and erythromycin. the susceptibility increases were usually 30- to 300-fold. the strains included representatives of escherichia coli with different o- and k-antigens, klebsiella pneumoniae, klebsiella oxytoca, enterobacter cloacae, enterobacter agglomerans, salmonella typhimurium, acinetobacter calcoa ...19846331296
[hplc study of the inhibition of enterobacterial cephalosporinases by cefmenoxime].high performance liquid chromatography (hplc) has shown that cefmenoxime and cefotaxime are stable to the cephalosporinase of enterobacter cloacae p99 , morganella morganii gn 1510 and serratia liquefaciens 132. they are significantly resistant to hydrolysis by 100 cephalosporinase units (cephalosporinase production of 10(12) bacterial). cefmenoxime and cefotaxime are also inhibitors of cephalosporinase at the concentration of 5.10-10 micrograms per 10-10 unit of enzyme.19846330649
[antibiotic activity and synergism of ceftazidime and netilmicin against gram-negative pathogenic bacteria].the in vitro activity of ceftazidime and netilmicin against gram-negative bacteria often causing hospital infections was evaluated and furthermore synergistic effects of these antibiotics were studied. ceftazidime was as active as netilmicin against enterobacteriaceae, e.g. enterobacter, klebsiella, morganella inhibiting 90% of these strains at concentrations from 0.5 to 4 micrograms/ml. ceftazidime was the most effective agent against pseudomonas aeruginosa, being even more active than cefsulod ...19836320836
[in vitro bacteriostatic activity of cefmenoxime (sce 1365), cefotaxime and moxalactam].the in vitro activity of cefmenoxime (sce 1365), a new cephalosporin derivate was compared with two other "third generation" cephalosporins: cefotaxime and moxalactam. cefmenoxime as cefotaxime and moxalactam were very active against 305 cephalosporinase-producing and cephalosporinase-non-producing enterobacteriaceae. cefmenoxime was the most active against serratia marcescens, citrobacter freundii, morganella morganii, salmonella, shigella and yersinia enterocolitica with a mean mic at least tw ...19836312395
comparison of the lipoprotein gene among the enterobacteriaceae. dna sequence of morganella morganii lipoprotein gene and its expression in escherichia coli.a dna sequence of 532 base pairs encompassing the entire morganella morganii lipoprotein gene (lpp) was determined. sequence comparisons of the m. morganii lpp gene with the lpp genes from escherichia coli, serratia marcescens, and erwinia amylovora reveal that the m. morganii lpp gene is more distantly related to the e. coli lpp gene than any of the other lpp genes examined. between the e. coli and m. morganii lpp genes, the following homologies were found: 44% in the promoter region (bases, -4 ...19836305973
beta-lactamase inhibitory activity of iodopenicillanate and bromopenicillanate.iodopenicillanate and bromopenicillanate were shown to be effective inhibitors of a variety of beta-lactamases. staphylococcus aureus isolates were synergistically inhibited by iodopenicillanate and bromopenicillanate combined with ampicillin. methicillin-resistant s. aureus was not synergistically inhibited. escherichia coli which possessed tem beta-lactamase activity had a reduction in ampicillin minimal inhibitory concentration, but an e. coli isolate which had chromosomal beta-lactamase and ...19836299186
treatment of urinary tract infections with cefotaxime: noncomparative and prospective comparative trials.three studies evaluated the efficacy of cefotaxime for the treatment of urinary tract infections. an open, multicenter, noncomparative trial included 477 patients who received a usual dose of 2 g of intravenous or intramuscular cefotaxime daily for five to 10 days. the maximal daily dosage in severe cases was 12 g. pathogens included escherichia coli and species of citrobacter, pseudomonas, klebsiella, enterobacter, serratia, morganella, providencia, and proteus. of all the causative organisms, ...19826294793
antibacterial activity of desacetylcefotaxime alone and in combination with cefotaxime.cefotaxime is metabolized to 3-desacetylcefotaxime. the antibacterial activity of desacetylcefotaxime is four- to eightfold less than that of cefotaxime. the activity of desacetylcefotaxime is species- and strain-specific. although desacetylcefotaxime is less active than cefotaxime, it is more active than cefazolin, cefamandole, or cefoxitin. desacetylcefotaxime does not inhibit many strains of morganella, most strains of pseudomonas aeruginosa, some strains of serratia marcescens, some strains ...19826294786
antimicrobial activity of desacetylcefotaxime alone and in combination with cefotaxime: evidence of synergy.the level of antimicrobial activity of 3-desacetylcefotaxime was found to be approximately eightfold lower than that of cefotaxime. variation in the inhibitory effects of desacetylcefotaxime was species dependent. desacetylcefotaxime was 1-2 log2 dilutions more active than cefotaxime against pseudomonas acidovorans and pseudomonas cepacia. desacetylcefotaxime and cefotaxime were bactericidal, and their minimal inhibitory concentrations were influenced only slightly by increases in the inoculum c ...19826294785
cefotaxime: a review of in vitro antimicrobial properties and spectrum of activity.cefotaxime has remarkable potency against all enterobacteriaceae, including enterobacter species, citrobacter freundii, serratia marcescens, and morganella morganii, proteus vulgaris, and providencia species--all of which are resistant to earlier cephalosporins. cefotaxime generally inhibits greater than 90% of enteric bacilli at concentrations of less than or equal to 0.5 microgram/ml; in one study it inhibited greater than 98% of isolates at less than or equal to 8 micrograms/ml. for staphyloc ...19826294779
synergistic activity of mecillinam in combination with the beta-lactamase inhibitors clavulanic acid and sulbactam.the beta-lactamase inhibitors clavulanic acid and sulbactam were combined with mecillinam. beta-lactamase-containing escherichia coli resistant to mecillinam was synergistically inhibited by both clavulanic acid and sulbactam. beta-lactamase-containing enterobacter was synergistically inhibited, but strains lacking beta-lactamases were not synergistically inhibited. synergistic inhibition was noted for beta-lactamase-containing, mecillinam-resistant klebsiella, citrobacter, serratia, and salmone ...19826291454
in vitro antimicrobial activity evaluation of cefodizime (hr221), a new semisynthetic cephalosporin.cefodizime (hr221) is a new alpha-methoxyimino cephalosporin developed by hoechst-roussel with a reported serum half-life of over 2 h. in vitro susceptibility studies showed that the cefodizime spectrum includes all those enterobacteriaceae, staphylococci, streptococcus spp., haemophilus spp., and neisseria spp. normally susceptible to cefotaxime (hr756) or ceftizoxime (fk749) or both. cefodizime was less active (two- to eightfold) than cefotaxime or ceftizoxime against some enteric species, but ...19816275785
in vitro activity of pefloxacin compared to that of quinolones and other antimicrobial agents.pefloxacin is a new methyl-4-piperazinyl quinolone. it had mic90 values of less than 0.01 to 0.8 micrograms/ml for the majority of escherichia coli, klebsiella, oxytoca, citrobacter, providencia, enterobacter cloacae, enterobacter aerogenes, morganella and proteus mirabilis. it inhibited ampicillin, cephalexin and nalidixic acid resistant isolates of these species. against pseudomonas the pefloxacin mic90 was 3.1 micrograms/ml. staphylococcus aureus had a mic50 of 0.4 micrograms/ml and a mic90 o ...19846241847
in vitro activity of enoxacin, a quinolone carboxylic acid, compared with those of norfloxacin, new beta-lactams, aminoglycosides, and trimethoprim.enoxacin is a new quinolone carboxylic acid compound. its activity against 740 bacterial isolates was determined. it inhibited 90% escherichia coli, klebsiella sp., aeromonas sp., enterobacter spp., serratia spp., proteus mirabilis, and morganella morganii at less than or equal to 0.8 micrograms/ml. the majority of pseudomonas aeruginosa was inhibited by less than or equal to 3.1 micrograms/ml. haemophilus spp. and neisseria spp. were inhibited by less than 0.1 micrograms/ml. although most staph ...19836229216
in-vitro synergism between mezlocillin and isoxazolyl penicillins against beta-lactamase-producing gram-negative organisms.forty beta-lactamase producing gram-negative organisms were tested with mezlocillin plus an isoxazolyl penicillin for synergy. with standard chequerboard techniques, the combination showed enhanced activity, when compared to either drug alone, against 30 strains. eighteen of these 30 strains showed synergism at concentrations of mezlocillin and isoxazolyl penicillins which were attainable in the serum (7 strains of morganella morganii, 8 strains of eschericia coli and 3 strains of serratia marce ...19836222024
in vitro activity of norfloxacin, a quinolinecarboxylic acid, compared with that of beta-lactams, aminoglycosides, and trimethoprim.norfloxacin is a quinolinecarboxylic acid compound. we examined the in vitro activity of this compound against gram-positive and -negative species, including anaerobic species. it inhibited 90% (mic90) of strains of escherichia coli at 0.05 microgram/ml, klebsiella sp. at 0.4 microgram/ml, salmonella and shigella spp. at 0.1 microgram/ml, citrobacter sp. at 0.4 microgram/ml, enterobacter cloacae at 0.2 microgram/ml, enterobacter aerogenes at 0.4 microgram/ml, and enterobacter agglomerans at 0.2 ...19826214995
haemagglutinins and fimbriae of morganella, proteus and providencia.one hundred and thirteen strains of morganella, proteus and providencia, grown in different cultural conditions, were examined for their ability to produce haemagglutinins (has). three main kinds of ha (ms, mr/k and mr/p) were detected, and 89% of the 112 ha+ strains were capable of producing two or three of the different has in the same or different cultures. the properties of the three has were partly defined and the difficulties of identifying their separate ha activities when present togethe ...19826129324
in vitro activity and beta-lactamase stability of cefmenoxime.the activity of cefmenoxime, an aminothiazolyl cephalosporin, was studied against 650 bacteria. it was slightly less active than cefotaxime and more active than moxalactam against staphylococci. it had activity similar to that of cefotaxime and ceftizoxime against group a and b streptococci and streptococcus pneumoniae. it did not inhibit streptococcus faecalis or listeria spp. cefmenoxime had activity similar to that of cefotaxime, ceftizoxime, ceftazidime, and moxalactam against escherichia co ...19826100427
efficacy of ceftizoxime administered twice daily in hospitalized patients with respiratory tract infections.the efficacy and safety of ceftizoxime administered twice daily were evaluated in 215 hospitalized patients with documented lower respiratory tract infections. the majority of patients received 1 to 2 gm of ceftizoxime intramuscularly or intravenously every 12 hours; the mean dosage was 2 gm/day, and the mean duration of therapy was 8.9 days. clinical cure was achieved in 204 (95%) of the 215 patients with lower respiratory tract infection. one hundred and thirty-eight patients were both clinica ...19846097357
the in vitro antimicrobial activity of desacetylcefotaxime compared to other related beta-lactams.like all other cephalosporins that contain an acetyl side chain in the 3' position, cefotaxime (ctx) is partially desacetylated in vivo. desacetylcefotaxime (des-ctx) possesses a broad antimicrobial spectrum and high beta-lactamase stability. with the exception of pseudomonas aeruginosa, morganella morganii, bacteroides fragilis, and staphylococcus aureus, most strains of other species tested usually had mean mics of des-ctx lower than 1 microgram/ml. its activity is generally lower than that of ...19846086214
antigenic relationships between morganella morganii and different genera of enterobacteriaceae. 19676048150
five new serotypes of morganella morganii. 19676048149
morganella morganii antigenically related to escherichia coli 0111: k58(b4). 19674860403
[candida albicans (ch. robin, 1853), pseudomonas aeruginosa (schroeter, 1872), and morganella morgani (winslow et al., 1919), proofs of organic decline]. 19724628508
[characteristics of the klebsiella, proteus and morganella isolated from infants with acute gastrointestinal diseases]. 19744463338
serological relationship between pseudomonas aeruginosa and enterobacteriaceae. ii. relationship of pseudomonas aeruginosa o antigens to escherichia, shigella, proteus, morganella, rettgerella and providencia. 19734205984
population analysis of susceptibility to cefotaxime in enterobacteriaceae.population analysis of susceptibility to cefotaxime (ctx) in eight species of enterobacteriaceae was carried out. one strain of each species was examined. the strains represented their individual species as regards natural susceptibility to ampicillin (a) and carbenicillin (ca). cephalothinase activity of the parental strains and strains selected on the plates with the highest concentration that allowed growth was determined by an ultraviolet assay. the populations of the a-susceptible/ca-suscep ...19854083013
antibacterial activity of amifloxacin (win 49, 375), a new quinolone agent.the in vitro activity of amifloxacin, a quinolone antimicrobial agent was compared with those of ciprofloxacin, enoxacin, ofloxacin and norfloxacin against gram-positive and gram-negative bacteria. ninety percent of escherichia coli, klebsiella species, aeromonas, salmonella, shigella, citrobacter, enterobacter species, proteus mirabilis, serratia marcescens, and morganella morganii were inhibited by less than or equal to 0.5 microgram/ml. amifloxacin inhibited branhamella, haemophilus, and neis ...19854064609
purification and properties of a pyridoxal 5'-phosphate-dependent histidine decarboxylase from morganella morganii am-15.a pyridoxal 5'-phosphate-dependent histidine decarboxylase from morganella morganii am-15 was purified to homogeneity. the enzyme is a tetramer (mr 170,000) of identical subunits and binds 4 pyridoxal-p/tetramer; it is resolved by dialysis against cysteine at ph 6.8. between ph 6.2 and 8.8, the holoenzyme shows ph-independent absorbance maxima at 333 and 416 nm. vmax/km is highest at ph 6.5; this optimum reflects chiefly increased km values for histidine at lower or higher ph values, whereas vma ...19853997848
assessment of head-space gas-liquid chromatography for the rapid detection of growth in blood cultures.blood for transfusion was inoculated with between 10(0) and 10(2) colony-forming units (cfu) per ml of each of 59 microbial isolates and added to cooked meat broth. at intervals up to 72 h incubation, the cultures were examined by conventional visual inspection and automated head-space gas-liquid chromatography (hs-glc). forty-six isolates including all those examined of staphylococcus aureus, streptococcus pyogenes, s. pneumoniae, s. faecalis, s. milleri, s. mitior, s. mitis, s. salivarius, s. ...19853988854
selective and differential medium for the primary isolation of members of the proteeae.a new differential and selective medium for the isolation of members of the proteeae, pim (proteeae isolation medium) agar, was developed and evaluated. the medium relies on the ability of all members of the proteeae (with the exception of a very few morganella morganii strains) to produce a dark brown pigment in medium containing dl-tryptophan. an additional differential property, tyrosine degradation, was also demonstrated by the medium. members of the proteeae appeared as dark brown colonies ...19863958148
antibiotic-resistant flora in nursing home patients admitted to the hospital.to study carriage of multiply resistant gram-negative bacilli, 50 patients admitted to the hospital from nursing homes (nhs) and 50 control admissions not from nhs were matched for age and recent antibiotic use. their antibiotic resistance patterns were similar: 20 nh patients and 14 controls had resistant strains. however, significantly more patients (64%) from nhs with large numbers of "skilled beds" had resistant bacteria than did patients from small nhs (21%) or controls (28%). also, more pa ...19853929707
the in vitro activity and beta-lactamase stability of cefpirome (hr 810), a pyridine cephalosporin agent active against staphylococci, enterobacteriaceae and pseudomonas aeruginosa.the in vitro activity of cefpirome, a new cyclopyridinium cephalosporin, was evaluated against 947 aerobic and anaerobic bacteria. cefpirome inhibited 90% of escherichia coli, klebsiella spp., citrobacter diversus, morganella morganii, proteus vulgaris, proteus mirabilis, aeromonas spp., salmonella spp., shigella spp. and haemophilus and neisseria species at less than or equal to 0.4 mg/l. it had activity comparable to that of cefotaxime, ceftizoxime, ceftazidime, aztreonam, and moxalactam again ...19853928497
aztreonam therapy for complicated urinary tract infections caused by multidrug-resistant bacteria.aztreonam was administered to 145 consecutive patients with complicated urinary tract infections caused by multidrug-resistant, aztreonam-sensitive bacteria. multidrug resistance was defined by disk diffusion testing as resistance to aminopenicillins and to first- and second-generation cephalosporins, with or without resistance to aminoglycosides. the first 40 assessable patients received 1 g of aztreonam intravenously three times daily for a median period of eight days; the remaining 95 assessa ...19853909335
ceftriaxone: a beta-lactamase-stable, broad-spectrum cephalosporin with an extended half-life.ceftriaxone is an aminothiazolyl-oxyimino cephalosporin. it possesses the typical in vitro activity of a third-generation cephalosporin with excellent activity against many gram-negative aerobic bacilli: escherichia coli; species of proteus, klebsiella, morganella, providencia and citrobacter; and enterobacter agglomerans. ceftriaxone also has outstanding bactericidal action against pneumococci, group b streptococci, meningococci, gonococci and hemophilus influenzae. in healthy volunteers, it ha ...19853906584
evolution of the lipoprotein gene in the enterobacteriaceae. cloning and dna sequence of the lpp gene from proteus mirabilis.we cloned the lipoprotein gene from proteus mirabilis and determined its dna sequence. comparison with the lpp genes from escherichia coli, serratia marcescens, erwinia amylovora and morganella morganii revealed several unique features of the evolution of the lpp gene in the enterobacteriaceae and enabled us to establish phylogenetic relationships between these bacteria.19853903165
imipenem/cilastatin in the treatment of intraabdominal infections: a review of worldwide experience.imipenem is a new broad-spectrum beta-lactam antibiotic, which when administered with cilastatin may be a suitable alternative to the combination of an aminoglycoside and either clindamycin or a nitroimidazole as therapy for intraabdominal infections. the clinical and microbiologic results for 164 assessable patients given imipenem/cilastatin for intraabdominal infections are reported. only three of 416 bacterial strains isolated prior to therapy from intraabdominal infection sites were resistan ...19853901215
sch 34343 activity against streptococci and beta-lactam-resistant enterobacteriaceae.the in-vitro activity of sch 34343 was compared with that of cefotaxime, ceftazidime, latamoxef (moxalactam), aztreonam and ampicillin. against pneumococci, sch 34343 was as active as ampicillin, whereas against the other streptococci it was less active than ampicillin but significantly better than the other antibiotics against enterococci. with clinical isolates of enterobacteriaceae resistant to cefotaxime, sch 34343 had mics generally less than 2 mg/l. after introduction of plasmid-mediated b ...19853897168
in vitro studies on the antibacterial activities of ym-13115, a new broad-spectrum cephalosporin.the in vitro antibacterial activities of ym-13115, a new parenteral cephalosporin, were compared with those of ceftazidime, cefoperazone, and cefsulodin. the compound was highly active against the common members of the enterobacteriaceae and 2 to 256 times more active than cefoperazone. ym-13115 was as active as ceftazidime against citrobacter freundii, proteus vulgaris, and morganella morganii and two to four times more active than ceftazidime against escherichia coli, klebsiella pneumoniae, en ...19853890729
inhibitory activity of cefpiramide on beta-lactamase.the beta-lactamase stability and inhibitory activity of cefpiramide were investigated. cefpiramide was found to be stable to hydrolysis and inhibited beta-lactamase produced by citrobacter freundii, enterobacter cloacae, morganella morganii, and escherichia coli. kinetic studies showed that cefpiramide is a competitive inhibitor of cephaloridine hydrolysis by e. cloacae beta-lactamase.19853888544
hemorrhagic bullae associated with morganella morganii septicemia.to our knowledge this is the first case of hemorrhagic bullae caused by morganella morganii septicemia. the presence of organisms in the bullae, demonstrated by gram strain and culture, and the acral location of the bullae suggest that the skin lesions were due directly to blood-borne infection. multiple factors predisposed this patient to gram-negative bacteremia, including lymphoma, chemotherapy, neutropenia, systemic steroids, multiple hospitalizations, and treatment with broad-spectrum antib ...19853886721
inducible xylitol dehydrogenases in enteric bacteria.morganella morganii atcc 25829, providencia stuartii atcc 25827, serratia marcescens atcc 13880, and erwinia sp. strain 4d2p were found to induce a xylitol dehydrogenase when grown on a xylitol-containing medium. the xylitol dehydrogenases were partially purified from the four strains, and those from m. morganii atcc 25829, p. stuartii atcc 25827, and s. marcescens atcc 13880 were all found to oxidize xylitol to d-xylulose. these three enzymes had kms for xylitol of 7.1 to 16.4 mm and molecular ...19853886639
aztreonam in the treatment of serious orthopedic infections.aztreozam was evaluated in the treatment of a variety of orthopedic infections. included were 17 patients with osteomyelitis, three with purulent arthropathy with prostheses, and 16 with superficial infections secondary to trauma or surgical procedure. pathogens were gram-negative bacilli sensitive to aztreonam. concomitant antibiotics were administered for gram-positive cocci that were present initially or by superinfection. infecting organisms included pseudomonas aeruginosa (minimal inhibitor ...19853881949
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