Comparative in vitro activity of cefepime and four extended-spectrum beta-lactams on 1,251 aminoglycoside-resistant gram-negative hospital strains
Vanhoof, R. ; Nulens, E. ; Nyssen, H.J. ; Hannecart-Pokorni, E.
Vanhoof, R.
Nulens, E.
Nyssen, H.J.
Hannecart-Pokorni, E.
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Abstract
Cefepime was the most active compound on the Enterobacteriaceae with a MIC90 of 0.26 microgram/ml and a resistance rate of 0.1%. Ceftazidime was the most active drug on the non-fermenting bacilli (MIC90 9.65 micrograms/ml; resistance rate 3%). Amikacin- and gentamicin-resistant strains showed a decreased susceptibility to the beta-lactams, though the Enterobacteriaceae and the non-fermenters remained fairly sensitive to cefepime and ceftazidime, respectively. Aminoglycoside-3-N-acetyltransferase was the most prevalent enzyme and was often associated with intermediate resistance or resistance to beta-lactams. Non-fermenters showing aminoglycoside impermeability were very often intermediately resistant or resistant to beta-lactams
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1991-11-30
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Peer reviewed scientific article
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Keywords
a, Activity, Agent, Agents, Amikacin, Aminoglycosides, Anti-Bacterial Agents, Antibiotic, article, Aztreonam, Belgium, beta-Lactams, Brussels, Cefotaxime, Ceftazidime, Ceftriaxone, cephalosporin, Cephalosporins, Comparative Study, DRUG, drug effects, Drug Resistance,Microbial, Enterobacteriaceae, enzymology, Gram-Negative Bacteria, hospital, im, Institute, IS, journal, Microbial Sensitivity Tests, pharmacology, Print, Research, resistance, SB - IM, Species Specificity, strain, study
