Piperacillin with and without tazobactam against extended-spectrum beta-lactamase-producing Pseudomonas aeruginosa in a rat thigh abscess model

Chemotherapy. 2001 Jul-Aug;47(4):292-6. doi: 10.1159/000048536.

Abstract

Background: We compared the antibacterial effect of piperacillin, piperacillin-tazobactam and imipenem in a paired rat thigh abscess model.

Methods: Two abscesses were provoked in the thighs of rats, one on the right with an extended-spectrum beta-lactamase (OXA-14)-producing Pseudomonas aeruginosa (Ps-162) and the other on the left thigh with a control strain.

Results: The colony counts from the abscesses in log 10 colony-forming units per gram (mean +/- SD) in the imipenem group were 2.78 +/- 1.71 and 3.19 +/- 1.66, in the piperacillin-tazobactam group 4.36 +/- 0.23 and 2.44 +/- 1.97, and in the piperacillin group 4.44 +/- 0.21 and 3.71 +/- 0.99 for Ps-162 and the control strain, respectively. The mean colony counts were significantly different (p < 0.05) between Ps-162 and the control strain in the piperacillin and piperacillin-tazobactam groups.

Conclusion: These data showed that piperacillin and piperacillin-tazobactam were significantly less effective against extended-spectrum beta-lactamase-producing P. aeruginosa, while imipenem was equally effective against both Ps-162 and the control strain in this abscess model.

MeSH terms

  • Abscess / drug therapy*
  • Abscess / microbiology
  • Animals
  • Drug Therapy, Combination / therapeutic use*
  • Imipenem / therapeutic use
  • Male
  • Models, Animal
  • Penicillanic Acid / analogs & derivatives*
  • Penicillanic Acid / therapeutic use
  • Piperacillin / therapeutic use
  • Pseudomonas Infections / drug therapy*
  • Pseudomonas Infections / enzymology
  • Pseudomonas aeruginosa / drug effects
  • Pseudomonas aeruginosa / enzymology
  • Rats
  • Rats, Wistar
  • Statistics, Nonparametric
  • Tazobactam
  • Thigh
  • beta-Lactamases / metabolism*

Substances

  • Imipenem
  • Penicillanic Acid
  • beta-lactamase OXA-14
  • beta-Lactamases
  • Tazobactam
  • Piperacillin