Killing kinetics of five orally administered antibiotics at clinically achievable concentrations against Moraxella catarrhalis

Eur J Clin Microbiol Infect Dis. 1992 Oct;11(10):923-6. doi: 10.1007/BF01962375.

Abstract

Time-kill kinetic studies were used to measure the bactericidal activity of amoxicillin/clavulanic acid (in a new form for pediatric use), cefaclor, cefuroxime, cefixime and erythromycin against 30 beta-lactamase producing Moraxella catarrhalis strains. Antibiotics were tested at the mean maximum serum concentration observed after administration of a standard dose and at 0.5 x Cmax, 0.33 x Cmax and 0.25 x Cmax. A 2 log10 reduction in colony counts was obtained with the Cmax of amoxicillin/clavulanic acid and cefixime after 5 h of incubation. After 24 h of incubation a decrease of 3 and 4 log was observed with cefixime and amoxicillin/clavulanic acid respectively. At 0.5 x Cmax and 0.33 x Cmax, bactericidal activity was obtained only with amoxicillin/clavulanic acid.

Publication types

  • Comparative Study

MeSH terms

  • Amoxicillin / pharmacology
  • Amoxicillin-Potassium Clavulanate Combination
  • Anti-Bacterial Agents / pharmacology*
  • Cefaclor / pharmacology
  • Cefixime
  • Cefotaxime / analogs & derivatives
  • Cefotaxime / pharmacology
  • Cefuroxime / pharmacology
  • Child
  • Clavulanic Acid
  • Clavulanic Acids / pharmacology
  • Colony Count, Microbial
  • Drug Combinations
  • Drug Therapy, Combination / pharmacology
  • Erythromycin / pharmacology
  • Humans
  • Microbial Sensitivity Tests / methods*
  • Moraxella catarrhalis / drug effects*
  • Moraxella catarrhalis / enzymology

Substances

  • Anti-Bacterial Agents
  • Clavulanic Acids
  • Drug Combinations
  • Clavulanic Acid
  • Erythromycin
  • Cefaclor
  • Amoxicillin-Potassium Clavulanate Combination
  • Amoxicillin
  • Cefixime
  • Cefotaxime
  • Cefuroxime