In vitro activity of cefpirome against beta-lactamase-inducible and stably derepressed Enterobacteriaceae

Chemotherapy. 1994 Sep-Oct;40(5):311-6. doi: 10.1159/000239212.

Abstract

Most members of the Enterobacteriaceae and Pseudomonas aeruginosa possess an inducible chromosomal class I beta-lactamase. Bacterial strains which produce high levels of beta-lactamase constitutively can be isolated from infections; these derepressed mutants are responsible for resistance to third-generation cephalosporins and ureidopenicillins. Minimum inhibitory concentrations of cefpirome, a fourth-generation cephalosporin, and other beta-lactam antibiotics were determined for a series of mutants of Citrobacter freundii, Enterobacter cloacae, Morganella morganii, Proteus vulgaris and Serratia marcescens with inducible stably derepressed or basal expression of chromosomal class I beta-lactamases. All the antibiotics tested were almost equally active against beta-lactamase-inducible organisms and their basal mutants. Imipenem and cefpirome showed better activity against derepressed mutants than third-generation cephalosporins and ureidopenicillins.

Publication types

  • Comparative Study

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Cefpirome
  • Cephalosporins / pharmacology*
  • Enterobacteriaceae / classification
  • Enterobacteriaceae / drug effects*
  • Enterobacteriaceae / enzymology
  • Enzyme Induction
  • Humans
  • Microbial Sensitivity Tests
  • Species Specificity
  • beta-Lactamases / biosynthesis
  • beta-Lactamases / classification
  • beta-Lactamases / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Cephalosporins
  • beta-Lactamases