Pseudomonas infections of the lung treated with azlocillin. Microbiology, pharmacokinetics, clinic

Arzneimittel-Forschung
|January 1, 1979
PubMed

Insights

Azlocillin, a penicillin antibiotic, demonstrates potent activity against Pseudomonas aeruginosa infections. This study confirms its efficacy and good penetration into bronchial secretions for respiratory tract infections.

Area of Science:

  • Pharmacology
  • Microbiology
  • Clinical Medicine

Background:

  • Pseudomonas species are a significant cause of respiratory tract infections.
  • Broad-spectrum antibiotics are crucial for treating these infections.
  • Azlocillin (6-[(R)-2-(2-Oxo-imidazolidine-1-carboxamido)-2-phenyl-acetamido]-penicillanic acid sodium salt) exhibits specific activity against Pseudomonas.

Purpose of the Study:

  • To confirm the in vitro potency of azlocillin against clinical Pseudomonas isolates.
  • To evaluate the penetration of azlocillin into bronchial secretions.
  • To assess the clinical efficacy and tolerance of azlocillin in patients with serious Pseudomonas respiratory tract infections.

Main Methods:

  • In vitro susceptibility testing of azlocillin against 200 clinical Pseudomonas isolates.
  • Measurement of azlocillin concentrations in bronchial secretions.
  • Clinical evaluation of 16 patients treated with azlocillin for severe Pseudomonas respiratory tract infections.

Main Results:

  • Azlocillin demonstrated high in vitro potency against all tested Pseudomonas isolates.
  • Good penetration of azlocillin into bronchial secretions was observed, particularly in inflamed mucosa.
  • Azlocillin showed good clinical efficacy in treating serious Pseudomonas respiratory tract infections with no reported tolerance issues.

Conclusions:

  • Azlocillin is a potent antibiotic effective against Pseudomonas species.
  • Its favorable pharmacokinetic profile, including bronchial secretion penetration, supports its use in respiratory infections.
  • Azlocillin is a safe and effective treatment option for serious Pseudomonas respiratory tract infections.

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