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Updated: Aug 15, 2026

Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice
Published on: March 17, 2014
Pseudomonas infections of the lung treated with azlocillin. Microbiology, pharmacokinetics, clinic
Abstract:
6-[(R)-2-(2-Oxo-imidazolidine-1-carboxamido)-2-phenyl-acetamido]-penicillanic acid sodium salt (azlocillin, Securopen), has a special activity against Pseudomonas species besides is broadspectrum character. We confirmed the high in vitro potency of that antibiotic in 200 clinical Pseudomonas isolates. Good penetration of azlocillin into bronchial secretions was found, especially through the inflamed bronchial mucosa, but also in the post-inflammatory phase. In 16 patients with serious Pseudomonas infections of the respiratory tract the good efficacy of azlocillin was shown. There were no tolerance problems.
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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