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Cefpirome susceptibility in staphylococci isolates
Antonia Poiată1, Cristina Tuchiluş, Ioana Bădicuţ
1Disciplina de Microbiologie, Facultatea de Farmacie, Universitatea de Medicină Si Farmacie "Gr. T. Popa", Iaşi.
Unlabelled:
Cefpirome is a fourth-generation cephalosporin with an expanded spectrum against both Gram-negative and Gram-positive bacteria. The objective of this study was to evaluate the in vitro activity of cefpirome against staphylococci, clinical isolates. For comparison oxacillin was also tested.
Material And Methods:
A total 434 isolates (coagulase-positive staphylococci, n = 268 and coagulase-negative staphylococci, n = 166) were tested. Susceptibility testing was performed using the Mueller-Hinton agar dilution method.
Results:
Cefpirome inhibited the majority of strains at 0.5-8 mg/l. Cefpirome had excellent activity against coagulase-negative staphylococci with 91.6% susceptibility. Except the coagulase-positive staphylococci, of the 268 isolates, 81.3% were cefpirome sensitive. Concerning oxacillin, 35.1% of coagulase-positive staphylococci isolates were resistant, comparative with 26.5% of the coagulase-negative staphylococci. A cross-resistance analysis showed the association of resistance between cefpirome and oxacillin.
Conclusion:
Against staphylococci, cefpirome had the best activity when compared with the oxacillin.
Insights
Cefpirome demonstrates strong in vitro activity against staphylococci, showing higher susceptibility rates than oxacillin. This fourth-generation cephalosporin is effective against both coagulase-positive and coagulase-negative staphylococci clinical isolates.
Area of Science:
- Microbiology
- Infectious Diseases
Background:
- Cefpirome is a fourth-generation cephalosporin antibiotic.
- It possesses a broad spectrum of activity against Gram-negative and Gram-positive bacteria.
- Staphylococci are significant human pathogens, necessitating effective antimicrobial agents.
Purpose of the Study:
- To evaluate the in vitro antimicrobial activity of cefpirome against clinical isolates of staphylococci.
- To compare the efficacy of cefpirome with oxacillin, a common antistaphylococcal antibiotic.
Main Methods:
- A total of 434 staphylococcal isolates were tested: 268 coagulase-positive and 166 coagulase-negative.
- Susceptibility testing was performed using the Mueller-Hinton agar dilution method.
- Oxacillin was included as a comparator agent.
Main Results:
- Cefpirome inhibited most staphylococcal strains at concentrations of 0.5-8 mg/l.
- High susceptibility rates were observed for cefpirome: 91.6% against coagulase-negative staphylococci and 81.3% against coagulase-positive staphylococci.
- Oxacillin resistance was observed in 35.1% of coagulase-positive and 26.5% of coagulase-negative staphylococci. Cross-resistance between cefpirome and oxacillin was noted.
Conclusions:
- Cefpirome exhibited superior in vitro activity against staphylococci compared to oxacillin.
- The findings support cefpirome's potential as a treatment option for staphylococcal infections.
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