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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.

Abstract

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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