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Published on: April 18, 2019
Minimum inhibitory concentrations of cephalosporin compounds and their active metabolites for selected mastitis
Cristina S Cortinhas1, Leane Oliveira, Carol A Hulland
1Department of Animal Nutrition and Production, School of Veterinary Medicine, University of São Paulo, Pirassununga, SP-17 13635-900, Brazil.
Objective:
To compare the minimum inhibitory concentration (MIC) of cephapirin and ceftiofur with MICs of their active metabolites (desacetylcephapirin and desfuroylceftiofur) for selected mastitis pathogens.
Sample:
488 mastitis pathogen isolates from clinically and subclinically affected cows in commercial dairy herds in Wisconsin.
Procedures:
Agar dilution was used to determine MICs for Staphylococcus aureus (n = 98), coagulase-negative staphylococci (99), Streptococcus dysgalactiae (97), Streptococcus uberis (96), and Escherichia coli (98).
Results:
All S aureus isolates were susceptible to cephapirin and ceftiofur. Most coagulase-negative staphylococci were susceptible to cephapirin and ceftiofur. For E coli, 50 (51.0%; cephapirin) and 93 (94.95%; ceftiofur) isolates were susceptible to the parent compounds, but 88 (89.8%) were not inhibited at the maximum concentration of desacetylcephapirin. All S dysgalactiae isolates were susceptible to ceftiofur and cephapirin, and consistent MICs were obtained for all compounds. Most S uberis isolates were susceptible to cephapirin and ceftiofur. Of 98 S aureus isolates classified as susceptible to ceftiofur, 42 (42.9%) and 51 (52%) were categorized as intermediate or resistant to desfuroylceftiofur, respectively. For 99 coagulase-negative staphylococci classified as susceptible to ceftiofur, 45 (45.5%) and 17 (17.2%) isolates were categorized as intermediate or resistant to desfuroylceftiofur, respectively. For all staphylococci and streptococci, 100% agreement in cross-classified susceptibility outcomes was detected between cephapirin and desacetylcephapirin. No E coli isolates were classified as susceptible to desacetylcephapirin.
Conclusions And Clinical Relevance:
Differences in inhibition between parent compounds and their active metabolites may be responsible for some of the variation between clinical outcomes and results of in vitro susceptibility tests.
Insights
This study compared cephapirin and ceftiofur minimum inhibitory concentrations (MICs) against mastitis pathogens. Differences between parent drugs and their active metabolites may explain varied clinical outcomes and in vitro susceptibility results.
Area of Science:
- Veterinary Microbiology
- Antimicrobial Resistance
- Bovine Mastitis Pathogenesis
Background:
- Bovine mastitis remains a significant challenge in dairy herds, impacting animal welfare and economic viability.
- Accurate antimicrobial susceptibility testing is crucial for effective treatment strategies.
- Cephapirin and ceftiofur are commonly used cephalosporins for mastitis treatment.
Purpose of the Study:
- To compare the in vitro activity of cephapirin and ceftiofur against key mastitis pathogens.
- To evaluate the minimum inhibitory concentrations (MICs) of their active metabolites, desacetylcephapirin and desfuroylceftiofur.
- To investigate potential discrepancies between parent compound and metabolite activity.
Main Methods:
- Agar dilution method was employed to determine MICs.
- 488 isolates of mastitis pathogens were tested, including Staphylococcus aureus, coagulase-negative staphylococci, Streptococcus dysgalactiae, Streptococcus uberis, and Escherichia coli.
- Susceptibility testing was performed for parent compounds and their active metabolites.
Main Results:
- All Staphylococcus aureus isolates were susceptible to cephapirin and ceftiofur.
- Escherichia coli showed variable susceptibility to parent compounds, with limited inhibition by desacetylcephapirin.
- Significant proportions of Staphylococcus aureus and coagulase-negative staphylococci susceptible to ceftiofur were intermediate or resistant to its metabolite, desfuroylceftiofur.
Conclusions:
- The activity of active metabolites differs from parent cephalosporin compounds.
- These differences in antimicrobial activity may contribute to variations observed between in vitro susceptibility testing and clinical treatment outcomes.
- Further research is warranted to elucidate the clinical implications of metabolite activity in bovine mastitis therapy.
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