Comparative in vitro activity of cefpirome (HR 810) against gram-positive isolates from cancer patients

Infection
|May 1, 1986
PubMed

Insights

Cefpirome shows strong activity against Gram-positive bacteria, including staphylococci and streptococci, in cancer patients. It demonstrated superior efficacy against enterococci compared to other tested cephalosporins.

Area of Science:

  • Clinical microbiology
  • Infectious diseases
  • Pharmacology

Background:

  • Cancer patients are susceptible to Gram-positive bacterial infections.
  • Extended-spectrum cephalosporins are crucial for treating these infections.
  • Understanding antibiotic activity against resistant strains is vital.

Purpose of the Study:

  • To evaluate the in vitro activity of cefpirome against Gram-positive isolates from cancer patients.
  • To compare cefpirome's efficacy with existing extended-spectrum cephalosporins.
  • To identify optimal antibiotic choices for Gram-positive infections in immunocompromised individuals.

Main Methods:

  • In vitro susceptibility testing of cefpirome and other extended-spectrum cephalosporins.
  • Testing was performed on Gram-positive bacterial isolates obtained from cancer patients.
  • Standard microbiological methods were employed to determine minimum inhibitory concentrations.

Main Results:

  • Cefpirome exhibited significant activity against methicillin-susceptible staphylococci (coagulase-positive and negative).
  • It was the most potent agent against Lancefield groups A, B, G streptococci and Streptococcus pneumoniae.
  • A high susceptibility rate (76%) to cefpirome was observed in enterococcal isolates, exceeding other tested agents.

Conclusions:

  • Cefpirome demonstrates broad-spectrum activity against key Gram-positive pathogens in cancer patients.
  • Its potent activity against streptococci and high efficacy against enterococci suggest a valuable role in treating infections in this vulnerable population.
  • Cefpirome represents a promising therapeutic option for Gram-positive bacterial infections in immunocompromised hosts.