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Efficacy of imipenem in experimental group B streptococcal bacteremia and meningitis
Abstract:
We evaluated the activity of imipenem (N-formimidoyl thienamycin) against a type III group B streptococcal strain in vitro and in vivo. The minimal inhibitory and bactericidal concentrations of imipenem were 15 mg/l. In vivo studies using an infant rat model of group B streptococcal bacteremia and meningitis revealed that imipenem was highly effective. This was shown by (1) rapid bacterial clearance from the blood and cerebrospinal fluid; (2) rapid sterilization of the blood and cerebrospinal fluid; (3) prevention of the development of meningitis in bacteremic animals, and (4) reduction in mortality. Even 10 mg/kg of imipenem produced the mean serum bactericidal titers greater than 1:100 and cerebrospinal fluid bactericidal titers greater than or equal to 1:16 at 1-2 h after subcutaneous administration. These findings suggest that the activity of imipenem is bactericidal in vitro and in vivo and may be an effective regimen against group B streptococci in this experimental model of bacteremia and meningitis.
Insights
Imipenem demonstrated potent bactericidal activity against a type III group B streptococcal strain in vitro. In infant rats, imipenem effectively treated bacteremia and meningitis, reducing mortality and preventing disease development.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Background:
- Group B Streptococcus (GBS) is a significant cause of neonatal infections, including bacteremia and meningitis.
- Effective antimicrobial therapies are crucial for combating GBS infections, particularly in vulnerable infant populations.
Purpose of the Study:
- To evaluate the in vitro and in vivo efficacy of imipenem against a specific type III group B streptococcal strain.
- To assess imipenem's impact on bacterial clearance, sterilization, meningitis prevention, and mortality in an infant rat model.
Main Methods:
- In vitro determination of minimal inhibitory and bactericidal concentrations (MICs and MBCs) of imipenem.
- In vivo studies utilizing an infant rat model of GBS-induced bacteremia and meningitis.
- Assessment of bacterial load in blood and cerebrospinal fluid (CSF), mortality rates, and development of meningitis.
Main Results:
- Imipenem exhibited minimal inhibitory and bactericidal concentrations of 15 mg/l against the GBS strain.
- In vivo, imipenem led to rapid bacterial clearance and sterilization of blood and CSF.
- Imipenem significantly reduced mortality and prevented meningitis development in infected infant rats.
Conclusions:
- Imipenem displays significant bactericidal activity both in vitro and in vivo against type III group B Streptococcus.
- Imipenem shows promise as an effective therapeutic agent for experimental GBS bacteremia and meningitis in a neonatal model.
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