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Comparative efficacies of ceftriaxone, moxalactam, and ampicillin in experimental Salmonella typhimurium infection

Insights

Ceftriaxone demonstrated superior efficacy against Salmonella typhimurium infections in mice compared to moxalactam and ampicillin. It showed better acid stability in vitro and significantly reduced bacterial load and mortality in vivo.

Area of Science:

  • Microbiology
  • Pharmacology
  • Infectious Diseases

Background:

  • Salmonella typhimurium infections pose a significant public health threat.
  • Evaluating antibiotic efficacy in vivo and in vitro is crucial for effective treatment strategies.

Purpose of the Study:

  • To compare the in vitro and in vivo activities of ceftriaxone, moxalactam, and ampicillin against Salmonella typhimurium LT-2.
  • To assess the stability of these antibiotics in varying pH conditions and their impact on infection outcomes in a murine model.

Main Methods:

  • Minimal inhibitory concentrations (MICs) were determined for Salmonella typhimurium LT-2 in Mueller-Hinton broth across different pH levels (5, 6, 7, 8).
  • CF-1 female mice were infected intraperitoneally and treated with ceftriaxone, moxalactam, or ampicillin via subcutaneous injection.
  • Bacterial load in spleens and 21-day mortality rates were measured to evaluate treatment efficacy.

Main Results:

  • Ceftriaxone exhibited the lowest MIC (0.03 µg/ml) and superior acid stability compared to moxalactam and ampicillin.
  • Effective reduction in splenic Salmonella typhimurium load was observed with ceftriaxone (≥0.06 mg/kg), moxalactam (64 mg/kg), and ampicillin (≥16 mg/kg).
  • Ceftriaxone (≥1 mg/kg) and ampicillin (≥64 mg/kg) significantly reduced mortality, while moxalactam (up to 16 mg/kg) did not.

Conclusions:

  • Ceftriaxone is more effective than moxalactam and ampicillin on a weight basis for treating experimental Salmonella typhimurium infections in mice.
  • The in vitro acid stability of ceftriaxone correlates with its enhanced in vivo performance.
  • Ceftriaxone represents a superior therapeutic option for Salmonella infections compared to the other tested antibiotics.

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