Related Experiment Video
Updated: Aug 31, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Clinical experience with cefotaxime (HR-756) in surgical patients
Insights
Parentally-administered cefotaxime showed good systemic tolerance in surgical patients. Cefotaxime demonstrated clinical effectiveness in 75% of patients with various infections, with excellent bacteriological responses in 70%.
Area of Science:
- Infectious Diseases
- Pharmacology
- Clinical Medicine
Background:
- Surgical patients often develop diverse infections, including wound infections, septicaemia, and urinary tract infections.
- The emergence of antibiotic resistance necessitates evaluating the efficacy of parenteral antibiotics like cefotaxime.
Purpose of the Study:
- To assess the clinical and bacteriological efficacy of parentally-administered cefotaxime in adult surgical patients.
- To evaluate the systemic tolerance of cefotaxime in this patient population.
Main Methods:
- Twenty adult surgical patients with various infections received parenteral cefotaxime.
- Aetiological agents were identified, and antimicrobial susceptibility testing was performed using the agar dilution method.
- Clinical and bacteriological responses, along with systemic tolerance, were assessed.
Main Results:
- Cefotaxime demonstrated excellent clinical responses in 65% of patients and moderate responses in 10%.
- Bacteriological eradication was excellent in 70% of cases.
- Systemic tolerance was generally good, with only one patient experiencing adverse effects.
Conclusions:
- Parental cefotaxime is an effective and well-tolerated antibiotic for treating infections in adult surgical patients.
- The study supports the use of cefotaxime in managing a range of bacterial infections, including those caused by common Gram-negative organisms.
Abstract:
Twenty adult surgical patients aged between 15 and 83 years (mean:45), 10 of whom had wound infections (one complicated with septicaemia), 2 with septicaemia, 1 with gynecological infection complicated with endocarditis, 5 with urinary tract infections and 2 with lower respiratory tract infections, were treated with parentally-administered cefotaxime. Aetiology was Proteus 7, E. coli 4, Pseudomonas 3, Enterobacter 2, Klebsiella 2 and 2 Serratia. Susceptibility testing was determined by the agar dilution method, with MIC values ranging from 0.01 to 5 microgram/ml, with two urinary isolates of Pseudomonas with MIC of 20 microgram/ml. Clinical responses were excellent in 13 (65 per cent) cases, moderate in 2 (10 per cent) and 3 (15 per cent) failed to respond to therapy. Clinical assessment was not possible in three patients. Bacteriological responses were excellent in 14 (70 per cent) cases, poor in 4 (20 per cent) and in two there was no follow-up. Systemic tolerance was good in all patients except one.
Related Concept Videos
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Pharmaceutical Alternatives: Stability-Related Therapeutic Nonequivalence
Aneurysm IV: Nursing Management
Acute Pyelonephritis II: Diagnostic Studies and Management
Urine Studies II: Urine Culture and Sensitivity Test
Clinical Significance of Antibiotic Resistance

