The Therapeutic Effect of Tigecycline, Unlike That of Ceftazidime, Is Not Influenced by whether the Klebsiella pneumoniae Strain Produces Extended-Spectrum β-Lactamases in Experimental Pneumonia in Rats

被引:10
作者
Goessens, Wil H. F. [1 ]
Mouton, Johan W. [2 ]
ten Kate, Marian T. [1 ]
Soergel, Fritz [3 ,4 ,5 ]
Kinzig, Martina [3 ]
Bakker-Woudenberg, Irma A. J. M. [1 ]
机构
[1] Erasmus Univ, Med Ctr, Dept Med Microbiol & Infect Dis, Rotterdam, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, Dept Med Microbiol, NL-6525 ED Nijmegen, Netherlands
[3] Inst Biomed & Pharmaceut Res, Nurnberg, Germany
[4] Univ Duisburg Essen, Dept Pharmacol, Duisburg, Germany
[5] Univ Duisburg Essen, Dept Pharmacol, Essen, Germany
关键词
INFECTIONS; RESISTANCE; MECHANISMS; EFFICACY;
D O I
10.1128/AAC.01154-12
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The efficacies of tigecycline and ceftazidime against fatal pneumonia in rats caused by an extended-spectrum beta-lactamase (ESBL)-positive Klebsiella pneumoniae strain or its wild-type (WT) progenitor were compared. Ceftazidime at 12.5 or 50 mg/kg of body weight twice daily (b.i.d.) was effective (50% or 100% rat survival) in pneumonia caused by the WT isolate but unsuccessful (100% rat mortality) in pneumonia caused by the ESBL-positive variant. In contrast, tigecycline at 6.25, 12.5, or 25 mg/kg b.i.d. showed dosage-dependent efficacy up to 100% rat survival irrespective of the ESBL character of the infecting organism.
引用
收藏
页码:643 / 646
页数:4
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