BACTERICIDAL AND BACTERIOSTATIC ACTION OF CHLORAMPHENICOL AGAINST MENINGEAL PATHOGENS

被引:164
作者
RAHAL, JJ [1 ]
SIMBERKOFF, MS [1 ]
机构
[1] NYU,SCH MED,DEPT MED,NEW YORK,NY 10016
关键词
D O I
10.1128/AAC.16.1.13
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The bacteriostatic and bactericidal effects of chloramphenicol, ampicillin, tetracycline, and sulfisoxazole were compared against several potential meningeal pathogens. Chloramphenicol is bactericidal at clinically achievable concentrations against Haemophilus influenzae, Streptococcus pneumoniae, and Neisseria meningitidis. It is bacteriostatic against gram-negative bacilli of the family Enterobacteriaceae and against Staphylococcus aureus. Chloramphenicol has proven highly efficacious in the treatment of bacterial meningitis caused by those organisms against which it is bactericidal at low concentrations. because leukocytic phagocytosis in the subarachnoid space is inefficient, we propose that bactericidal activity in cerebrospinal fluid is important for optimal therapy of bacterial meningitis. Chloramphenicol does not provide such activity in meningitis caused by enteric gram-negative bacilli.
引用
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页码:13 / 18
页数:6
相关论文
共 20 条
[1]   COMPARISON OF THE ACTION OF STREPTOMYCIN, POLYMYXIN-B, AUREOMYCIN AND CHLOROMYCETIN ON H-PERTUSSIS, H-PARAPERTUSSIS, H-INFLUENZAE AND 5 ENTERIC STRAINS OF GRAM-NEGATIVE BACILLI [J].
ALEXANDER, HE ;
LEIDY, G ;
REDMAN, W .
JOURNAL OF CLINICAL INVESTIGATION, 1949, 28 (05) :867-870
[2]   SUSCEPTIBILITY OF HEMOPHILUS-INFLUENZAE TYPE B TO CEFATRIZINE, AMPICILLIN, AND CHLORAMPHENICOL [J].
BROTHERTON, T ;
LEES, T ;
FEIGIN, RD .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1976, 10 (02) :322-324
[3]  
COVA JL, 1977, J LAB CLIN MED, V89, P615
[4]   RELATION OF CONCENTRATIONS OF BACTERIA AND BACTERIAL-ANTIGEN IN CEREBROSPINAL-FLUID TO PROGNOSIS IN PATIENTS WITH BACTERIAL-MENINGITIS [J].
FELDMAN, WE .
NEW ENGLAND JOURNAL OF MEDICINE, 1977, 296 (08) :433-435
[5]   EFFECT OF AMPICILLIN AND CHLORAMPHENICOL AGAINST HEMOPHILUS-INFLUENZAE [J].
FELDMAN, WE .
PEDIATRICS, 1978, 61 (03) :406-409
[6]   Observations on the presence of complement in the cerebrospinal fluid in various pathologic conditions of the central nervous system [J].
Fothergill, LD .
JOURNAL OF PEDIATRICS, 1935, 6 :374-381
[7]   GRAM-NEGATIVE BACILLARY MENINGITIS [J].
MANGI, RJ ;
QUINTILIANI, R ;
ANDRIOLE, VT .
AMERICAN JOURNAL OF MEDICINE, 1975, 59 (06) :829-836
[8]   CEREBROSPINAL FLUID IMMUNOGLOBULIN IN BACTERIAL MENINGITIS - POSSIBLE ROLE FOR ANTIBODY IN PNEUMOCOCCAL MENINGITIS [J].
OTOOLE, RD ;
THORNTON, GF ;
MUKHERJEE, MK ;
NEOGY, KN .
ARCHIVES OF NEUROLOGY, 1971, 25 (03) :218-+
[9]  
PAREDES A, 1976, PEDIATRICS, V58, P378
[10]  
PETERSDORF RG, 1963, J LAB CLIN MED, V61, P745