Piperacillin(T-1220),a new semisynthetic penicillin-2-In vitro antimicrobial activity and synergy comparison with carbenicillin and getamicin

  • JONES R. N.
    Clinical Microbiology Laboratory, Kaiser Foundation Hospital Laboratories, Clackamas
  • PACKER R. R.
    Clinical Microbiology Laboratory, Kaiser Foundation Hospital Laboratories, Clackamas
  • BARRY A. L.
    Clinical Microbiology Laboratory, University of California( Davis)
  • BADAL R. E.
    Clinical Microbiology Laboratory, University of California( Davis)
  • THORNSBERRY C.
    Antimicrobics Investigation Section, Center for Disease Control
  • BAKER C.
    Antimicrobics Investigation Section, Center for Disease Control

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タイトル別名
  • Piperacillin (T-1220), a new semisynthetic penicillin. II. In vitro antimicrobial activity and synergy comparison with carbenicillin and gentamicin.
  • Piperacillin T 1220 a new semisynthetic
  • <i>IN VITRO</i> ANTIMICROBIAL ACTIVITY AND SYNERGY COMPARISON WITH CARBENICILLIN AND GENTAMICIN

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Piperacillin, a new semisynthetic penicillin, was found to have potent antimicrobial activity against nearly all (405) tested bacterial species. Piperacillin was consistently 4-16-fold more active than carbenicillin against the Enterobacteriaceae, 16-32-fold against Pseudomonas acruginosa and Pseudomonas species, and 16-fold against Streptococcus faecalis. Carbenicillin and piperacillin were equally effective against Staphylococcus aureus, but inactivated by beta-lactamase. A 38% overall synergy rate for the piperacillin-gentamicin combination was identified, a finding similar to that for carbenicillin-gentamicin. Highest incidences of synergy were found for both antibiotic pairs tested on gentamicin-resistant isolates (Ps. aeruginosa and Providencia). In vitro findings suggest that piperacillin alone or in combination with aminoglycosides may be highly efficacious in the treatment of most serious bacterial infections.

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