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M E Erwin

Publications and source records attributed to M E Erwin.

92 records · Page 6Linked to original sources
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Multilaboratory evaluation of the in vitro activity of 13 beta-lactam antibiotics against 1474 clinical isolates of aerobic and anaerobic bacteria.

The in vitro activity of 13 beta-lactam antibiotics against 1474 recent clinical isolates was evaluated in a multilaboratory study. The most active antibiotic tested in this study was imipenem (98.5% of the strains were susceptible), followed by ticarcillin-clavulanate (91.4%), cefoperazone (90.0%), ceftazidime (87.9%), cefotaxime (87.7%), ceftriaxone (87.0%), ceftizoxime (86.3%), cefotetan (78.5%), ampicillin-sulbactam (77.9%), cefoxitin (73.5%), cefuroxime (70.9%), cefonicid (64.5%), and cefazolin (57.9%).

Anti-Bacterial Agents↗
PubMedDate not supplied

Bactericidal activity of cefotaxime, desacetylcefotaxime, rifampin, and various combinations tested at cerebrospinal fluid levels against penicillin-resistant Streptococcus pneumoniae.

Penicillin resistance is increasingly prevalent amongst clinical isolates of Streptococcus pneumoniae. Recently, isolates resistant to the extended-spectrum cephalosporins have also begun to emerge, and combination therapy may be necessary for infection with such organisms. We have studied the activity of cefotaxime, ceftriaxone, ceftazidime, rifampin, chloramphenicol, and vancomycin against 10 S. pneumoniae strains with penicillin minimum inhibitory concentrations (MICs) ranging from 0.03-8 micrograms/ml. The bactericidal activity of cefotaxime, desacetylcefotaxime, rifampin, and combinations of these agents (cerebrospinal fluid levels) against these isolates was determined. Elevated MICs to penicillin were associated with generally twofold lower cefotaxime MICs. All strains remained susceptible to vancomycin and rifampin. The bactericidal activity of cefotaxime with or without desacetylcefotaxime was reduced by the addition of rifampin. Pneumococcal isolates with penicillin MICs of < or = 1 microgram/ml were slowly killed by cefotaxime alone or with desacetycefotaxime. At present, there is little evidence to support the addition of rifampin to cefotaxime for therapy of meningitis.

Anti-Bacterial Agents↗