SUSCEPTIBILITY OF ALPHA-HEMOLYTIC STREPTOCOCCI CAUSING ENDOCARDITIS TO BENZYLPENICILLIN AND 10 CEPHALOSPORINS

被引:17
作者
WILCOX, MH [1 ]
WINSTANLEY, TG [1 ]
DOUGLAS, CWI [1 ]
SPENCER, RC [1 ]
机构
[1] UNIV SHEFFIELD,DEPT ORAL PATHOL,SHEFFIELD S10 2TN,S YORKSHIRE,ENGLAND
关键词
D O I
10.1093/jac/32.1.63
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A clinical case of streptococcal endocarditis in which the isolate proved susceptible to third- but not first-generation cephalosporins prompted us to examine the susceptibility of 44 α-haemolytic streptococci from cases of endocarditis to ten cephalosporins and benzylpenicillin. Twenty per cent of strains were resistant to penicillin, and 20% were tolerant. Cefazolin, cefuroxime and cefpirome were the most active first-, second- and third-generation cephalosporins tested. Other first-generation cephalosporins tested compared poorly to cefazolin. Cefotaxime and cefpirome were moderately active against some penicillin-resistant strains. Penicillin tolerance was common in Streptococcus gordonii, but a correlation between tolerance and dextran production could not be confirmed. © 1993 The British Society for Antimicrobial Chemotherapy.
引用
收藏
页码:63 / 69
页数:7
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