In vitro activity and beta-lactamase stability of the new oral cephalosporin Bay v 3522

Eur J Clin Microbiol Infect Dis. 1990 Sep;9(9):685-91. doi: 10.1007/BF01964273.

Abstract

The activity of the new oral cephalosporin Bay v 3522 was compared to that of six other beta-lactam agents. Bay v 3522 inhibited methicillin-susceptible Staphylococcus aureus and Staphylococcus epidermidis at less than or equal to 2 micrograms/ml, compared to MICs of greater than or equal to 8 micrograms/ml for the other cephalosporins tested. It was more active against Streptococcus pyogenes (MIC less than or equal to 0.06 microgram/ml) than cefuroxime, cefixime, cephalexin and cefaclor. Groups B, C and G streptococci were inhibited at less than or equal to 0.12 microgram/ml, while the MI"90 for Streptococcus bovis and viridans streptococci was 0.5 and 2 micrograms/ml, respectively. The MIC90 for enterococci and Listeria monocytogenes was 8 micrograms/ml. Clostridium perfringens was inhibited by 0.12 microgram/ml, but most Bacteroides spp. were resistant. The MIC90 for beta-lactamase positive Escherichia coli (producing primarily TEM-1) was greater than 64 micrograms/ml and for beta-lactamase negative strains 16 micrograms/ml. The MIC90 for high-level beta-lactamase producing Klebsiella pneumoniae was greater than 64 micrograms/ml versus 4 micrograms/ml for other isolates. The MIC90 for Moraxella catarrhalis was 2 micrograms/ml, for Haemophilus influenzae 1 micrograms/ml, and for Neisseria gonorrhoeae 4 micrograms/ml. Enterobacter cloacae, Citrobacter freundii, Proteus mirabilis, Providencia spp. and Pseudomonas aeruginosa were resistant. Bay v 3522 was destroyed by TEM-1, SHV-1, TEM-3 and P99 beta-lactamases.

Publication types

  • Comparative Study

MeSH terms

  • Administration, Oral
  • Amoxicillin / pharmacology
  • Amoxicillin-Potassium Clavulanate Combination
  • Anti-Bacterial Agents / pharmacology*
  • Benzothiazoles
  • Cephalosporins / pharmacology*
  • Clavulanic Acids / pharmacology
  • Drug Therapy, Combination / pharmacology
  • Enterobacteriaceae / drug effects*
  • Enterobacteriaceae / enzymology
  • Enzyme Stability / drug effects
  • Methicillin / pharmacology
  • Species Specificity
  • Staphylococcus aureus / drug effects*
  • Staphylococcus aureus / enzymology
  • Staphylococcus epidermidis / drug effects*
  • Staphylococcus epidermidis / enzymology
  • beta-Lactamases / biosynthesis*

Substances

  • Anti-Bacterial Agents
  • Benzothiazoles
  • Cephalosporins
  • Clavulanic Acids
  • Bay v 3522
  • Amoxicillin-Potassium Clavulanate Combination
  • Amoxicillin
  • beta-Lactamases
  • Methicillin