Short-term bactericidal activity of amoxicillin and cefotaxime against penicillin-susceptible and -resistant pneumococcal strains: an in vitro pharmacodynamic simulation

J Chemother. 2000 Apr;12(2):124-8. doi: 10.1179/joc.2000.12.2.124.

Abstract

The 8-hour in vitro activity of serum-simulated concentrations of amoxicillin (obtained after 875 mg oral dose) and cefotaxime (obtained after a 1 g i.v. dose), against 20 strains of the 5 Streptococcus pneumoniae serotypes most prevalent in Spain, was explored. Despite a greater initial inocula decrease observed with cefotaxime against the resistant strains at the first sampling time, a decrease > or =99.9% was obtained with both beta-lactams from 6h onwards against the penicillin-susceptible strains; the same was observed for the penicillin-resistant strains with amoxicillin but not with cefotaxime.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Amoxicillin / administration & dosage
  • Amoxicillin / pharmacology*
  • Cefotaxime / administration & dosage
  • Cefotaxime / pharmacology*
  • Cephalosporins / administration & dosage
  • Cephalosporins / pharmacology*
  • Humans
  • Infusions, Intravenous
  • Microbial Sensitivity Tests / methods
  • Penicillin Resistance*
  • Penicillins / administration & dosage
  • Penicillins / pharmacology*
  • Pneumococcal Infections / epidemiology
  • Pneumococcal Infections / microbiology
  • Spain / epidemiology
  • Streptococcus pneumoniae / classification
  • Streptococcus pneumoniae / drug effects*

Substances

  • Cephalosporins
  • Penicillins
  • Amoxicillin
  • Cefotaxime