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Comparison of Activities of Broad-Spectrum β-Lactam Compounds against 1,128 Gram-Positive Cocci Recently Isolated in Cancer Treatment Centers
Author(s) -
Daniel J. Diekema,
Stacy L. Coffman,
Steven A. Marshall,
Mondell L. Beach,
Kenneth V. I. Rolston,
Ronald N. Jones
Publication year - 1999
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.43.4.940
Subject(s) - cefepime , ceftazidime , imipenem , microbiology and biotechnology , enterococcus , vancomycin , ceftriaxone , empiric therapy , antimicrobial , medicine , antibiotics , biology , staphylococcus aureus , bacteria , antibiotic resistance , pseudomonas aeruginosa , genetics
We report the in vitro activities of broad-spectrum β-lactam antimicrobials tested against 1,128 gram-positive pathogens recently isolated from cancer patients. Cefepime and imipenem were more active than ceftazidime and ceftriaxone against these organisms. Only vancomycin demonstrated reliable activity against oxacillin-resistant staphylococci,Enterococcus spp., andCorynebacterium spp. The spectrum of gram-positive organisms against which cefepime and imipenem have activity provides an advantage over ceftazidime as empiric therapy for cancer patients, potentially reducing the need for the empiric addition of glycopeptides.

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