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dc.contributor.authorSteed, Molly E.
dc.contributor.authorVidaillac, Celine
dc.contributor.authorWinterfield, Patricia
dc.contributor.authorBiek, Donald
dc.contributor.authorRybak, Michael J.
dc.date.accessioned2015-05-05T21:21:53Z
dc.date.available2015-05-05T21:21:53Z
dc.date.issued2012-05
dc.identifier.citationSteed et al. "Evaluation of Ceftaroline Activity versus Ceftriaxone against Clinical Isolates of Streptococcus pneumoniae with Various Susceptibilities to Cephalosporins in an In Vitro Pharmacokinetic/Pharmacodynamic Model." Antimicrob. Agents Chemother. May 2012 vol. 56 no. 5 2691-2695

http://dx.doi.org/10.1128/AAC.06185-11
en_US
dc.identifier.urihttp://hdl.handle.net/1808/17613
dc.description.abstractDrug resistance in Streptococcus pneumoniae, a frequent pathogen in community-acquired pneumonia, is increasing. Ceftaroline (active metabolite of ceftaroline fosamil) is a broad-spectrum intravenous cephalosporin with activity in vitro against drug-resistant Gram-positive organisms. We investigated ceftaroline at 600 mg every 12 h (q12h) (maximum concentration of the free, unbound drug in serum [fCmax] is 15.2 μg/ml, and half-life [T1/2] is 2.5 h) versus ceftriaxone at 1 g q24h (fCmax = 23 μg/ml, T1/2 = 8 h) against six clinical S. pneumoniae isolates in a one-compartment in vitro pharmacokinetic/pharmacodynamic 96-h model (starting inoculum of 107 CFU/ml). Differences in CFU/ml (at 24 to 96 h) were evaluated by analysis of variance with a Tukey's post hoc test. Bactericidal activity was defined as a ≥3 log10 CFU/ml decrease from the initial inoculum. Ceftaroline MICs were 0.06, 0.015, ≤0.008, 0.25, 0.25, and 0.5 μg/ml, and ceftriaxone MICs were 0.5, 0.25, 0.25, 4, 4, and 8 μg/ml for SP 1477, SP 669, SP 132, SP 211, SP 90, and SP 1466, respectively. Against the ceftaroline- and ceftriaxone-susceptible strain SP 1477, ceftaroline displayed sustained bactericidal activity (3 to 96 h, −5.49 log10 CFU/ml) and was significantly (P ≤ 0.012) better than ceftriaxone (72 to 96 h, −2.03 log10 CFU/ml). Against the ceftriaxone-resistant strains, ceftaroline displayed sustained bactericidal activity at 96 h and was significantly better than ceftriaxone (SP211 [−5.91 log10 CFU/ml, P ≤ 0.002], SP 90 [−5.26 log10 CFU/ml, P ≤ 0.008], and SP1466 [−5.14 log10 CFU/ml, P ≤ 0.042]). Ceftaroline was the more effective drug and displayed sustained bactericidal activity. Ceftaroline fosamil may provide a therapeutic option to treat ceftriaxone-resistant S. pneumoniae infections.en_US
dc.description.sponsorshipThis study was funded by a research grant from Forest Laboratories. Scientific Therapeutics Information, Inc. (Springfield, NJ), provided editorial assistance on the manuscript. Funding for editorial assistance was provided by Forest Laboratories, Inc. M.J.R. has received research support from or consulted or participated in speaking for Astellas, Cubist, Forest Laboratories, Pfizer, Rib-X, and Novartis. D.B. is an employee of Cerexa, a wholly owned subsidiary of Forest Laboratories, Inc., and holds stock and stock options in Forest Laboratories, Inc. M.E.S., C.V., and P.W. declare no conflicts of interest.en_US
dc.publisherAmerican Society for Microbiologyen_US
dc.titleEvaluation of Ceftaroline Activity versus Ceftriaxone against Clinical Isolates of Streptococcus pneumoniae with Various Susceptibilities to Cephalosporins in an In Vitro Pharmacokinetic/Pharmacodynamic Modelen_US
dc.typeArticle
kusw.kuauthorSteed, Molly E.
kusw.kudepartmentDepartment of Pharmaceutical Chemistryen_US
dc.identifier.doi10.1128/AAC.06185-11
kusw.oaversionScholarly/refereed, publisher version
kusw.oapolicyThis item meets KU Open Access policy criteria.
dc.rights.accessrightsopenAccess


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