PMID- 1965317 OWN - NLM STAT- MEDLINE DCOM- 19910603 LR - 20191028 IS - 1120-009X (Print) IS - 1120-009X (Linking) VI - 2 IP - 5 DP - 1990 Oct TI - Comparative in-vitro activity of piperacillin and piperacillin plus tazobactam towards beta-lactamase producing clinical isolates. PG - 295-9 AB - The authors evaluated the in-vitro antibacterial activity of piperacillin alone and of piperacillin combined with tazobactam, a new beta-lactamase inhibitor, on 398 clinical isolates, both Gram-positive and Gram-negative. The piperacillin/tazobactam combination was evaluated in the fixed ratio 8:1. The vast majority of the microorganisms tested had reduced susceptibility to piperacillin (minimum inhibitory concentration (MIC) range 0.12- greater than 256 mg/l) due to beta-lactamase production. The following results were obtained: against Haemophilus influenzae, tazobactam was effective in reducing the MICs of piperacillin by 512 fold. The activity of piperacillin/tazobactam was lower against Pseudomonas sp., while some activity was demonstrated against some strains of Klebsiella. Good activity was seen not only against methicillin-susceptible (MS) staphylococci but also against some methicillin-resistant (MR) strains. In the latter, the combination of piperacillin/tazobactam was active only if the strains showed beta-lactamase production. These findings are interesting above all in regard to the synergistic effect demonstrated against MR beta-lactamase producing staphylococci and the Klebsiella-Enterobacter-Serratia (KES) group. FAU - Stefani, S AU - Stefani S AD - Institute of Microbiology, University of Catania, Italy. FAU - Castiglia, P AU - Castiglia P FAU - Maida, A AU - Maida A FAU - Muresu, E AU - Muresu E FAU - Mezzatesta, M L AU - Mezzatesta ML FAU - Nicoletti, G AU - Nicoletti G LA - eng PT - Comparative Study PT - Journal Article PL - England TA - J Chemother JT - Journal of chemotherapy (Florence, Italy) JID - 8907348 RN - 0 (beta-Lactamase Inhibitors) RN - 87-53-6 (Penicillanic Acid) RN - EC 3.5.2.6 (beta-Lactamases) RN - SE10G96M8W (Tazobactam) RN - X00B0D5O0E (Piperacillin) SB - IM MH - Drug Synergism MH - Drug Therapy, Combination/pharmacology MH - Gram-Negative Bacteria/*drug effects/enzymology MH - Gram-Positive Bacteria/*drug effects/enzymology MH - Microbial Sensitivity Tests MH - Penicillanic Acid/*pharmacology MH - Piperacillin/*pharmacology MH - Tazobactam MH - beta-Lactamase Inhibitors MH - beta-Lactamases/*biosynthesis EDAT- 1990/10/01 00:00 MHDA- 1990/10/01 00:01 CRDT- 1990/10/01 00:00 PHST- 1990/10/01 00:00 [pubmed] PHST- 1990/10/01 00:01 [medline] PHST- 1990/10/01 00:00 [entrez] AID - 10.1080/1120009x.1990.11739032 [doi] PST - ppublish SO - J Chemother. 1990 Oct;2(5):295-9. doi: 10.1080/1120009x.1990.11739032.