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In vivo efficacy of the ketolide ABT-773 (cethromycin) against enterococci in a mouse peritonitis model.

Abstract
Using six Enterococcus faecalis and five Enterococcus faecium strains, the ketolide ABT-773 (ABT), now known as cethromycin, was found to have in vivo efficacy against both erythromycin (ERY)-susceptible (Ery(s)) and -intermediate (Ery(i)) enterococci (ABT 50% protective doses [PD(50)s], 0.5 to 4.1 and 10.3 to 16.2 mg/kg of body weight, respectively). Against four highly Ery-resistant (Ery(r)) strains for which ABT MICs were low, ABT showed much greater activity (PD(50), 6.3 to 32.5 mg/kg) than ERY (PD(50), >200 mg/kg) but was not protective for strains for which ABT MICs were high. In conclusion, ABT-773 showed in vivo efficacy and considerably greater activity than ERY in a mouse peritonitis model.
AuthorsSuresh R Pai, Kavindra V Singh, Barbara E Murray
JournalAntimicrobial agents and chemotherapy (Antimicrob Agents Chemother) Vol. 47 Issue 8 Pg. 2706-9 (Aug 2003) ISSN: 0066-4804 [Print] United States
PMID12878548 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Ketolides
  • Erythromycin
  • cethromycin
Topics
  • Animals
  • Colony Count, Microbial
  • Enterococcus faecium (drug effects)
  • Erythromycin (analogs & derivatives, pharmacology, therapeutic use)
  • Gram-Positive Bacterial Infections (drug therapy, microbiology)
  • Ketolides
  • Lethal Dose 50
  • Mice
  • Mice, Inbred ICR
  • Microbial Sensitivity Tests
  • Peritonitis (drug therapy, microbiology)

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