Abstract |
Four oral penicillin V regimens were compared for the ability to prevent Streptococcus sanguis infection of experimentally induced valvular heart lesions in rabbits. Challenge doses of 10(4), 10(6), and 10(8) CFU of a penicillin-susceptible strain of S. sanguis were used in this study. Measured by recovery of test organisms from endocardial lesions, the lowest-concentration inoculum was infective for 53% of the recipients; the higher-concentration inocula were infective for all recipients. A single-oral-dose penicillin V regimen (36 mg/kg of body weight) prevented endocarditis when rabbits were challenged with 10(4) CFU, but protection diminished with increasing inoculum concentrations. In contrast, addition of a second penicillin V dose (18 mg/kg of body weight) administered with a 7-h interval between doses achieved fully effective prophylaxis against even the highest inoculum tested (10(8) CFU). A repeated set of experiments in which half the dose of penicillin V was administered showed significantly reduced protection against S. sanguis endocarditis.
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Authors | R Pujadas, E Escriva, J Jane, M C Galera, P Fava, J Garau, B Mirelis |
Journal | Antimicrobial agents and chemotherapy
(Antimicrob Agents Chemother)
Vol. 31
Issue 10
Pg. 1474-7
(Oct 1987)
ISSN: 0066-4804 [Print] United States |
PMID | 3124728
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Adult
- Animals
- Endocarditis, Bacterial
(prevention & control)
- Female
- Humans
- Male
- Microbial Sensitivity Tests
- Penicillin V
(blood, pharmacology, therapeutic use)
- Rabbits
- Streptococcal Infections
(prevention & control)
- Streptococcus sanguis
(drug effects)
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