TY - JOUR. T1 - High-pressure liquid chromatographic assay of cefotaxime and desacetylcefotaxime in human myometrium. AU - Bawdon, R. E.. AU - Novick, W. J.. AU - Hemsell, D. L.. AU - Welch, W. D.. PY - 1984. Y1 - 1984. N2 - An analytic high-pressure liquid chromatographic (HPLC) procedure for the assay of desacetylcefotaxime and cefotaxime in gynecologic tissue was developed. Normal individuals undergoing elective hysterectomy were subjects in this study. Blood and myometrium were removed up to four hours after a l-g intramuscular dose of cefotaxime. Since cefotaxime is unstable in homogenized tissue at room temperature, the specimens must be maintained at 4 degree C during homogenization and extraction. Mean serum desacetylcefotaxime and cefotaxime levels were 3. 2 plus or minus 2. 0 mu g/ml and 6. 8 plus or minus 4. 4 mu g/ml, respectively. The mean myometrium concentrations of desacetylcefotaxime and cefotaxime were 8. 4 plus or minus 10. 0 mu g/g and 6. 3 plus or minus 8. 9 mu g/g, ...

The results of the present study indicate that during preterm delivery following PPROM, a standard intrapartum prophylaxis with a cefotaxime dose of 2 g followed by a dose of 1 g every 4 h achieved cefotaxime and desacetylcefotaxime concentrations in cord blood greater than the cefotaxime MIC90 and the desacetylcefotaxime MIC90 for E. coli and other members of the family Enterobacteriaceae.. The placental transfer of cefotaxime has previously been measured in late pregnancy during delivery by cesarean section (7). That study demonstrated that the level of cefotaxime remained comparatively high in the cord blood 6 h after the administration of 1 g of cefotaxime to the mother. Because the gestational age at the time of delivery is lower after PPROM, the placental transfer of the drug after PPROM could be different from that at term delivery. Our results give information about the placental transfer of cefotaxime and desacetylcefotaxime during preterm delivery following PPROM and show that PPROM ...

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Four ceftazidime-resistant Escherichia coli strains were isolated from elderly nursing home patients in a New York hospital during 1993. Strains MCQ-2, MCQ-3, and MCQ-4 were determined to be identical by pulsed-field gel electrophoresis and plasmid profiles, whereas strain MCQ-1 was unique. Strain MCQ-1 was determined to produce a TEM-10 beta-lactamase. Strains MCQ-2, MCQ-3, and MCQ-4 were also noted to be resistant to cefotaxime. These three strains produced two beta-lactamases with pIs of 5.4 (TEM-1) and 7.6. beta-Lactamase assays revealed that the pI 7.6 enzyme hydrolyzed cefotaxime faster (at a relative hydrolysis rate of 30% compared with that of benzylpenicillin) than either ceftazidime or aztreonam (relative hydrolysis rates of 13 and 3.3%, respectively). Nucleotide sequencing of the gene encoding the pI 7.6 beta-lactamase from strain MCQ-3 revealed a blaSHV-type gene differing from the gene encoding SHV-1 at four nucleotides which resulted in amino acid substitutions: phenylalanine for ...

This randomised prospective non-blinded study compared the pharmacokinetics, pharmacodynamics, antibiotic resistance and clinical efficacy of continuous vs intermittent administration of cefotaxime in 93 patients with chronic obstructive pulmonary disease (COPD) requiring hospitalisation for moderate to severe community acquired exacerbations (GOLD stages 2-4). Forty-seven patients received 2 g of cefotaxime as a continuous infusion over 24 h plus a loading dose of 1 g, while 46 patients received the drug intermittently (1 g three times daily). The mean duration of treatment was 10 days.. The most commonly isolated pathogens were Haemophilus influenzae, Streptococcus pneumoniae and Moraxella catarrhalis. Clinical cure was achieved in 37/40 (93%) with continuous infusion and 40/43 (93%) with intermittent administration (p = 0.93). No patients in the continuous group had antibiotic concentrations lower than minimal inhibitory concentration (MIC) compared with 40% in the intermittent group. Samples ...

Cefodizime Sodium is the sodium alkali anatomy of cefodizime, a third-generation, aminothiazolyl cephalosporin for parenteral use. Cefodizime has broad-spectrum activity and is abiding to a lot of beta-lactamases. Cefodizime Sodium for bang is Whitish or anemic bare apparent powder. Cefodizime sodium is a broad-spectrum, third bearing cephalosporin. It is awful aggressive to a ample spectrum…

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Background: Drug pharmacokinetics may be altered during liver transplantation. Cefotaxime (CTX), used as perioperative prophylaxis, demonstrates time-dependent killing and therefore continuous infusion might have pharmacodynamic advantages. Objectives: To determine the pharmacokinetics of CTX and desacetylcefotaxime (DCTX) in serum, bile and urine during continuous and intermittent infusion when performing liver transplantation. Methods: Fifteen patients undergoing liver transplantation were studied after continuous infusion (CI) (4000 mg iv per 24 h following a loading dose of 1000 mg) and intermittent bolus infusion (BI) (1000 mg iv four times daily). Samples were collected during the first 48 h after liver transplantation. Concentrations of CTX and DCTX were determined by HPLC. Results: During surgery, the mean concentration in serum after CI was 18 mg/L. The lowest serum concentration was 5 mg/L in the CI group and levels were undetectable in the BI group. Target serum concentrations of ≥4 ...

Clonal Spread of Cefotaxime-Resistant (CTX-R) Salmonella typhimurium in Belarus: Epidemiology and Molecular Analysis of Resistance Mechanisms

TY - JOUR. T1 - Role of pharmacokinetics and pharmacodynamics in the design of dosage schedules for 12-h cefotaxime alone and in combination with other antibiotics. AU - Nix, David E.. AU - Schentag, Jerome J.. PY - 1995/1/1. Y1 - 1995/1/1. N2 - Pharmacodynamic principles have provided important tools to evaluate and compare antimicrobial agents, and well as to guide dosing. For β-lactams, time above the minimum inhibitory concentration (MIC) has surfaced as the most important factor. However, the area under the inhibitory serum concentration time-curve (AUIC) may be superior when appropriate dosing intervals are selected. Although the target time over the MIC is unclear in humans even when concentrations remain continuously above the MIC, a higher AUIC predicts better clinical outcome up to a maximum. This article provides a pharmacodynamic assessment of 1- and 2-g doses of cefotaxime every 12 h. AUIC24 values and published MIC values for common pathogens (grouped into four groups based on ...

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By preventing bacteria from making cell walls, cefotaxime can treat or prevent certain bacterial infections. This eMedTV resource contains information on cefotaxime, including how this antibiotic works, potential side effects, and safety precautions.

4. In patients with severe renal dysfunction, dosage of cefotaxime should be decreased accordingly. In patients with serum creatinine clearance greater than 424μmol/L (4.8mg) or renal corpuscle filtration less than 20ml/minute, half the maintenance dose of cefotaxime is recommended. If serum creatinine clearance greater than 751μmol/L (8.5mg), 1/4 of the maintenance dose of the drug is recommended. In patients undergoing hemodialysis, ...

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Cefotaxime is approved for adults and children who have infections caused by certain types of bacteria. This eMedTV page focuses on specific uses for cefotaxime. It also explores some of the reasons a doctor may prescribe the drug for unapproved purposes.

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Antimicrobial resistance is an increasing problem in Neisseria gonorrhoeae (NG) treatment. Presently, third-generation parenteral cephalosporins, like ceftriaxone and cefotaxime, are the first option. Resistance to oral, but not to parenteral, third-generation cephalosporins has been reported previously. We analysed the microbial susceptibility (as minimum inhibitory concentration - MIC) of NG cultures obtained from high-risk visitors of the largest Dutch outpatient clinic for sexually transmitted infections (STI) in Amsterdam, the Netherlands. Among 1,596 visitors, we identified 102 patients with at least one NG isolate with reduced susceptibility to cefotaxime (0.125 μg/ml < MIC ≤ 0.5 μg/ml). The percentage of NG isolates with reduced susceptibility to cefotaxime rose from 4.8% in 2006 to 12.1% in 2008 (chi2 17.5, p<0.001). With multivariate logistic regression, being a man who has sex with men (MSM) was significantly associated with reduced susceptibility to cefotaxime (p<0.001).

Cefotaxime is a member of the cephalosporin antibiotic class of drugs that has a rather wide spectrum of activity and is useful as a pre-surgery antibiotic.

What is this medicine? CEFOTAXIME (sef oh TAKS eem) is a cephalosporin antibiotic. It is used to treat certain kinds of bacterial infections.

Cefotaxime, Sodium Salt - CAS 64485-93-4 - Calbiochem CAS 64485-93-4 Potent β-lactamase-resistant antibiotic of cephalosporin class. Active against Gram-positive and Gram-negative organisms, including Gram-negative anaerobes. Inhibits cell wall synthesis. - Find MSDS or SDS, a COA, data sheets and more information.

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38 medications are known to interact with cefotaxime. Includes Acetylsalicylic Acid (aspirin), Augmentin (amoxicillin/clavulanate), B Complex 100 (multivitamin).

Mode of action and Anti-microbial spectrum: Cefotaxime is an inhibitor of bacterial cell wall synthesis. High activity against gram-negative bacteria. Very often used for the elimination of Agrobacterium species after inoculation. High resistance against B-lactamase activity. Nontoxic to plant cells.. ...

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This medicine is injected into a muscle, or infused through a vein. It is usually given by a health care professional in a hospital or clinic setting.. If you get this medicine at home, you will be taught how to prepare and give this medicine. Use exactly as directed. Take your medicine at regular intervals. Do not take your medicine more often than directed.. It is important that you put your used needles and syringes in a special sharps container. Do not put them in a trash can. If you do not have a sharps container, call your pharmacist or healthcare provider to get one.. Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.. ...

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One strain of Escherichia coli and two strains ofKlebsiella pneumoniae that had high levels of resistance to cefotaxime were isolated from the blood of patients in Seoul National University Childrens Hospital in 1995 and 1996. One strain ofShigella sonnei isolated from a pediatric patient on Cheju Island in 2000 also had a high level of cefotaxime resistance. By disk susceptibility testing, the strains were resistant to amoxicillin, cephalothin, and cefotaxime but were susceptible to ceftazidime, cefoxitin, and amoxicillin-clavulanic acid. Isoelectric focusing showed that the four strains produced a β-lactamase with an isoelectric point (pI) of 8.0. PCR with SHV-specific primers (3) was negative for all strains. Cefotaxime resistance was transferred by conjugation (9) from K. pneumoniaestrain 95151 along with a plasmid of 160 kb to E. coli J53 Azir (met proazide resistant) to produce E. coli J53 Azir/pMG267. The β-lactamase gene was cloned from plasmid pMG267 with EcoRI as an 8-kb insert into ...

Resistance to cephalosprins due to the production of extended spectrum beta-lactamases (ESBLs) or plasmid mediated AmpC beta-lactamases is increasingly found in infections in humans outside the hospital. The genes encoding for these beta-lactamases are located on mobile DNA (plasmids), which can be transferred between bacterial species. Although the source of ... read more these bacteria is unknown, a food-borne source cannot be excluded. From 2003 to 2007 cefotaxime resistance increases in bacteria from broilers, but not in isolates from calves, pigs and dairy cows. Cefotaxime resistance is indicative for the presence of ESBLs or plasmid mediated AmpC beta-lactamases. Molecular typing of the resistance genes and the plasmids of Escherichia coli and Salmonella isolates from broilers revealed the presence of a variety of ESBL/AmpC genes: blaCTX-M-1, blaCTX-M-2, blaTEM-52, blaSHV-2, blaTEM20, blaACC-1 and blaCMY-2, located on plasmids: IncI1, IncHI2/P, IncK and some untypeable plasmids. A study ...

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Boun Kim Tan, Emmanuel Vivier, Karim Ait Bouziad, Jean-Ralph Zahar, Christian Pommier, et al.. A hospital-wide intervention replacing ceftriaxone with cefotaxime to reduce rate of healthcare-associated infections caused by extended-spectrum β-lactamase-producing Enterobacteriaceae in the intensive care unit. Intensive Care Medicine, Springer Verlag, 2018, 44 (5), pp.672-673. ⟨10.1007/s00134-018-5079-y⟩. ⟨hal-02075873⟩ ...

TY - JOUR. T1 - Ciprofloxacin - Resistant typhoid with incomplete response to cefotaxime. AU - Adhikari, M. R.Prabha. AU - Baliga, Srikala. PY - 2002/3. Y1 - 2002/3. UR - http://www.scopus.com/inward/record.url?scp=0036512711&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0036512711&partnerID=8YFLogxK. M3 - Article. C2 - 11924574. AN - SCOPUS:0036512711. VL - 50. SP - 428. EP - 429. JO - The Journal of the Association of Physicians of India. JF - The Journal of the Association of Physicians of India. SN - 0004-5772. IS - 3. ER - ...

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casSAR Dugability of O69395 | bla | Beta-lactamase Toho-2 - Also known as BLT2_ECOLX, bla. Hydrolyzes beta-lactam antibiotics such as penicillin G, carbenicillin, cephaloridine, cefoxitin, cefotaxime, ceftazidime, and aztreonam. Has especially increased relative hydrolysis rates for cephalothin, cephaloridine, cefotaxime and ceftizoxime.

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Renal failure commonly develops in the setting of SBP, and its development is a sensitive predictor of in-hospital mortality. The renal impairment is thought to stem from decreased effective arterial blood volume secondary to the systemic inflammatory response to the infection. In our current practice, there are certain circumstances in which we administer albumin early in the SBP disease course in order to reduce the risk of renal failure and mortality. Ultimately, our current protocol originated from the 1999 study of albumin in SBP by Sort et al.. The trial enrolled adults with SBP and randomized them to treatment with either cefotaxime and albumin infusion 1.5 gm/kg within 6hrs of enrollment, followed by 1 gm/kg on day 3 or cefotaxime alone. The primary outcome was the development of renal impairment (a nonreversible increase in BUN or Cr by more than 50% to a value greater than 30 mg/dL or 1.5 mg/dL, respectively) during hospitalization. The secondary outcome was in-hospital ...

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