Parenteral prophylaxis against enterococcal endocarditis

Three commonly used antibiotic regimens for the prevention of enterococcal endocarditis were administered parenterally to six healthy men in a crossover manner. The regimens included 1 gm of streptomycin intramuscularly (IM) in combination with (1) procaine penicillin 600,000 units plus aqueous peni...

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Veröffentlicht in:The American journal of the medical sciences 1979-03, Vol.277 (2), p.195-200
Hauptverfasser: Murillo, J, Standiford, H C, Tatem, B A, Caplan, E S, Calia, F M
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container_issue 2
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container_title The American journal of the medical sciences
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creator Murillo, J
Standiford, H C
Tatem, B A
Caplan, E S
Calia, F M
description Three commonly used antibiotic regimens for the prevention of enterococcal endocarditis were administered parenterally to six healthy men in a crossover manner. The regimens included 1 gm of streptomycin intramuscularly (IM) in combination with (1) procaine penicillin 600,000 units plus aqueous penicillin G 200,000 units IM; or (2) ampicillin 25 mg/kg intravenously (IV); or (3) ampicillin 1 gm IM. The combinations containing ampicillin IM or IV with streptomycin produced bactericidal activity at dilutions of 1:2 or greater for the majority of the strains, whereas the penicillin-streptomycin regimen did not. All regimens were poorly bactericidal against three strains of enterococci which were highly resistant to streptomycin. These data suggest that ampicillin plus streptomycin is the preferred regimen for prophylaxis.
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subjects Ampicillin - administration & dosage
Ampicillin - therapeutic use
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - blood
Anti-Bacterial Agents - therapeutic use
Endocarditis, Bacterial - prevention & control
Enterobacteriaceae Infections - prevention & control
Humans
Infusions, Parenteral
Injections, Intramuscular
Male
Penicillin G - administration & dosage
Penicillin G - therapeutic use
Penicillin G Procaine - administration & dosage
Penicillin G Procaine - therapeutic use
Streptomycin - administration & dosage
Streptomycin - therapeutic use
title Parenteral prophylaxis against enterococcal endocarditis
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