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Biomedical subjects

C Wilcox

Publications and source records attributed to C Wilcox.

At least 55 records · Page 3Linked to original sources

Susceptibility of Staphylococcus aureus and Staphylococcus epidermidis to 65 antibiotics.

The susceptibilities of 36 recent isolates of Staphylococcus aureus and 35 recent isolates of Staphylococcus epidermidis were determined against each of 65 antimicrobial agents and against two of them in combination. Rifampin was the most active of all the agents tested against both S. aureus and S. epidermidis. Among the penicillins, cloxacillin, dicloxacillin, and nafcillin were most active, although benzylpenicillin and phenoxymethyl penicillin were more active against susceptible strains. Cephaloridine was the most active of the cephalosporins, and sisomicin was the most active aminoglycoside. Minocycline was more active than the other tetracycline analogues tested. Among the macrolide-lincomycin compounds in clinical use, clindamycin was more active, and lincomycin was less active than erythromycin. The synergy of trimethoprim-sulfamethoxazole was more striking against S. aureus than against S. epidermidis. The median minimal inhibitory concentrations of the penicillins, cephalosporins, and aminoglycosides were lower against S. aureus, whereas the minimal inhibitory concentrations of the tetracyclines were lower against S. epidermidis.

Anti-Bacterial Agents↗

Effect of inoculum and of beta-lactamase on the anti-staphylococcal activity of thirteen penicillins and cephalosporins.

Because there are few persuasive data for selecting one semisynthetic penicillin or cephalosporin over another for treatment of serious staphylococcal infections, 118 recent clinical isolates of Staphylococcus aureus were studied to determine to what extent the presence of beta-lactamase affected the relative anti-staphylococcal activity of six penicillins and seven cephalosporins. In addition, the effect of inoculum was studied for its possible effect on the anti-staphylococcal activity of the 13 beta-lactam antibiotics. By all criteria, methicillin and nafcillin were clearly more resistant to both the inoculum effect and the production of staphylococcal beta-lactamase, whereas benzylpenicillin and cephaloridine (especially benzyl-penicillin) were the most susceptible to these effects. Cephazolin was clearly more susceptible to staphylococcal beta-lactamase and heavy inocula than the other cephalosporins (with the exception of cephaloridine), whereas cephalothin was the most resistant cephalosporin to these factors. The minimal inhibitory concentration for benzylpenicillin for tests with undiluted inoculum, compared to results with inoculum diluted 10(-4), differed by a factor up to 16,384, whereas with methicillin and nafcillin the differences were rarely more than twofold. Ratios for the other 10 antibiotics fell between these extremes. These results suggest that methicillin or nafcillin is most stable to staphylococcal beta-lactamase, and that benzylpenicillin and cephaloridine are the most susceptible.

Amidohydrolases↗

Effect of pH of medium and size of inoculum on activity of antibiotics against group D Streptococcus (Enterococcus).

Seventy-one clinical isolates of 5 species of group D Streptococcus (Enterococcus) were tested for susceptibility to 15 antibiotics at pH 5.0, 7.4, and 8.5. Penicillin G, ampicillin, cephalothin, cephaloridine, and novobiocin were considerably more active against all strains at pH 5.0 than in the more alkaline media. On the other hand, lincomycin, clindimycin, erythromycin, and gentamicin were moderately to markedly more active at pH 8.5. No important differences were noted in the susceptibility of the strains to kanamycin and streptomycin, at the pH levels tested, but the organisms were quite resistant to them in these tests. The various species differed quantitatively in their susceptibility to the individual drugs and in the effects of pH. The size of the inoculum also had a variable effect on susceptibility, depending on the species of Enterococcus, the antibiotics, and the pH of the test medium. The data suggest that, in the antibiotic treatment of urinary tract infections caused by Enterococcus, attempts should be made to achieve the optimum pH in the urine, particularly in view of the fact that organisms of this group are often resistant to several antibiotics in the usual tests.

Anti-Bacterial Agents↗