RESUMO
The antibacterial activity of meropenem (MEPM) and other parenteral antibiotics against clinical isolates of 2655 strains including 810 strains of Gram-positive bacteria, 1635 strains of Gram-negative bacteria, and 210 strains of anaerobic bacteria obtained from 30 medical institutions during 2009 was examined. The results were as follows; (1) MEPM was more active than the other carbapenem antibiotics tested against Gram-negative bacteria, especially against enterobacteriaceae and Haemophilus influenzae. MEPM was also active against most of the species tested in Gram-positive and anaerobic bacteria, except for multidrug resistant strains including methicillin-resistant Staphylococcus aureus (MRSA). (2) MEPM maintained potent and stable antibacterial activity against Pseudomonas aeruginosa. The proportion of MEPM-resistant strains to ciprofloxacin-resistant strains or imipenem-resistant strains were 53.1% and 58.0% respectively. (3) The proportion of extended-spectrum beta-lactamase (ESBL) strains was 3.1% (26 strains) in enterobacteriaceae. And the proportion of metallo-beta-lactamase strains was 2.0% (6 strains) in P. aeruginosa. (4) Of all species tested, there were no species except for Bacteroides fragilis group, which MIC90 of MEPM was more than 4-fold higher than those in our previous study. Therefore, there is almost no significant decrease in susceptibility of clinical isolates to meropenem. In conclusion, the results from this surveillance study suggest that MEPM retains its potent and broad antibacterial activity and therefore is a clinically useful carbapenem for serious infections treatment at present, 14 years passed after available for commercial use in Japan.
Assuntos
Antibacterianos/farmacologia , Bactérias Anaeróbias/efeitos dos fármacos , Bactérias Anaeróbias/isolamento & purificação , Infecções Bacterianas/microbiologia , Bactérias Gram-Negativas/efeitos dos fármacos , Bactérias Gram-Negativas/isolamento & purificação , Bactérias Gram-Positivas/efeitos dos fármacos , Bactérias Gram-Positivas/isolamento & purificação , Tienamicinas/farmacologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Formas de Dosagem , Farmacorresistência Bacteriana , Humanos , Lactente , Recém-Nascido , Japão , Meropeném , Pessoa de Meia-Idade , Sistema Respiratório/microbiologia , Fatores de Tempo , Urina/microbiologia , Adulto JovemRESUMO
Adsorption of the sulfuric acid anion (HSO4- or SO42-) has been studied on Pd(S)-[n(111) x (111)] electrodes (n = 2, 3, 5, 9, 20, infinity) using in situ infrared reflection absorption spectroscopy (IRAS). A single band is observed around 1200 cm(-1) on all the electrodes. The band is assigned to the SO stretching vibration of the sulfuric acid anion adsorbed with three- or onefold geometry. This result differs from the case of Pt-stepped surfaces on which two IRAS bands are observed around 1200 and 1100 cm(-1). The maximum coverage of the sulfuric acid anion is enhanced with the increase of the terrace width. The surfaces with n more than 3 have similar IRAS band shifts (dv/dE). Pd-stepped surfaces, for which the terrace is wide enough for the anion adsorption, adsorb the anion on the terrace rather than the step.
