title: In vitro activity of L-627, a new carbapenem.
abstract: The in vitro activity of L-627, a new parenterally administered carbapenem, was compared with those of imipenem, meropenem, FCE 22101 (a penem), ceftazidime, and ceftriaxone. L-627 was active against members of the family Enterobacteriaceae (MIC for 90% of strains tested [MIC90] ranging from 0.03 to 4 micrograms/ml). L-627 displayed activity equal to that of meropenem against Pseudomonas aeruginosa (MIC90, 2 micrograms/ml), although, as with other carbapenems, the antipseudomonal activity was reduced against D2-deficient strains. Staphylococci and streptococci were susceptible (MIC90 of 1.0 micrograms/ml for Staphylococcus aureus and 0.015 micrograms/ml for group A streptococci). L-627 also had activity against anaerobic bacteria (MIC90, 2.0 micrograms/ml for Bacteroides fragilis). Neisseria gonorrhoeae and Neisseria meningitidis were highly susceptible (MIC90, 0.06 micrograms/ml), and against the common respiratory pathogens (Haemophilus influenzae, Streptococcus pneumoniae, and Moraxella catarrhalis), the MIC90s were less than or equal to 2.0 micrograms/ml. The protein binding of L-627 ranged from 13.8 to 22%, depending on the concentration. The presence of human serum had little effect on the MIC or MBC of L-627. These results suggest that L-627 merits further study in the treatment of infections caused by a wide range of pathogens.
authors.affiliation: Department of Microbiology, Dudley Road Hospital, Birmingham, United Kingdom.
authors.forename: C R
authors.initials: CR
authors.lastname: Catchpole
authors.forename: R
authors.initials: R
authors.lastname: Wise
authors.forename: D
authors.initials: D
authors.lastname: Thornber
authors.forename: J M
authors.initials: JM
authors.lastname: Andrews
mesh_terms: D001419:Bacteria / Q000187:drug effects*; D001425:Bacterial Outer Membrane Proteins / Q000096:biosynthesis; D008826:Microbial Sensitivity Tests; D011485:Protein Binding; D011552:Pseudomonas Infections / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000187:drug effects / Q000378:metabolism; D013845:Thienamycins / Q000378:metabolism / Q000494:pharmacology*
chemical_list: D001425:Bacterial Outer Membrane Proteins; D013845:Thienamycins; C065257:biapenem