title: Therapy of obstetrical infections with moxalactam.
abstract: We evaluated moxalactam in 62 patients with puerperal or postabortal genital infections. In all patients, the initial dose was 6 g/day. In 84% of patients, we found anaerobes in genital specimens. Of aerobic isolates, only enterococci were resistant. Among anaerobes tested, only two isolates (a Clostridium leptum and a Bacteroides disiens) had minimal inhibitory concentrations of greater than or equal to microgram/ml. Good clinical responses occurred in 56 of 62 (90%). Moxalactam was well tolerated with little local irritation and minimal hepatic, renal, or hematological abnormalities.
mesh_terms: D000022:Abortion, Spontaneous / Q000150:complications; D001419:Bacteria / Q000187:drug effects; D002511:Cephalosporins / Q000627:therapeutic use*; D002513:Cephamycins / Q000009:adverse effects / Q000627:therapeutic use*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008826:Microbial Sensitivity Tests; D009070:Moxalactam; D011183:Postoperative Complications / Q000188:drug therapy; D011247:Pregnancy; D011645:Puerperal Infection / Q000188:drug therapy* / Q000382:microbiology
chemical_list: D002511:Cephalosporins; D002513:Cephamycins; D009070:Moxalactam