High Protein Binding and Cidal Activity against Penicillin-Resistant S. pneumoniae: A Cefditoren In Vitro Pharmacodynamic Simulation
2008

Cefditoren's Effectiveness Against Penicillin-Resistant S. pneumoniae

Sample size: 6 publication Evidence: moderate

Author Information

Author(s): Sevillano David, Aguilar Lorenzo, Alou Luis, Giménez María-José, González Natalia, Torrico Martha, Cafini Fabio, Fenoll Asunción, Coronel Pilar, Prieto José

Primary Institution: Universidad Complutense, Madrid, Spain

Hypothesis

Does cefditoren maintain antibacterial activity against penicillin-resistant S. pneumoniae despite high protein binding?

Conclusion

Cefditoren can effectively reduce bacterial counts of penicillin-resistant S. pneumoniae even with high protein binding.

Supporting Evidence

  • Cefditoren showed bactericidal activity against strains with MICs of 0.25 µg/ml.
  • High protein binding (87.1%) did not prevent cefditoren from being effective.
  • Strains with higher MICs still showed significant reductions in bacterial counts.

Takeaway

Cefditoren, an antibiotic, can still work against some tough bacteria even when a lot of it is stuck to proteins in the blood.

Methodology

The study simulated cefditoren's effects on six strains of S. pneumoniae using a pharmacodynamic model with human serum.

Limitations

The study was conducted in vitro, which may not fully replicate in vivo conditions.

Digital Object Identifier (DOI)

10.1371/journal.pone.0002717

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