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. 1977 Oct;12(4):503–509. doi: 10.1128/aac.12.4.503

Clinical and Bacteriological Evaluation of Netilmicin in Gram-Negative Infections

J Klastersky 1, F Meunier-Carpentier 1, L Coppens-Kahan 1, D Daneau 1, J M Prevost 1
PMCID: PMC429954  PMID: 335960

Abstract

A preliminary study was conducted with netilmicin, a new aminoglycoside antibiotic. Its effectiveness was evaluated in vitro against 546 strains of Enterobacteriaceae and Pseudomonas aeruginosa isolated from clinical material. Its effectiveness against gentamicin-susceptible strains was roughly similar to that of gentamicin and other newer aminoglycoside antibiotics. Cross-resistance to netilmicin was found in 9 of 44 gentamicin-resistant strains. A favorable clinical response was observed in 70% of the patients treated with a dose of netilmicin ranging from 4.5 to 7.5 mg/kg. However, the appearance of granular casts was seen in 7 of 10 patients receiving the higher dosage of netilmicin (7.5 mg/kg) and a rise in blood urea nitrogen or serum creatinine levels was observed in 5 of these patients.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bryant R. E., Hammond D. Interaction of purulent material with antibiotics used to treat Pseudomonas infections. Antimicrob Agents Chemother. 1974 Dec;6(6):702–707. doi: 10.1128/aac.6.6.702. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Davis W. W., Stout T. R. Disc plate method of microbiological antibiotic assay. II. Novel procedure offering improved accuracy. Appl Microbiol. 1971 Oct;22(4):666–670. doi: 10.1128/am.22.4.666-670.1971. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Dhawan V., Marso E., Martin W. J., Young L. S. In vitro studies with netilmicin compared with amikacin, gentamicin, and tobramycin. Antimicrob Agents Chemother. 1977 Jan;11(1):64–73. doi: 10.1128/aac.11.1.64. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Feld R., Valdivieso M., Bodey G. P., Rodriguez V. Comparison of amikacin and tobramycin in the treatment of infection in patients with cancer. J Infect Dis. 1977 Jan;135(1):61–66. doi: 10.1093/infdis/135.1.61. [DOI] [PubMed] [Google Scholar]
  5. Kantor R. J., Norden C. W. In vitro activity of netilmicin, gentamicin, and amikacin. Antimicrob Agents Chemother. 1977 Jan;11(1):126–131. doi: 10.1128/aac.11.1.126. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Klastersky J., Cappel R., Daneau D. Clinical significance of in vitro synergism between antibiotics in gram-negative infections. Antimicrob Agents Chemother. 1972 Dec;2(6):470–475. doi: 10.1128/aac.2.6.470. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Klastersky J., Daneau D., Swings G., Weerts D. Antibacterial activity in serum and urine as a therapeutic guide in bacterial infections. J Infect Dis. 1974 Feb;129(2):187–193. doi: 10.1093/infdis/129.2.187. [DOI] [PubMed] [Google Scholar]
  8. Klastersky J., Hensgens C., Henri A., Daneau D. Comparative clinical study of tobramycin and gentamicin. Antimicrob Agents Chemother. 1974 Feb;5(2):133–138. doi: 10.1128/aac.5.2.133. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Klastersky J., Nyamubeya B., Vandenborre L. Antimicrobial effectiveness ofkanamycin, aminosidin, BB-K8, sisomicin, gentamicin and tobramycin combined with carbenicillin or cephalothin against gram-negative rods. J Med Microbiol. 1974 Nov;7(4):465–472. doi: 10.1099/00222615-7-4-465. [DOI] [PubMed] [Google Scholar]
  10. Meyer R. D., Draus L. L., Pasieczinik K. A. In vitro susceptibility of gentamicin-resistant Enterobacteriaceae and Pseudomonas aeruginosa to netilmicin and selected aminoglycoside antibiotics. Antimicrob Agents Chemother. 1976 Oct;10(4):677–681. doi: 10.1128/aac.10.4.677. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Meyers B. R., Hirschman S. Z. Antimicrobial activity in vitro of netilmicin and comparison with sisomicin, gentamicin, and tobramycin. Antimicrob Agents Chemother. 1977 Jan;11(1):118–121. doi: 10.1128/aac.11.1.118. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Pogwizd S. M., Lerner S. A. In vitro activity of gentamicin, amikacin and netilmicin alone and in combination with carbenicillin against Serratia marcescens. Antimicrob Agents Chemother. 1976 Dec;10(6):878–884. doi: 10.1128/aac.10.6.878. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Smith C. R., Baughman K. L., Edwards C. Q., Rogers J. F., Lietman P. S. Controlled comparison of amikacin and gentamicin. N Engl J Med. 1977 Feb 17;296(7):349–353. doi: 10.1056/NEJM197702172960701. [DOI] [PubMed] [Google Scholar]

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