TABLE 4.
Effects of treatment by amoxicillin (oral and intravenous simulation) on penicillin-resistant (strain 16089) and penicillin-susceptible (strain 195) S. pneumoniae experimental pneumonia
Parameter | Result or concentration for the following straina
|
|||||||
---|---|---|---|---|---|---|---|---|
Penicillin-resistant S. pneumoniae (strain 16089)
|
Penicillin-susceptible S. pneumoniae (strain 195)
|
|||||||
Untreated | Treated
|
Pd | Untreated | Treated
|
Pd | |||
Oralb | Intravenousc | Oralb | Intravenousc | |||||
No. | 8 | 5 | 5 | 8 | 5 | 5 | ||
Death at 48 h (%) | 4/8 (50) | 0/5 (0) | 0/5 (0) | 0.02 | 4/8 (50) | 0/5 (0) | 0/5 (0) | 0.02 |
Macroscopic score | 17.5 ± 10.4 | 12.0 ± 6.8 | 11.8 ± 1.3 | 0.36 | 17.8 ± 7.5 | 22.6 ± 5.9 | 16.4 ± 5.4 | 0.31 |
Histopathologic score | 14.0 ± 8.3 | 16.6 ± 8.3 | 15.2 ± 5.0 | 0.78 | 13.1 ± 5.4 | 17.6 ± 2.6 | 15.6 ± 4.3 | 0.24 |
Sterilized lungs (%) | 0/8 (0) | 3/5 (60) | 3/5 (60) | 0.01 | 0/8 (0) | 4/5 (80) | 5/5 (100) | <0.001 |
Pneumococcal concentration in lungse | 5.07 ± 2.05 | 1.63 ± 1.02 | 1.44 ± 0.81 | <0.001 | 6.49 ± 1.33 | 1.05 ± 0.11 | 1.00 ± 0.00 | <10−6 |
Pneumococcal concentration in spleene | 4.40 ± 2.37 | 1.00 ± 0.00 | 1.00 ± 0.00 | <10−6 | 5.00 ± 2.10 | 1.00 ± 0.00 | 1.00 ± 0.00 | <10−6 |
Each value represents the mean ± SD or number and percentage.
Simulation of four amoxicillin (1-g) oral administrations every 8 h.
Simulation of five amoxicillin (1-g) intravenous administrations every 8 h.
One-way variance analysis.
Log10 CFU/g.