Beta-Lactamase Effect on Ampicillin Treatment of Haemophilus influenzae B Bacteremia and Meningitis in Infant Rats

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RESUMO

Intraperitoneal injections of 250 mg of ampicillin per kg every 6 h for 30 h sterilized the blood and cerebrospinal fluid of infant rats infected with either a β-lactamase-containing strain of Haemophilus influenzae type b or a strain lacking the enzyme. However, a single injection of 100 mg/kg sterilized the blood and cerebrospinal fluid of significantly fewer of those rats infected with the β-lactamase-producing strain. The results suggest that resistance of β-lactamase-containing strains of H. influenzae in vivo may be inoculum dependent, as demonstrated previously in vitro. The infant rat model appears suited for the quantitative delineation of the effect of β-lactamase on the treatment of H. influenzae bacteremia and meningitis with β-lactamase antibiotics.

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