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Effectiveness of Cefotaxime in Gram-negative Meningitis
Journal article   Peer reviewed

Effectiveness of Cefotaxime in Gram-negative Meningitis

Jack L. LeFrock, Abdolghader Molavi, Bruce Smith, Perry Black, Manuel Rosenberg, Kenneth Rolston, Robert Brodner, Pranatharthi Chandrasekar, Libia Henao, Don W. Kannangara, …
Neurosurgery, v 15(5), pp 679-682
01 Nov 1984
PMID: 6095133

Abstract

Abstract We treated 12 adult patients who had gram-negative bacillary meningitis with cefotaxime administered intravenously at a dose of 2 g every 4 hours. The etiological organisms included Haemophilus influenzae (3 cases), Serratia marcescens (3 cases), Klebsiella pneumoniae (3 cases), Escherichia coli (2 cases), and Enterobacter (1 case). The infection followed a neurosurgical procedure in 6 cases. The mean inhibitory and bactericidal concentrations of cefotaxime for the isolates ranged from 0.125 to 0.25 ug/ml. The cerebrospinal fluid (CSF) concentrations of cefotaxime ranged from 5.0 to 15.2 ug/ml, and the CSF bactericidal titers were 1:64 to 1:128. The CSF in all patients was sterilized within 96 hours. All 12 patients recovered, and there were no relapses.

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Web of Science research areas
Clinical Neurology
Surgery
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