1995
DOI: 10.1128/aac.39.9.2153
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In vitro antimicrobial susceptibilities of strains of Yersinia pestis

Abstract: The in vitro activities of 14 antimicrobial agents were determined for 78 strains of Yersinia pestis. The most active antibiotics were ceftriaxone and ciprofloxacin, followed by ofloxacin and ampicillin. The agents traditionally used for the treatment of plague (streptomycin, tetracycline, and chloramphenicol) were considerably less active. Azithromycin showed poor activity against all strains.

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Cited by 56 publications
(33 citation statements)
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“…pestis, the etiological agent of plague, is a gram-negative, facultatively intracellular bacterium (127,167). In axenic medium, Y. pestis is highly susceptible to many antibiotics (63,156), including aminoglycosides, although multidrug resistance in this species has been reported recently in one strain (68). The in vitro activities of antibiotics against intracellular Y. pestis have never been assessed.…”
Section: Selected Examples Of Clinical Activity Of Aminoglycosidesmentioning
confidence: 99%
“…pestis, the etiological agent of plague, is a gram-negative, facultatively intracellular bacterium (127,167). In axenic medium, Y. pestis is highly susceptible to many antibiotics (63,156), including aminoglycosides, although multidrug resistance in this species has been reported recently in one strain (68). The in vitro activities of antibiotics against intracellular Y. pestis have never been assessed.…”
Section: Selected Examples Of Clinical Activity Of Aminoglycosidesmentioning
confidence: 99%
“…Similarly, a survey of 100 clinical isolates collected prior to 1991 from Africa for 14 commercially available antibiotics found that all were effective at Ͻ8 g/ml except for one macrolide antibiotic (12). For a collection of 78 Y. pestis isolates from Vietnam from 1985 to 1993, all were susceptible to 14 commercial antibiotics at 8 g/ml; however, the authors noted that the MICs for several antibiotics commonly used in Vietnam were less effective (26). The most recently screened collection consisted of 92 isolates (not all are from human cases) from California from 1977 to 1998, and 12 commercially available antibiotics were found to be effective at Յ8 g/ml (29).…”
Section: Discussionmentioning
confidence: 99%
“…In addition to streptomycin, other antibiotics recommended for treatment of plague are gentamicin, doxycycline, and ciprofloxacin; however, there are limited studies upon which to base these recommendations (4,23,26).…”
mentioning
confidence: 99%
“…1 McFarland instead of the 0.5 McFarland standard used in most disk or Etest diffusion studies. Agar dilution, using MHA incubated at 27°to 30°C for 48 h, is the most common method reported in the literature (7,8,11,12,22). Broth macrodilution and microdilution methods have also been used with various incubation temperatures (2,21).…”
mentioning
confidence: 99%