Cefsulodin sodium (SCE-129, CGP-7174/E), active in minimum inhibitory concentrations (MICs) of 0.5 to 64 ,ug/ml, was about 16-to 32-fold more active than carbenicilhin against Pseudomonas aeruginosa. It was also active against P. diminuta, P. maltophilia, P. paucimobilis, and P. pseudoalcaligenes (MICs of 1 to 32 ug/ml) but not against other species of Pseudomonas or otlher gram-negative bacteria. Except with highly carbenicillin-resistant isolates, MICs of cefsulodin for P. aeruginosa were little affected by an increase in the inoculum. With a small inoculum, minimum bactericidal concentrations (MBCs) were the same as or twice the MIC, but increasing the inoculum had a greater effect on the MBC than on the MIC. Cefsulodin was not hydrolyzed by the ,B-lactamase induced in P. aeruginosa by growth in the presence of benzylpenicillin and was a poor substrate for,-lactamases from Enterobacter cloacae and Proteus morganii. However, it was hydrolyzed, albeit slowly, by the /i-lactamase produced by most of our highly carbenicillin-resistant isolates of P. aeruginosa and by TEM-type f8-lactamases.Cefsulodin sodium, previously known as SCE-129 and CGP-7174/E, is a new cephalosporin active against Pseudomonas aeruginosa (12). In this paper we report studies ofits activity against P. aeruginosa and a range of other gram-negative bacteria, and also studies ofits susceptibility to hydrolysis by various ,B-lactamases.
MATERIALS AND METHODSBacteria studied. We studied P. aeruginosa (131 isolates), P. acidovorans (12 isolates), P. cepacia (12 isolates), P. diminuta (1 isolate), P. fluorescens (13 isolates), P. maltophilia (10 isolates), P. paucimobilis (3 isolates), P. pseudoalcaligenes (1 isolate), P. putida (27 isolates), P. putrefaciens (1 isolate), P. stutzeri (1 isolate), Acinetobacter anitratus (10 isolates