Abstract

 Tigecycline's MIC 90 of 1 mcg/mL was comparable to imipenem and 2 to 64 fold better than the beta-lactams, betalactam/beta-lactamase inhibitor combinations and levofloxacin against all Enterobacteriaceae tested.  Tigecycline demonstrated potent in vitro activity against both ESBL and non-ESBL producing E. coli, K. oxytoca and K. pneumoniae.  Tigecycline showed potent activity against A. baumannii with low MIC 50/90 values of 0.25 and 1 mcg/mL, respectively.  Tigecycline's limited activity against P. aeruginosa is similar to other tetracyclines and their analog derivatives.  Tigecycline showed potent inhibitory activity against S. aureus regardless of methicillin-resistant phenotype.  At 0.12 mcg/mL tigecycline had the lowest MIC 90 value of all comparative agents against both vancomycinsensitive and -resistant strains of E. faecium and E. faecalis.  Tigecycline presented a MIC 90 value of 0.5 mcg/mL against H. influenzae and was unaffected by the presence of beta-lactamase.  The in vitro activity of tigecycline in this study suggests that tigecycline is a promising compound in the treatment of serious infections caused by the most commonly encountered nosocomial and community acquired pathogens. BACKGROUND

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