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Cloxacillin

Cloxacillin is a semisynthetic antibiotic in the same class as penicillin. It is sold under a number of trade names, including Cloxapen® and Orbenin®.

Cloxacillin is for use against staphylococci that produce beta-lactamase.

Molecular formula: C19H17ClN3O5S*Na*H2O

Molecular weight: 475.9

CAS registry no.: 7081-44-9

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Nosocomial pneumonia and antibiotic resistance
From CHEST, 10/1/05 by Prashant S. Borade

PURPOSE: The emergence of antibiotic resistant pathogens poses a significant threat to patients with nosocomial pneumonia. It is therefore important to evaluate the relationship between hospital-acquired pathogens and antibiotic resistance.

METHODS: A prospective study was conducted in 100 consecutive patients with hospital-acquired infections admitted to the intensive care unit of which 46% had clinical, laboratory, and radiological evidence of nosocomial pneumonia.

RESULTS: Isolated pathogens consisted of Klebsiella spp. (29%), Pseudomonas spp. (16%), Acinetobacter spp. (13%), Staphylococcus aureus (11%), Escherichia coli (10%), Enterobacter spp. (9%), methicillin-resistant S. aureus (2%), and Candida spp. (9%). Details of antibiotic resistance are shown in Table 1. Mortality was 33% in patients with nosocomial pneumonia.

CONCLUSION: Antibiotic resistance in hospital-acquired pathogens is significant.

CLINICAL IMPLICATIONS: Patients with nosocomial pneumonia remain at risk from antibiotic resistant pathogens.

DISCLOSURE: Prashant Borade, None.

[GRAPHIC OMITTED]

Prashant S. Borade MD * Daniel K. Lee MD Department of Respiratory Medicine, Ipswich Hospital, Ipswich, Suffolk, England, United Kingdom

COPYRIGHT 2005 American College of Chest Physicians
COPYRIGHT 2005 Gale Group

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