Abstract
Clavulanic acid, Z-(2R,5R)-3-(beta-hydroxyethylidene)-7-oxo-4-oxa-1-azabicyclo-[3,2,0] heptane-2-carboxylic acid, has been shown to be an effective inhibitor of the beta-lactamases of the Richmond types II, III, IV, and V. Inhibition is a time-dependent reaction and is irreversible. Clavulanic acid had poor antibacterial activity against Staphylococcus aureus, Enterobacteriaceae, and Pseudomonas aeruginosa, with minimal inhibitory levels greater than 25 mug/ml. It did inhibit the majority of Neisseria gonorrhoeae at 0.1 mug/ml and Haemophilus influenzae at 6.3 mug/ml. Clavulanic acid acted synergistically with penicillins and cephalosporins to inhibit beta-lactamase-producing S. aureus and Enterobacteriaceae. Clavulanic acid combined with ampicillin inhibited beta-lactamase-producing N. gonorrhoeae, H. influenzae, Escherichia coli, Salmonella typhi, and Shigella sonnei.
MeSH Terms
Ampicillin/pharmacology
Anti-Bacterial Agents/pharmacology
Bacteria/drug effects
Cephalosporins/pharmacology
Drug Synergism
Kinetics
Microbial Sensitivity Tests
beta-Lactamase Inhibitors
beta-Lactams/pharmacology
Chemicals
Anti-Bacterial Agents
Cephalosporins
beta-Lactamase Inhibitors
beta-Lactams
Ampicillin
Authors & Affiliations
2 authors, click to expand affiliations / ORCID
Neu H C
Fu K P
References (14)
14 references, click to expand
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