RT Journal Article T1 Cidal activity of oral third-generation cephalosporins against Streptococcus pneumoniae in relation to cefotaxime intrinsic activity A1 Cafini, Fabio A1 Aguilar, Lorenzo A1 Alou Cervera, Luis A1 Giménez, María José A1 Sevillano Fernández, David A1 Torrico, Martha A1 González Hidalgo, Natalia A1 Granizo, Juan José A1 Martín Herrero, José Emilio A1 Prieto Prieto, José AB This study explores the killing kinetics within 12 h of four oral third-generation cephalosporins against ten Streptococcus pneumoniae strains exhibiting cefotaxime minimum inhibitory concentrations (MICs) from 0.03 to 2 microg/ml. Killing curves were performed with concentrations achievable in serum after standard doses (0.015-4 microg/ml). Reductions of 90% were achieved with all compounds at serum-achievable concentrations for strains exhibiting cefotaxime MIC < or = 0.5 microg/ml. Against strains with cefotaxime MIC > or = 1 microg/ml, only cefditoren reached a 90% reduction with concentrations of 0.5-1 microg/ml doses. At 4 microg/ml, cefditoren and cefotaxime reached 99.9% reduction in seven of the ten strains studied. At serum-achievable concentrations, cefdinir and cefixime were not bactericidal against strains exhibiting cefotaxime MIC > or = 0.25 microg/ml and > or = 0.5 microg/ml, respectively. Cefditoren showed the best killing kinetic profiles and this observation may be important when choosing an oral third-generation cephalosporin as initial or sequential therapy PB Springer SN 0934-9723 YR 2008 FD 2008-02-26 LK https://hdl.handle.net/20.500.14352/107149 UL https://hdl.handle.net/20.500.14352/107149 LA eng NO Cafini F, Aguilar L, Alou L, Giménez MJ, Sevillano D, Torrico M, González N, Granizo JJ, Martín-Herrero JE, Prieto J. Cidal activity of oral third-generation cephalosporins against Streptococcus pneumoniae in relation to cefotaxime intrinsic activity. Eur J Clin Microbiol Infect Dis. 2008 Aug;27(8):679-83. NO GlaxoSmithKline S.A. DS Docta Complutense RD 23 abr 2025