P. Munoz et al., BROAD-SPECTRUM BETA-LACTAM ANTIBIOTICS WITH BETA-LACTAMASE INHIBITORS, International journal of antimicrobial agents, 7, 1996, pp. 9-14
Combining cefoperazone, piperacillin or ticarcillin with the beta-lact
amase inhibitors sulbactam, tazobactam or clavulanic acid, respectivel
y, results in compounds with activity against a wide range of Gram-pos
itive and Gram-negative aerobic and anaerobic organisms, including str
ains producing beta-lactamases. Pharmacokinetics of the three combinat
ions are similar. Cefoperazone/sulbactam can be given twice daily as o
pposed to a minimum of three-times-daily dosing required with the othe
r combinations. All 9 combinations have a good safety profile, and may
be administered parenterally for the treatment of severe infections i
n hospitalized patients, including intra-abdominal, gynaecological, sk
in and soft tissue infections. Additional cover may be provided by adm
inistering one of these combinations with an aminoglycoside.