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Journal of Antimicrobial Chemotherapy (1985) 16, 499-507
© 1985 The British Society for Antimicrobial Chemotherapy


research-article

Empirical use of imipenem as the sole antibiotic in the treatment of serious infections

Earl H. Freimer, Haig Donabedian, Roberta Raeder and Bruce S. Ribner

Division of Infectious Diseases, Department of Medicine, and the Department of Microbiology, Medical College of Ohio Toledo, Ohio, U.S.A.

accepted 22 April 1985


Reprint requests to: Dr E. H. Freimer, Department of Medicine, Medical College of Ohio, C.S. 10008, Toledo, OH 43699, U.S.A.

Seventy-three patients with eighty-five infections were treated with imipenem as the sole antimicrobial agent. Some of these infections were caused by pseudomonads and enterococci resistant to other cephalosporins. The vast majority of the Gram-positive and the Gram-negative bacteria that were isolated had a minimal inhibitory concentration (MIC) of less than 1 mg/l, and all MICs for initial isolates were below the levels of imipenem that were achieved in plasma and other body fluids with a dose of 500 mg every 6 h. The outcomes of 67 infectious episodes were satisfactory, four outcomes were failures and 14 were not evaluable. During the two years of this study, only a few strains of Staphylococcus epidermidis and of Pseudomonas aeruginosa emerged which were resistant to imipenem.


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