1987
DOI: 10.2165/00003495-198733030-00001
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Imipenem/Cilastatin

Abstract: Imipenem is the first available semisynthetic thienamycin and is administered intravenously in combination with cilastatin, a renal dipeptidase inhibitor that increases urinary excretion of active drug. In vitro studies have demonstrated that imipenem has an extremely wide spectrum of antibacterial activity against Gram-negative and Gram-positive aerobic and anaerobic bacteria, even against many multiresistant strains of bacteria. It is very potent against species which elaborate beta-lactamases. Imipenem in c… Show more

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Cited by 119 publications
(18 citation statements)
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“…1b). Imipenem is an inhibitor of β-lactamases that inhibits cell wall synthesis in Gram-positive and Gram-negative bacteria [25]. Stressor molecules d -cycloserine, polymyxin and hydrogen peroxide were also tested, and d -cycloserine caused the largest increase in OMV production (Fig.…”
Section: Resultsmentioning
confidence: 99%
“…1b). Imipenem is an inhibitor of β-lactamases that inhibits cell wall synthesis in Gram-positive and Gram-negative bacteria [25]. Stressor molecules d -cycloserine, polymyxin and hydrogen peroxide were also tested, and d -cycloserine caused the largest increase in OMV production (Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Imipenem exhibits its antimicrobial action through inhibiting cell wall synthesis of bacteria and is very stable in the presence of b-lactamase produced by some bacteria. Since it is rapidly degraded by the renal enzyme dehydropeptidase 1 when administered alone, therefore it is always co-administered with cilastatin to prevent this inactivation [30]. Compounds 1e (4-F on aroyl 2-F on aryl ring; zone of inhibition 14 mm against B. subtilis) and 1f (2-Cl on aroyl, 3-F on aryl, zone of inhibition 14 mm against P. aureginosa) possess antibacterial action close to that of Imipenem having zone of inhibition 18 mm for each of these strains.…”
Section: Staphylococcus Aureusmentioning
confidence: 99%
“…Carbapenems such as imipenem (Scheme 1) have proven useful for the treatment of a variety of Gram-negative and Gram-positive infections (1,2). Carbapenems and other ␤-lactam antibiotics covalently modify penicillin-binding proteins (PBPs) 1 involved in the peptidoglycan biosynthetic pathway of cell wall assembly in bacteria (3,4).…”
Section: Imp-1 Metallo-␤-lactamase (Class B) Is a Plasmid-borne Zinc mentioning
confidence: 99%
“…Recently, members of this class of inhibitors were reported to reverse imipenem resistance in clinical isolates of P. aeruginosa expressing IMP-1. 2 The structure-activity relationships for succinic acids as inhibitors of IMP-1 can be understood by comparing the crystal structures of enzyme-inhibitor complexes and by molecular modeling of the inhibitors docked into the active site.…”
Section: Imp-1 Metallo-␤-lactamase (Class B) Is a Plasmid-borne Zinc mentioning
confidence: 99%