作者: Johan W. Mouton , Daan J. Touw , Alphonsus M. Horrevorts , Alexander A.T.M.M. Vinks
DOI: 10.2165/00003088-200039030-00002
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摘要: During the last few decades, several carbapenems have been developed. The major characteristic of newer drugs, such as MK-826, is a prolonged half-life. Alternatively, some developed that can be given orally, CS-834 and L-084. Although imipenem panipenem to administered with co-drug prevent degradation by enzyme dehydropeptidase-1 reduce nephrotoxicity, drugs meropenem, biapenem lenapenem are relatively stable towards enzyme. Structural modifications have, besides changes in pharmacology, also led varying antimicrobial properties. For instance, meropenem more active against Gram-negative organisms than most other carbapenems, but slightly less Gram-positive organisms.