Effects of cephalexin, erythromycin and clindamycin on the aerobic Gram-negative faecal flora in man

J Med Microbiol. 1978 May;11(2):125-35. doi: 10.1099/00222615-11-2-125.

Abstract

The effects of 5-day courses of orally administered cephalexin, clindamycin and erythromycin on the Gram-negative, aerobic faecal flora of healthy adults were examined. The concentration of cephalexin reached in the intestine was high enough to cause the emergence of resistant Gram-negative bacteria; organisms belonging to the genera Enterobacter, Citrobacter and Pseudomonas increased to easily detectable levels. The faecal concentration of erythromycin was high and caused a severe reduction of the coliform flora. Clindamycin administration resulted in a considerable increase in the coliform count; the increase in the proportion of klebsiellae was especially marked.

MeSH terms

  • Administration, Oral
  • Cephalexin / metabolism
  • Cephalexin / pharmacology*
  • Citrobacter / growth & development
  • Clindamycin / pharmacology*
  • Drug Resistance, Microbial
  • Enterobacter / growth & development
  • Erythromycin / metabolism
  • Erythromycin / pharmacology*
  • Feces / microbiology*
  • Gram-Negative Aerobic Bacteria / drug effects*
  • Humans
  • Pseudomonas / growth & development

Substances

  • Clindamycin
  • Erythromycin
  • Cephalexin