Semi-synthetic β-lactamase inhibitor. Prepn and use with β-lactam antibiotics: BE 867859; W. E. Barth, US 4234579 (1978, 1980 both to Pfizer); R. A. Volkmann et al., J. Org. Chem. 47, 3344 (1982). β-Lactamase activity and antibacterial spectrum in vitro: A. R. English et al., Antimicrob. Agents Chemother. 14, 414 (1978); R. N. Jones et al., Diagn. Microbiol. Infect. Dis. 3, 489 (1985). HPLC determn in human plasma and urine: J. Haginaka et al., J. Chromatogr. 341, 115 (1985). Pharmacokinetics in humans: G. Foulds et al., Antimicrob. Agents Chemother. 23, 692 (1983). Clinical study of synergistic effect with ampicillin: S. Mehtar et al., J. Antimicrob. Chemother. 17, 389 (1986); B. V. Stromberg et al., Surg. Gynecol. Obstet. 162, 575 (1986). Review of activity and therapeutic use of sulbactam with ampicillin: D. M. Campoli-Richards, R. N. Brogden, Drugs 33, 577-609 (1987).
In combination with β-lactam antibiotics as antibacterial.
Antibacterial Adjuncts; β-Lactamase Inhibitors