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DOWNLOAD NOWMafenide is a sulfonamide antibiotic.1,2 It is active against clinical isolates of S. pyogenes, methicillin-susceptible S. aureus (MSSA), methicillin-resistant S. aureus (MRSA), Enterococcus, Enterobacteriaceae, and Gram-negative bacilli from burn patients in an agar well diffusion assay (mean zone of inhibition = 24-37 mm) but not in a broth dilution assay with MIC values ranging from 250 to greater than 5,000 μg/ml.1 Mafenide is also active against clinical isolates of K. pneumoniae that produce extended spectrum β-lactamase (ESBL), P. aeruginosa, and A. baumannii-calcoaceticus from burn patients in an agar well diffusion assay (mean zones of inhibition = 23.5, 28.9, and 25.8 mm, respectively) but not in a broth dilution assay (mean MICs = 1,024 μg/ml for all).2 It decreases mortality in a rat model of burn wounds seeded with rat virulent P. aeruginosa.3 Mafenide also inhibits human carbonic anhydrase I (CAI) and CAII (Kis = 41.91 and 0.612 μM, respectively).4 Formulations containing mafenide have been used in the treatment of bacterial infections associated with burn wounds.
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1. In vitro susceptibility testing of topical antimicrobial agents used in pediatric burn patients: Comparison of two methods. J. Burn Care Rehabil. 18(5), 406-410 (1997).
2. Activity of topical antimicrobial agents against multidrug-
3. Virulence of Pseudomonas infection in burned rats and mice. Comparative efficacy of silver sulfadiazine and mafenide. Arch. Surg. 101(4), 508-512 (1970).
4. Carbonic anhydrase inhibitors: Design, synthesis, kinetic, docking and molecular dynamics analysis of novel glycine and phenylalanine sulfonamide derivatives. Bioorg. Med. Chem. 23(23), 7353-7358 (2015).