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Following expiration of the
Bristol-Myers Squibb patent, cefepime became available as a generic and is now marketed by numerous companies worldwide under tradenames including Neopime (Neomed), Maxipime, Cepimax, Cepimex, and Axepim.
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Cefepime is a broad-spectrum cephalosporin antibiotic and has been used to treat bacteria responsible for causing pneumonia and infections of the skin and urinary tract. Some of these bacteria include
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InChI=1S/C19H24N6O5S2/c1-25(5-3-4-6-25)7-10-8-31-17-13(16(27)24(17)14(10)18(28)29)22-15(26)12(23-30-2)11-9-32-19(20)21-11/h9,13,17H,3-8H2,1-2H3,(H3-,20,21,22,26,28,29)/b23-12-/t13-,17-/m1/s1
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Executive summary: the selection and use of essential medicines 2019: report of the 22nd WHO Expert
Committee on the selection and use of essential medicines
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moiety increases penetration into Gram-negative bacteria. These factors increase the activity of cefepime against otherwise resistant organisms including
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Yahav D, Paul M, Fraser A, Sarid N, Leibovici L (May 2007). "Efficacy and safety of cefepime: a systematic review and meta-analysis".
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Chapman TM, Perry CM (2003). "Cefepime: a review of its use in the management of hospitalized patients with pneumonia".
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926:, cefepime is stable and is a front-line agent when infection with Enterobacteriaceae is known or suspected.
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1356:"Cefepime Susceptibility and Concentration Range (μg/ml) Minimum Inhibitory Concentration (MIC) Data"
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1281:"Cefepime (maxipime), large spectrum 4th generation cephalosporin, resistant to beta-lactamases]".
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841:(FDA) performed their own meta-analysis which found no mortality difference.
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Insert into bacterial cell wall causing perforation and depolarization:
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susceptibility data for a few medically significant microorganisms:
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was increased in people treated with cefepime compared with other
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Cefepime has good activity against important pathogens including
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and approved for medical use in 1994. It is available as a
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O=C2N1/C(=C(\CS12NC(=O)C(=N\OC)/c3nc(sc3)N)C4(C)CCCC4)C()=O
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Cefepime is usually reserved to treat moderate to severe
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1309:. WHO/MVP/EMP/IAU/2019.05. License: CC BY-NC-SA 3.0 IGO.
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and the aminothiazole moiety confers extra stability to
814:. Cefepime has an extended spectrum of activity against
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7-(2-(2-aminothiazol-4-yl)-2-(methoxyimino)acetamido)-
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Benzathine benzylpenicillin/procaine benzylpenicillin
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914:. Whereas other cephalosporins are degraded by many
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3-((1-methylpyrrolidinium-1-yl)methyl)-8-oxo-5-thia-
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852:and sold under a variety of trade names worldwide.
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910:. A particular strength is its activity against
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829:suggested when data of trials were combined,
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1209:"FDA Alert: Cefepime (marketed as Maxipime)"
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1123:. Unsourced material may be challenged and
1012:. Unsourced material may be challenged and
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16:Fourth-generation Cephalosporin Antibiotic
2542:Inhibits PG elongation and crosslinking:
1304:
1143:Learn how and when to remove this message
1032:Learn how and when to remove this message
534:
1322:American Journal of Respiratory Medicine
1213:Information for Healthcare Professionals
1062:enzymes produced by many bacteria. The
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1248:. John Wiley & Sons. p. 496.
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1299:. Geneva: World Health Organization.
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1394:. U.S. National Library of Medicine.
1121:adding citations to reliable sources
1010:adding citations to reliable sources
930:Spectrum of bacterial susceptibility
432:1-aza-bicyclooct-2-ene-2-carboxylate
257:
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946:species. The following represents
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2567:subunit synthesis and transport:
1262:from the original on 19 June 2021
844:Cefepime was patented in 1982 by
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741:150 °C (302 °F) (dec.)
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91:
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29:
1242:Fischer J, Ganellin CR (2006).
1175:The Lancet. Infectious Diseases
782:Key:HVFLCNVBZFFHBT-ZKDACBOMSA-N
2465:Imipenem/cilastatin/relebactam
904:, and multiple drug-resistant
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1:
1245:Analogue-based Drug Discovery
1187:10.1016/S1473-3099(07)70109-3
1365:. toku-e.com. Archived from
1217:Food and Drug Administration
839:Food and Drug Administration
2490:Ticarcillin/clavulanic acid
2410:Amoxicillin/clavulanic acid
1547:Phenoxymethylpenicillin (V)
1537:Benzathine benzylpenicillin
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657:Chemical and physical data
2726:Cephalosporin antibiotics
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2415:Ampicillin/flucloxacillin
1542:Procaine benzylpenicillin
1293:World Health Organization
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967:Streptococcus pneumoniae
907:Streptococcus pneumoniae
855:It was removed from the
837:. In response, the U.S.
2480:Piperacillin/tazobactam
2440:Cefepime/enmetazobactam
1392:Drug Information Portal
1363:The Antimicrobial Index
1044:The combination of the
969:: ≤0.007 – >8 μg/ml
807:is a fourth-generation
2571:synthesis inhibition (
2455:Ceftolozane/tazobactam
2445:Cefoperazone/sulbactam
2344:β-lactamase inhibitors
1075:Pseudomonas aeruginosa
1048:-configuration of the
963:: 0.06 – >256 μg/ml
961:Pseudomonas aeruginosa
896:Pseudomonas aeruginosa
877:Pseudomonas aeruginosa
2485:Sulbactam/durlobactam
2470:Meropenem/vaborbactam
2450:Ceftazidime/avibactam
1582:β-lactamase resistant
1522:β-lactamase sensitive
1079:Staphylococcus aureus
901:Staphylococcus aureus
2475:Panipenem/betamipron
2420:Ampicillin/sulbactam
1532:Benzylpenicillin (G)
1466:cell wall by binding
1117:improve this section
1006:improve this section
957:: ≤0.007 – 128 μg/ml
846:Bristol-Myers Squibb
835:β-lactam antibiotics
2460:Imipenem/cilastatin
2430:Aztreonam/avibactam
2241:Ceftaroline fosamil
1372:on 1 November 2018.
317:(Prescription only)
293:(Prescription only)
25:
2681:Never to phase III
2613:Hydrolyze NAM-NAG
1701:Carboxypenicillins
1464:layer of bacterial
1460:(inhibit synthesis
1334:10.1007/bf03256641
1223:on 2 November 2017
912:Enterobacteriaceae
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1995:Cefuroxime axetil
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607:CompTox Dashboard
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1181:(5): 338–348.
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388:
382:
381:
378:
369:
368:
362:
356:
355:
348:
342:
341:
334:
333:
331:
330:
318:
305:
294:
280:
278:
272:
271:
267:
266:
264:
263:
250:
248:
242:
241:
232:
230:administration
224:
223:
221:
220:
218:
208:
206:
198:
197:
195:
194:
176:
174:
168:
167:
160:
154:
153:
146:
136:
135:
134:Maxipime, Voco
132:
126:
125:
53:
49:
48:
44:
43:
35:
34:
15:
13:
10:
9:
6:
4:
3:
2:
2758:
2747:
2744:
2742:
2739:
2737:
2734:
2732:
2729:
2727:
2724:
2723:
2721:
2711:
2701:
2697:
2680:
2678:
2675:
2674:
2672:
2669:
2666:
2663:
2661:
2658:
2657:
2653:
2647:
2644:
2642:
2639:
2635:
2632:
2630:
2627:
2626:
2625:
2622:
2618:
2615:
2614:
2612:
2611:
2609:
2605:
2598:
2594:
2591:
2588:
2584:
2580:
2577:
2574:
2570:
2566:
2562:
2561:
2559:
2557:Intracellular
2555:
2545:
2541:
2540:
2538:
2534:
2528:
2525:
2523:
2519:
2518:
2516:
2514:
2510:
2507:
2505:
2501:
2491:
2488:
2486:
2483:
2481:
2478:
2476:
2473:
2471:
2468:
2466:
2463:
2461:
2458:
2456:
2453:
2451:
2448:
2446:
2443:
2441:
2438:
2436:
2433:
2431:
2428:
2425:
2424:Sultamicillin
2421:
2418:
2416:
2413:
2411:
2408:
2407:
2405:
2401:
2394:
2391:
2389:
2386:
2384:
2381:
2379:
2375:
2372:
2368:
2365:
2362:
2359:
2357:
2353:
2350:
2349:
2347:
2345:
2341:
2335:
2332:
2330:
2327:
2325:
2322:
2320:
2317:
2316:
2314:
2312:
2308:
2298:
2295:
2293:
2290:
2288:
2285:
2284:
2282:
2280:
2276:
2270:
2267:
2266:
2264:
2262:
2258:
2252:
2249:
2247:
2244:
2242:
2239:
2238:
2236:
2234:
2230:
2224:
2221:
2219:
2216:
2214:
2211:
2209:
2206:
2205:
2203:
2201:
2197:
2190:
2187:
2185:
2181:
2178:
2176:
2173:
2171:
2168:
2166:
2163:
2161:
2158:
2156:
2153:
2151:
2148:
2146:
2143:
2141:
2138:
2136:
2133:
2131:
2128:
2126:
2123:
2121:
2118:
2116:
2113:
2111:
2108:
2106:
2103:
2101:
2098:
2095:
2092:
2090:
2086:
2084:
2081:
2079:
2076:
2074:
2071:
2070:
2068:
2066:
2062:
2055:
2051:
2048:
2045:
2042:
2040:
2039:Cefbuperazone
2037:
2035:
2032:
2030:
2027:
2025:
2021:
2018:
2016:
2013:
2011:
2008:
2006:
2003:
2001:
1998:
1996:
1993:
1991:
1988:
1986:
1983:
1981:
1978:
1977:
1975:
1973:
1969:
1963:
1960:
1958:
1955:
1953:
1950:
1948:
1945:
1943:
1940:
1938:
1935:
1933:
1930:
1928:
1925:
1923:
1920:
1918:
1915:
1913:
1910:
1908:
1905:
1903:
1900:
1898:
1895:
1893:
1890:
1889:
1887:
1885:
1881:
1878:
1876:
1872:
1868:
1864:
1860:
1853:
1850:
1848:
1844:
1841:
1838:
1836:
1833:
1830:
1827:
1825:
1822:
1820:
1816:
1813:
1811:
1808:Carbapenems (
1807:
1806:
1804:
1802:
1798:
1794:
1780:
1779:Sulbenicillin
1777:
1774:
1773:Pivmecillinam
1770:
1767:
1766:
1764:
1760:
1754:
1751:
1749:
1746:
1744:
1741:
1740:
1738:
1735:
1731:
1725:
1722:
1720:
1719:Carindacillin
1716:
1715:Carbenicillin
1713:
1711:
1708:
1707:
1705:
1702:
1698:
1692:
1689:
1686:
1685:Talampicillin
1683:
1681:
1680:Metampicillin
1678:
1676:
1675:Lenampicillin
1673:
1671:
1670:Bacampicillin
1668:
1666:
1663:
1661:
1660:Pivampicillin
1657:
1654:
1652:
1649:
1648:
1646:
1643:
1639:
1636:
1634:
1628:
1618:
1615:
1613:
1610:
1608:
1605:
1602:
1599:
1597:
1596:Dicloxacillin
1593:
1590:
1589:
1587:
1583:
1579:
1573:
1570:
1568:
1567:Clometocillin
1565:
1563:
1560:
1558:
1557:Pheneticillin
1555:
1553:
1550:
1548:
1545:
1543:
1540:
1538:
1535:
1533:
1530:
1529:
1527:
1523:
1519:
1516:
1514:
1508:
1505:
1502:
1498:
1494:
1491:
1486:
1472:
1456:
1452:
1447:
1443:
1439:
1435:
1431:
1424:
1419:
1417:
1412:
1410:
1405:
1404:
1401:
1393:
1389:
1385:
1384:
1380:
1368:
1364:
1357:
1351:
1348:
1343:
1339:
1335:
1331:
1328:(1): 75–107.
1327:
1323:
1316:
1313:
1307:
1302:
1298:
1294:
1288:
1285:
1277:
1274:
1261:
1257:
1255:9783527607495
1251:
1247:
1246:
1238:
1235:
1222:
1218:
1214:
1210:
1204:
1201:
1196:
1192:
1188:
1184:
1180:
1176:
1169:
1166:
1159:
1157:
1147:
1144:
1136:
1126:
1122:
1118:
1112:
1111:
1107:
1102:This section
1100:
1096:
1091:
1090:
1084:
1082:
1080:
1076:
1072:
1069:
1065:
1061:
1057:
1054:
1051:
1047:
1036:
1033:
1025:
1015:
1011:
1007:
1001:
1000:
996:
991:This section
989:
985:
980:
979:
973:
968:
965:
962:
959:
956:
953:
952:
951:
949:
945:
944:Streptococcus
941:
937:
929:
927:
925:
921:
917:
913:
909:
908:
903:
902:
897:
892:
890:
887:
884:treatment of
883:
879:
878:
873:
870:
862:
860:
858:
853:
851:
847:
842:
840:
836:
832:
828:
827:meta-analysis
824:
821:
820:Gram-negative
817:
816:Gram-positive
813:
810:
809:cephalosporin
806:
796:
789:
780:
775:
771:
764:
755:
751:
744:
740:
738:
737:Melting point
734:
727:
723:
722:
720:
717:
712:
705:
703:
699:
666:
664:
660:
655:
651:
647:
644:
642:
640:ECHA InfoCard
636:
628:
624:
620:
619:
617:
608:
604:
597:
593:
592:
590:
588:
584:
577:
573:
572:
570:
568:
564:
557:
553:
552:
550:
548:
544:
537:
533:
532:
530:
528:
524:
517:
513:
512:
510:
508:
504:
497:
493:
492:
490:
488:
484:
477:
473:
472:
470:
463:
459:
452:
448:
447:
445:
443:
439:
425:
421:
417:
412:
408:
401:
396:
392:
389:
387:
383:
379:
377:
370:
366:
363:
361:
357:
353:
349:
347:
343:
339:
335:
329:
319:
316:
306:
304:
295:
292:
282:
281:
279:
277:
273:
268:
260:
255:
252:
251:
249:
247:
243:
240:
239:intramuscular
236:
233:
231:
225:
219:
210:
209:
207:
205:
199:
192:
187:
178:
177:
175:
173:
169:
165:
161:
159:
155:
151:
147:
145:
141:
137:
133:
131:
127:
121:
86:
54:
52:Pronunciation
50:
47:Clinical data
45:
41:
36:
32:
27:
19:
2746:Oxime ethers
2736:Pyrrolidines
2595:inhibitors (
2585:inhibitors (
2513:Lipopeptides
2504:Polypeptides
2403:Combinations
2334:Nocardicin A
2251:Ceftobiprole
2207:
2094:Cefoperazone
1952:Cefaloridine
1937:Cefaloglycin
1875:Carbacephems
1743:Piperacillin
1572:Penamecillin
1473:, a group of
1391:
1367:the original
1362:
1350:
1325:
1321:
1315:
1306:10665/325773
1296:
1287:
1276:
1266:19 September
1264:. Retrieved
1244:
1237:
1225:. Retrieved
1221:the original
1212:
1203:
1178:
1174:
1168:
1154:
1139:
1130:
1115:Please help
1103:
1078:
1074:
1063:
1045:
1043:
1028:
1019:
1004:Please help
992:
966:
960:
954:
943:
939:
935:
933:
905:
899:
895:
893:
875:
866:
854:
850:generic drug
843:
804:
803:
792:
576:CHEBI:478164
423:
419:
415:
373:Elimination
276:Legal status
270:Legal status
172:License data
18:
2667:from market
2646:Teixobactin
2624:Tyrothricin
2593:bactoprenol
2587:Cycloserine
2393:Vaborbactam
2383:Durlobactam
2311:Monobactams
2269:Cefiderocol
2261:Siderophore
2246:Ceftolozane
2160:Cefpimizole
2130:Cefpodoxime
2125:Cefpiramide
2120:Cefmenoxime
2115:Ceftizoxime
2110:Cefdaloxime
2089:Ceftazidime
2078:Ceftriaxone
2050:Carbacephem
2044:Cefmetazole
2000:Cefamandole
1962:Cefatrizine
1942:Cefacetrile
1927:Cefroxadine
1871:Cephamycins
1797:Carbapenems
1753:Mezlocillin
1710:Ticarcillin
1651:Amoxicillin
1617:Methicillin
1592:Cloxacillin
1562:Azidocillin
1552:Propicillin
1497:Penicillins
1085:Trade names
1071:pyrrolidine
1060:β-lactamase
940:Escherichia
936:Pseudomonas
889:neutropenia
863:Medical use
709: g·mol
646:100.171.025
398:Identifiers
235:Intravenous
158:MedlinePlus
130:Trade names
2720:Categories
2634:Tyrocidine
2629:Gramicidin
2597:Bacitracin
2573:Fosfomycin
2544:Ramoplanin
2522:Daptomycin
2388:Relebactam
2361:Tazobactam
2292:Cefquinome
2279:Veterinary
2223:Cefquinome
2213:Cefozopran
2175:Ceftiolene
2165:Cefsulodin
2155:Cefodizime
2140:Cefditoren
2135:Ceftibuten
2083:Cefotaxime
2054:Loracarbef
2020:Cephamycin
2010:Ceforanide
1990:Cefuroxime
1947:Cefalonium
1917:Cefazaflur
1912:Cefazedone
1902:Cefadroxil
1769:Mecillinam
1748:Azlocillin
1724:Temocillin
1665:Hetacillin
1656:Ampicillin
1388:"Cefepime"
1160:References
922:-mediated
920:chromosome
869:nosocomial
812:antibiotic
714:3D model (
702:Molar mass
536:807PW4VQE3
507:ChemSpider
451:88040-23-7
442:CAS Number
407:IUPAC name
360:Metabolism
2741:Thiazoles
2731:Ketoximes
2677:Phase III
2665:Withdrawn
2641:Isoniazid
2527:Surfactin
2378:Avibactam
2356:Sulbactam
2329:Carumonam
2324:Tigemonam
2319:Aztreonam
2297:Cefovecin
2287:Ceftiofur
2218:Cefpirome
2189:Latamoxef
2180:Oxacephem
2150:Cefetamet
2105:Cefcapene
2029:Cefotetan
2024:Cefoxitin
2015:Cefuzonam
2005:Cefonicid
1985:Cefprozil
1957:Cefalotin
1932:Ceftezole
1922:Cefradine
1907:Cefapirin
1897:Cefalexin
1892:Cefazolin
1852:Ritipenem
1847:Faropenem
1840:Panipenem
1829:Meropenem
1819:Doripenem
1810:Ertapenem
1691:Epicillin
1612:Nafcillin
1607:Oxacillin
1455:β-lactams
1434:cell wall
1104:does not
993:does not
974:Chemistry
882:empirical
872:pneumonia
859:in 2019.
831:mortality
596:ChEMBL186
386:Excretion
375:half-life
228:Routes of
202:Pregnancy
150:Monograph
144:Drugs.com
2710:Medicine
2617:lysozyme
2563:Inhibit
2208:Cefepime
2184:Flomoxef
2170:Cefteram
2145:Cefotiam
2100:Cefdinir
2073:Cefixime
2034:Cefminox
1980:Cefaclor
1845:Penems (
1835:Biapenem
1824:Imipenem
1633:spectrum
1631:Extended
1513:spectrum
1483:-alanine
1479:-alanyl-
1438:envelope
1342:14720024
1295:(2019).
1260:Archived
1227:2 August
1195:17448937
823:bacteria
805:Cefepime
795:(verify)
487:DrugBank
246:ATC code
217: B1
204:category
191:Cefepime
186:DailyMed
23:Cefepime
1863:Cephems
1125:removed
1110:sources
1050:methoxy
1014:removed
999:sources
916:plasmid
886:febrile
663:Formula
516:4586395
496:DB01413
476:5479537
462:PubChem
380:2 hours
365:Hepatic
301::
262:)
256: (
254:J01DE01
188::
164:a698021
2696:Portal
2660:WHO-EM
2367:Clavam
1801:Penems
1511:Narrow
1501:Penams
1340:
1252:
1193:
1068:methyl
1056:moiety
942:, and
918:- and
880:) and
750:SMILES
707:480.56
587:ChEMBL
556:D02376
393:70–99%
350:100% (
328:℞-only
326:
313:
303:℞-only
289:
184:
124:
2607:Other
2579:DADAL
2536:Other
2352:Penam
1762:Other
1370:(PDF)
1359:(PDF)
1053:imino
770:InChI
716:JSmol
567:ChEBI
391:Renal
1471:PBPs
1446:J01D
1442:J01C
1436:and
1338:PMID
1268:2020
1250:ISBN
1229:2009
1191:PMID
1108:any
1106:cite
1077:and
997:any
995:cite
818:and
547:KEGG
527:UNII
340:data
140:AHFS
2569:NAM
1330:doi
1301:hdl
1183:doi
1119:by
1046:syn
1008:by
948:MIC
612:EPA
466:CID
367:15%
315:POM
259:WHO
89:or
2722::
2673::
2583:AR
2565:PG
1799:/
1717:/
1390:.
1361:.
1336:.
1324:.
1258:.
1215:.
1211:.
1189:.
1177:.
1081:.
938:,
898:,
891:.
677:24
671:19
426:)-
418:,7
414:(6
352:IM
322:US
309:UK
298:CA
291:S4
285:AU
237:,
213:AU
181:US
114:iː
79:iː
2698::
2599:)
2589:)
2581:/
2575:)
2426:)
2422:(
2395:)
2373:)
2369:(
2363:)
2354:(
2191:)
2182:(
2096:)
2056:)
2052:(
2046:)
2022:(
1854:)
1842:)
1831:)
1817:(
1775:)
1771:(
1687:)
1658:(
1603:)
1594:(
1503:)
1499:(
1487:)
1481:D
1477:D
1448:)
1444:-
1440:(
1422:e
1415:t
1408:v
1344:.
1332::
1326:2
1303::
1270:.
1231:.
1197:.
1185::
1179:7
1146:)
1140:(
1135:)
1131:(
1127:.
1113:.
1066:-
1064:N
1035:)
1029:(
1024:)
1020:(
1016:.
1002:.
718:)
695:2
692:S
689:5
686:O
683:6
680:N
674:H
668:C
614:)
610:(
424:Z
422:,
420:R
416:R
354:)
324::
311::
287::
215::
142:/
120:/
117:m
111:p
108:ɪ
105:f
102:ɛ
99:k
96:ˈ
93:/
85:/
82:m
76:p
73:ɪ
70:f
67:ɛ
64:s
61:ˈ
58:/
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.