FIELD: organic chemistry, medicine. SUBSTANCE: invention relates to (1R, 5S, 6S)-6-[(1R)-1-hydroxy-ethyl]-1-methyl-2-[(2S,4S)-2-[(3R)-3-methylaminomethyl-pyrrolidine-1-yl-carbonyl] -pyrrolidine-4-yl-thio] -1-carbapen- 2-ene-3-carboxylic acid or its pharmaceutically acceptable salts, pharmaceutical composition based on thereof and method of treatment. 1-Methylcarbapenem of assigned structure shows antibacterial activity in combination with low nephrotoxicity, it is not inactivated by beta-lactamase and dehydropenta-hydrase in body and not accumulated in kidneys. EFFECT: improved method of prophylaxis and treatment, valuable medicinal properties. 4 cl, 5 tbl, 61 ex
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