Aminoglycoside and Aminocyclitol Antibiotics
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National Antibiotic Consumption for Human Use in Sierra Leone (2017–2019): a Cross-Sectional Study
Tropical Medicine and Infectious Disease Article National Antibiotic Consumption for Human Use in Sierra Leone (2017–2019): A Cross-Sectional Study Joseph Sam Kanu 1,2,* , Mohammed Khogali 3, Katrina Hann 4 , Wenjing Tao 5, Shuwary Barlatt 6,7, James Komeh 6, Joy Johnson 6, Mohamed Sesay 6, Mohamed Alex Vandi 8, Hannock Tweya 9, Collins Timire 10, Onome Thomas Abiri 6,11 , Fawzi Thomas 6, Ahmed Sankoh-Hughes 12, Bailah Molleh 4, Anna Maruta 13 and Anthony D. Harries 10,14 1 National Disease Surveillance Programme, Sierra Leone National Public Health Emergency Operations Centre, Ministry of Health and Sanitation, Cockerill, Wilkinson Road, Freetown, Sierra Leone 2 Department of Community Health, Faculty of Clinical Sciences, College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone 3 Special Programme for Research and Training in Tropical Diseases (TDR), World Health Organization, 1211 Geneva, Switzerland; [email protected] 4 Sustainable Health Systems, Freetown, Sierra Leone; [email protected] (K.H.); [email protected] (B.M.) 5 Unit for Antibiotics and Infection Control, Public Health Agency of Sweden, Folkhalsomyndigheten, SE-171 82 Stockholm, Sweden; [email protected] 6 Pharmacy Board of Sierra Leone, Central Medical Stores, New England Ville, Freetown, Sierra Leone; [email protected] (S.B.); [email protected] (J.K.); [email protected] (J.J.); [email protected] (M.S.); [email protected] (O.T.A.); [email protected] (F.T.) Citation: Kanu, J.S.; Khogali, M.; 7 Department of Pharmaceutics and Clinical Pharmacy & Therapeutics, Faculty of Pharmaceutical Sciences, Hann, K.; Tao, W.; Barlatt, S.; Komeh, College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown 0000, Sierra Leone 8 J.; Johnson, J.; Sesay, M.; Vandi, M.A.; Directorate of Health Security & Emergencies, Ministry of Health and Sanitation, Sierra Leone National Tweya, H.; et al. -
4. Antibacterial/Steroid Combination Therapy in Infected Eczema
Acta Derm Venereol 2008; Suppl 216: 28–34 4. Antibacterial/steroid combination therapy in infected eczema Anthony C. CHU Infection with Staphylococcus aureus is common in all present, the use of anti-staphylococcal agents with top- forms of eczema. Production of superantigens by S. aureus ical corticosteroids has been shown to produce greater increases skin inflammation in eczema; antibacterial clinical improvement than topical corticosteroids alone treatment is thus pivotal. Poor patient compliance is a (6, 7). These findings are in keeping with the demon- major cause of treatment failure; combination prepara- stration that S. aureus can be isolated from more than tions that contain an antibacterial and a topical steroid 90% of atopic eczema skin lesions (8); in one study, it and that work quickly can improve compliance and thus was isolated from 100% of lesional skin and 79% of treatment outcome. Fusidic acid has advantages over normal skin in patients with atopic eczema (9). other available topical antibacterial agents – neomycin, We observed similar rates of infection in a prospective gentamicin, clioquinol, chlortetracycline, and the anti- audit at the Hammersmith Hospital, in which all new fungal agent miconazole. The clinical efficacy, antibac- patients referred with atopic eczema were evaluated. In terial activity and cosmetic acceptability of fusidic acid/ a 2-month period, 30 patients were referred (22 children corticosteroid combinations are similar to or better than and 8 adults). The reason given by the primary health those of comparator combinations. Fusidic acid/steroid physician for referral in 29 was failure to respond to combinations work quickly with observable improvement prescribed treatment, and one patient was referred be- within the first week. -
Resistance to Paromomycinis Conferred by Rpsl Mutations
VOL.53 NO. 12, DEC.2000 THE JOURNAL OF ANTIBIOTICS pp.1424 - 1427 COMMUNICATIONS TO THE EDITOR Resistance to Paromomycinis Conferred by paromomycin at a frequency of 10 7 or 10 8, respectively. rpsL Mutations, Accompaniedby an Out of 77 randomly selected paromomycin resistant Enhanced Antibiotic Production in mutants, 4 strains, designated as KO-347-350, were found to produce actinorhodin in 7 to 10-fold greater amounts Streptomyces coelicolor A3 (2) than the parent strain (Table 1). In our previous studies10'11>14) we established that an antibiotic- Sir: overproducing characteristic frequently appears together Aminoglycoside antibiotics interfere with bacterial with the mutation within the rpsL gene. To address this protein synthesis by binding to the 3OS ribosomal relationship weexamined for the presence of mutations in subunit1>2). Their binding is known to stabilize the tRNA- rpsL. Strikingly, all antibiotic-overproducing mutants mRNAinteraction in the A-site by decreasing the tRNA (Class I) examined had rpsL mutations, resulting in the dissociation rates3). Eventually, aminoglycoside antibiotics alteration of amino acid residue 91 from proline to serine cause a decrease in translational accuracy and inhibit (Table 1). In contrast, another group of paromomycin translocation of the ribosome. Such detrimental effects of resistant mutant, (Class II; KO-351-356) which do not aminoglycoside antibiotics can be circumvented by overproduce antibiotic, was found to have no mutation mutations altering 16S rRNA4~6) or certain ribosomal within the rpsL gene. It should be pointed out that Class I proteins6^; these mutations have been found in either the mutants displayed a higher level of resistance to nucleotide 530 or 915 regions of 16S rRNAor in ribosomal paromomycin than that of Class II mutants (Table 1). -
BD BBL™ Sabouraud Brain Heart Infusion Agar Slants with Chloramphenicol and Gentamicin, Pkg
BBL™ Sabouraud Brain Heart Infusion Agar Slants with Chloramphenicol and Gentamicin 8806701 • Rev. 02 • April 2015 QUALITY CONTROL PROCEDURES I INTRODUCTION This medium is used in qualitative procedures for the selective isolation and cultivation of pathogenic fungi from clinical and nonclinical specimens. II PERFORMANCE TEST PROCEDURE 1. Inoculate representative samples with the cultures listed below. a. For B. dermatitidis and T. mentagrophytes inoculate directly using a 0.01 mL loopful of fungal broth culture. b. For C. albicans and E. coli inoculate using 0.01 mL of saline suspensions diluted to yield 103 – 104 CFUs. 2. Incubate tubes with loosened caps at 25 ± 2 °C for up to 7 days in an aerobic atmosphere. 3. Expected Results Organisms ATCC® Recovery *Blastomyces dermatitidis 56218 Fair to heavy growth *Candida albicans 10231 Fair to heavy growth *Trichophyton mentagrophytes 9533 Fair to heavy growth *Escherichia coli 25922 Inhibition (partial to complete) *Recommended organism strain for User Quality Control. III ADDITIONAL QUALITY CONTROL 1. Examine the tubes for signs of deterioration as described under “Product Deterioration.” 2. Visually examine representative tubes to assure that any existing physical defects will not interfere with use. 3. Determine the pH potentiometrically at room temperature for adherence to the specification of 6.8 ± 0.2. 4. Incubate uninoculated representative samples at 20 – 25 °C and 30 – 35 °C and examine after 7 days for microbial contamination. PRODUCT INFORMATION IV INTENDED USE This medium is used in qualitative procedures for the selective isolation and cultivation of pathogenic fungi from clinical and nonclinical specimens. V SUMMARY AND EXPLANATION Sabouraud Brain Heart Infusion Agar is based on the formulation of Gorman.1 The combination of Brain Heart Infusion Agar and Sabouraud Dextrose Agar in this medium improves the recovery of fungi compared with the recovery on either medium individually. -
Yeast Glycosylation Mutants Are Sensitive to Aminoglycosides
Proc. Natl. Acad. Sci. USA Vol. 92, pp. 1287-1291, February 1995 Cell Biology Yeast glycosylation mutants are sensitive to aminoglycosides NETA DEAN Department of Biochemistry and Cell Biology, State University of New York, Stony Brook, NY 11794-5215 Communicated by William J. Lennarz, State University of New York Stony Brook, NY, September 30, 1994 (received for review July 13, 1994) ABSTRACT Aminoglycosides are a therapeutically im- tants and their genetic analyses will be described elsewhere.) portant class of antibiotics that inhibit bacterial protein syn- Surprisingly, two mutants were isolated that are defective in very thesis and a number of viral and eukaryotic functions by early steps of glycosylation that take place in or before the blocking RNA-protein interactions. Vanadate-resistant Sac- endoplasmic reticulum (ER). The isolation of mutants with de- charomyces cerevisiae mutants with defects in Golgi-specific fects in early steps in the glycosylation pathway suggested that glycosylation processes exhibit growth sensitivity to hygro- hygromycin B sensitivity is not due to defects in Golgi-specific mycin B, an aminoglycoside [Ballou, L., Hitzeman, R. A., functions. To understand how a molecule that binds to RNA Lewis, M. S. & Ballou, C. E. (1991) Proc. Nall. Acad. Sci. USA impinges upon glycosylation within the secretory pathway, I ex- 88,3209-3212]. Here, evidence is presented that glycosylation amined the effect of aminoglycosides on the growth character- is, in and of itself, a key factor mediating aminoglycoside istics ofyeast glycosylation mutants. In the present work, I report sensitivity in yeast. Examination ofmutants with a wide range the results of experiments that demonstrate that aminoglycoside of glycosylation abnormalities reveals that all are sensitive to hypersensitivity is due, at least in part, to defects in glycosylation. -
Mitochondria and Antibiotics: for Good Or for Evil?
biomolecules Review Mitochondria and Antibiotics: For Good or for Evil? Juan M. Suárez-Rivero † , Carmen J. Pastor-Maldonado † , Suleva Povea-Cabello, Mónica Álvarez-Córdoba, Irene Villalón-García, Marta Talaverón-Rey, Alejandra Suárez-Carrillo, Manuel Munuera-Cabeza and José A. Sánchez-Alcázar * Andalusian Center for Developmental Biology (CABD-CSIC-Pablo de Olavide University) and Center for Biomedical Network Research on Rare Diseases, Carlos III Health Institute, 41013 Seville, Spain; [email protected] (J.M.S.-R.); [email protected] (C.J.P.-M.); [email protected] (S.P.-C.); [email protected] (M.Á.-C.); [email protected] (I.V.-G.); [email protected] (M.T.-R.); [email protected] (A.S.-C.); [email protected] (M.M.-C.) * Correspondence: [email protected] † These authors contributed equally to this work. Abstract: The discovery and application of antibiotics in the common clinical practice has undeniably been one of the major medical advances in our times. Their use meant a drastic drop in infectious diseases-related mortality and contributed to prolonging human life expectancy worldwide. Never- theless, antibiotics are considered by many a double-edged sword. Their extensive use in the past few years has given rise to a global problem: antibiotic resistance. This factor and the increasing evidence that a wide range of antibiotics can damage mammalian mitochondria, have driven a significant sector of the medical and scientific communities to advise against the use of antibiotics for purposes Citation: Suárez-Rivero, J.M.; other to treating severe infections. Notwithstanding, a notorious number of recent studies support Pastor-Maldonado, C.J.; the use of these drugs to treat very diverse conditions, ranging from cancer to neurodegenerative or Povea-Cabello, S.; Álvarez-Córdoba, M.; Villalón-García, I.; Talaverón-Rey, mitochondrial diseases. -
Farrukh Javaid Malik
I Farrukh Javaid Malik THESIS PRESENTED TO OBTAIN THE GRADE OF DOCTOR OF THE UNIVERSITY OF BORDEAUX Doctoral School, SP2: Society, Politic, Public Health Specialization Pharmacoepidemiology and Pharmacovigilance By Farrukh Javaid Malik “Analysis of the medicines panorama in Pakistan – The case of antimicrobials: market offer width and consumption.” Under the direction of Prof. Dr. Albert FIGUERAS Defense Date: 28th November 2019 Members of Jury M. Francesco SALVO, Maître de conférences des universités – praticien hospitalier, President Université de Bordeaux M. Albert FIGUERAS, Professeur des universités – praticien hospitalier, Director Université Autonome de Barcelone Mme Antonia AGUSTI, Professeure, Vall dʹHebron University Hospital Referee Mme Montserrat BOSCH, Praticienne hospitalière, Vall dʹHebron University Hospital Referee II Abstract A country’s medicines market is an indicator of its healthcare system, the epidemiological profile, and the prevalent practices therein. It is not only the first logical step to study the characteristics of medicines authorized for marketing, but also a requisite to set up a pharmacovigilance system, thus promoting rational drug utilization. The three medicines market studies presented in the present document were conducted in Pakistan with the aim of describing the characteristics of the pharmaceutical products available in the country as well as their consumption at a national level, with a special focus on antimicrobials. The most important cause of antimicrobial resistance is the inappropriate consumption of antimicrobials. The results of the researches conducted in Pakistan showed some market deficiencies which could be addressed as part of the national antimicrobial stewardship programmes. III Résumé Le marché du médicament d’un pays est un indicateur de son système de santé, de son profil épidémiologique et des pratiques [de prescription] qui y règnent. -
Automated Hilic-MS/MS Method for Therapeutic Drug Monitoring of Aminoglycoside Antibiotics and Vancomycin
Automated HILiC-MS/MS Method for Therapeutic Drug Monitoring of Aminoglycoside Antibiotics and Vancomycin Mikaël LEVI1, Daisuke KAWAKAMI2, Jun WATANABE1 1 SHIMADZU Corporation, MS Business Unit, Kyoto, Japan; 2 SHIMADZU Corporation, Clinical & Biotechnology Business Unit, Kyoto, Japan Area Ratio Area Ratio y = 0.005292846x² + 0.04278182x - 0.004441359 y = 0.001371438x² + 0.02132510x + 0.00002051234 6.0 4.50 1. Introduction R² = 0.9974212 R = 0.9987098 R² = 0.9990104 R = 0.9995051 4.25 5.5 Curve Fit: Default (Quadratic) Curve Fit: Default (Quadratic) Weighting: 1/C 4.00 Weighting: Default (1/C^2) Zero: Default (Not Forced) Zero: Default (Not Forced) 5.0 3.75 3.50 4.5 Aminoglycoside antibiotics are used for treatment of severe infections, especially in the case of Arbekacin 3.25 Kanamycin 4.0 3.00 2.75 3.5 Gram-negative bacilli infection. However, aminoglycosides have narrow therapeutic indexes due to 2.50 3.0 2.25 2.00 2.5 their nephrotoxicity. Therefore, the benefit of therapeutic drug monitoring (TDM) for aminoglycoside 1.75 2.0 1.50 1.25 1.5 has been well-established. Vancomycin, a glycopeptide antibiotic, often used with aminoglycosides 1.00 1.0 0.75 0.50 0.5 because of their synergism, is also nephrotoxic and need to be monitored as well. 0.25 0.0 0.00 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 0.0 2.5 5.0 7.5 10.0 12.5 15.0 17.5 20.0 22.5 25.0 27.5 30.0 32.5 35.0 37.5 40.0 42.5 45.0 47.5 50.0 Conc.Ratio (mg/L) Conc.Ratio (mg/L) While LC-MS/MS is now considered as the gold standard method for TDM, many clinical laboratories Area Ratio Area Ratio 13 y = 0.0003193042x² + 0.2404682x - 0.001638089 y = 0.00002521235x² + 0.01160575x - 0.0007537159 R² = 0.9995769 R = 0.9997884 0.65 R² = 0.9997885 R = 0.9998942 12 Curve Fit: Default (Quadratic) 0.60 Curve Fit: Quadratic still use immunoassays. -
Structural Basis for Potent Inhibitory Activity of the Antibiotic Tigecycline During Protein Synthesis
Structural basis for potent inhibitory activity of the antibiotic tigecycline during protein synthesis Lasse Jennera,b,1, Agata L. Starostac,1, Daniel S. Terryd,e, Aleksandra Mikolajkac, Liudmila Filonavaa,b,f, Marat Yusupova,b, Scott C. Blanchardd, Daniel N. Wilsonc,g,2, and Gulnara Yusupovaa,b,2 aInstitut de Génétique et de Biologie Moléculaire et Cellulaire, Institut National de la Santé et de la Recherche Médicale U964, Centre National de la Recherche Scientifique, Unité Mixte de Recherche 7104, 67404 Illkirch, France; bUniversité de Strasbourg, F-67084 Strasbourg, France; cGene Center and Department for Biochemistry, University of Munich, 81377 Munich, Germany; dDepartment of Physiology and Biophysics, Weill Medical College of Cornell University, New York, NY 10065; eTri-Institutional Training Program in Computational Biology and Medicine, New York, NY 10065; fMax Planck Institute for Biophysical Chemistry, 37077 Göttingen, Germany; and gCenter for Integrated Protein Science Munich, University of Munich, 81377 Munich, Germany Edited by Rachel Green, Johns Hopkins University, Baltimore, MD, and approved January 17, 2013 (received for review September 28, 2012) + Here we present an X-ray crystallography structure of the clinically C1054 via a coordinated Mg2 ion (Fig. 1 D and E), as reported relevant tigecycline antibiotic bound to the 70S ribosome. Our previously for tetracycline (2). In addition, ring A of tigecycline + structural and biochemical analysis indicate that the enhanced coordinates a second Mg2 ion to facilitate an indirect interaction potency of tigecycline results from a stacking interaction with with the phosphate-backbone of G966 in h31 (Fig. 1 C–E). We also nucleobase C1054 within the decoding site of the ribosome. -
Streptomycin Sulfate PRODUCT DATA SHEET Issue Date 01/06/2020
Streptomycin Sulfate PRODUCT DATA SHEET issue date 01/06/2020 Product Name: Streptomycin Sulfate Product Number: S008 CAS Number: 3810-74-0 Molecular Formula: C21H39N7O12 · 1.5H 2SO4 Molecular Weight: 728.69 Form: Powder Appearance: A white or almost white powder Solubility: Acetone: Soluble Chloroform: Soluble Water: >20 mg/mL Source: Streptomyces Griseus pH: 4.5 - 7.0 Storage Conditions: 28°C Description: Streptomycin sulfate is a freely soluble aminocyclitol glycoside antibiotic, that was co-discovered by Salman Waksman, Albert Schatz, and Elizabeth Bugie at the Rutgers University in 1943 and was later patented in 1948. Streptomycin is isolated from Streptomyces griseus and shows bacteriostatic activity at low concentrations and bactericidal activity at higher concentrations against mycobacteria and gram-negative bacteria. It is less active against gram-positive bacteria. Streptomycin sulfate has been found to be effective against certain βlactam sensitive VRE or vancomycin resistant Enterococcus species; a glycopeptide antibiotic resistant "superbug”. Streptomycin sulfate is often used together with penicillin and other agents to inhibit bacterial contamination in cell culture applications. It is recommended for use in molecular biology applications at 2550μg/mL, in cell culture applications at 100 mg/L and in embryo culture at 50 mg/L. Streptomycin is a protein synthesis inhibitor that acts by binding to the 30S ribosomal subunit at the S12 protein thereby inducing a misreading of the genetic code, inhibiting the initiation of translation of DNA, which then results in death for a susceptible bacterium. Streptomycin has also shown activity as a miRNA inhibitor, that is capable of down-regulating miR-21, a miRNA that is overexpressed in a wide variety of cancers. -
Neomycin—Production and Antibiotic Properties
NEOMYCIN—PRODUCTION AND ANTIBIOTIC PROPERTIES Selman A. Waksman, … , Hubert A. Lechevalier, Dale A. Harris J Clin Invest. 1949;28(5):934-939. https://doi.org/10.1172/JCI102182. Research Article Find the latest version: https://jci.me/102182/pdf NEOMYCIN-PRODUCTION AND ANTIBIOTIC PROPERTIES 1, 2 3 By SELMAN A. WAKSMAN, HUBERT A. LECHEVALIER, AND DALE A. HARRIS (From the Department of Microbiology, New Jersey Agricultural Experiment Station, Rutgers University, New Brunswick, N. J.) ANTIBIOTIC SURVEYS All these cultures proved to be highly active against mycobacteria. of During the last 10 years, a large number anti- Only few of the cultures, however, that gave biotics which are active against Gram-negative good activity by the agar-streak method yielded and Gram-positive bacteria, mycobacteria, rickett- filtrates which possessed corresponding potency. siae, and certain of the larger viruses were iso- This may be due to a variety of factors, such as lated (1) from various species and strains of the the formation by a single organism of more than genus Streptomyces. This served to focus atten- one antibiotic or the production of different anti- tion on the actinomycetes as potential producers of biotics under different conditions of culture. One antimicrobial agents that might possess promising of these cultures proved to be highly promising chemotherapeutic properties. The fact that nearly and was selected for more detailed investigations. 20 to 50%o of these organisms possess antimicrobial This culture was entered into the Collection as No. activities served to heighten this interest. Numer- 3535. The nature of its antimicrobial spectrum, ous surveys have been conducted. -
(ESVAC) Web-Based Sales and Animal Population
16 July 2019 EMA/210691/2015-Rev.2 Veterinary Medicines Division European Surveillance of Veterinary Antimicrobial Consumption (ESVAC) Sales Data and Animal Population Data Collection Protocol (version 3) Superseded by a new version Superseded Official address Domenico Scarlattilaan 6 ● 1083 HS Amsterdam ● The Netherlands Address for visits and deliveries Refer to www.ema.europa.eu/how-to-find-us Send us a question Go to www.ema.europa.eu/contact Telephone +31 (0)88 781 6000 An agency of the European Union © European Medicines Agency, 2021. Reproduction is authorised provided the source is acknowledged. Table of content 1. Introduction ....................................................................................................................... 3 1.1. Terms of reference ........................................................................................................... 3 1.2. Approach ........................................................................................................................ 3 1.3. Target groups of the protocol and templates ......................................................................... 4 1.4. Organization of the ESVAC project ...................................................................................... 4 1.5. Web based delivery of data ................................................................................................ 5 2. ESVAC sales data ............................................................................................................... 5 2.1.