Aminoglycoside Antibiotic-Inactivating Enzymes in Actinomycetes Similar
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The Role of Nanobiosensors in Therapeutic Drug Monitoring
Journal of Personalized Medicine Review Personalized Medicine for Antibiotics: The Role of Nanobiosensors in Therapeutic Drug Monitoring Vivian Garzón 1, Rosa-Helena Bustos 2 and Daniel G. Pinacho 2,* 1 PhD Biosciences Program, Universidad de La Sabana, Chía 140013, Colombia; [email protected] 2 Therapeutical Evidence Group, Clinical Pharmacology, Universidad de La Sabana, Chía 140013, Colombia; [email protected] * Correspondence: [email protected]; Tel.: +57-1-8615555 (ext. 23309) Received: 21 August 2020; Accepted: 7 September 2020; Published: 25 September 2020 Abstract: Due to the high bacterial resistance to antibiotics (AB), it has become necessary to adjust the dose aimed at personalized medicine by means of therapeutic drug monitoring (TDM). TDM is a fundamental tool for measuring the concentration of drugs that have a limited or highly toxic dose in different body fluids, such as blood, plasma, serum, and urine, among others. Using different techniques that allow for the pharmacokinetic (PK) and pharmacodynamic (PD) analysis of the drug, TDM can reduce the risks inherent in treatment. Among these techniques, nanotechnology focused on biosensors, which are relevant due to their versatility, sensitivity, specificity, and low cost. They provide results in real time, using an element for biological recognition coupled to a signal transducer. This review describes recent advances in the quantification of AB using biosensors with a focus on TDM as a fundamental aspect of personalized medicine. Keywords: biosensors; therapeutic drug monitoring (TDM), antibiotic; personalized medicine 1. Introduction The discovery of antibiotics (AB) ushered in a new era of progress in controlling bacterial infections in human health, agriculture, and livestock [1] However, the use of AB has been challenged due to the appearance of multi-resistant bacteria (MDR), which have increased significantly in recent years due to AB mismanagement and have become a global public health problem [2]. -
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. -
Effects of Antibiotics on the Bactericidal Activity of Human Serum
Journal of Antimicrobial Chemotherapy (1982)9,141-148 Effects of antibiotics on the bactericidal activity of human serum Downloaded from https://academic.oup.com/jac/article/9/2/141/712569 by guest on 28 September 2021 Anna Fietta, Patrizia Mangiarotti and Giuliana Gialdroni Grassi Istituto Forlanini, University ofPavia, Italy The interaction between several antibiotics and either normal human serum or EGTA-chelated Mg-treated serum has been tested. Synergism has been observed with rifampicin, tetracycline and doxycycline, but not with minocycline, amino- glycosides (kanamycin, tobramycin, gentamicin, sisomicin and amikacin), chloramphenicol, fosfomycin and erythromycin. It has been demonstrated that Escherichia coli K12 strains bearing plasmids, conferring resistance to tetra- cycline, were killed in the presence of serum. Evidence has been presented that this synergistic action depends on com- plement and can be abolished by serum treatment with ethyleneglycol-tetraacetic acid. Introduction Interference of antimicrobial agents on several reactions involved in the host defence system has been demonstrated by many authors. It has been suggested that resistance to serum bactericidal activity can be an important factor in determining virulence of some Gram-negative bacteria (Durack & Beeson, 1977; Elgefors & Oiling, 1978; Howard & Glynn, 1971; McCabe et al., 1978; Medearis & Kenny, 1968; Oiling et al, 1973; Roantree & Rantz, 1960; Rowley, 1954), and serum bactericidal activity is an important mechanism of defence against bacterial invasion and spread (Agnella, 1978; McCabe et al, 1978; Roantree & Rantz, 1960; Johnston & Strand, 1977). Many Gram-negative Enterobacteriaceae causing bacteraemia are resistant to the bactericidal action of serum (Rowley & Wardlaw, 1958; Vosti & Randall, 1970). Conversion of serum-resistant Escherichia coli to serum-susceptible has been observed after treatment with diphenylamine (Feingold, 1969). -
Killing of Serratia Marcescens Biofilms with Chloramphenicol Christopher Ray, Anukul T
Ray et al. Ann Clin Microbiol Antimicrob (2017) 16:19 DOI 10.1186/s12941-017-0192-2 Annals of Clinical Microbiology and Antimicrobials SHORT REPORT Open Access Killing of Serratia marcescens biofilms with chloramphenicol Christopher Ray, Anukul T. Shenoy, Carlos J. Orihuela and Norberto González‑Juarbe* Abstract Serratia marcescens is a Gram-negative bacterium with proven resistance to multiple antibiotics and causative of catheter-associated infections. Bacterial colonization of catheters mainly involves the formation of biofilm. The objec‑ tives of this study were to explore the susceptibility of S. marcescens biofilms to high doses of common antibiotics and non-antimicrobial agents. Biofilms formed by a clinical isolate of S. marcescens were treated with ceftriaxone, kanamy‑ cin, gentamicin, and chloramphenicol at doses corresponding to 10, 100 and 1000 times their planktonic minimum inhibitory concentration. In addition, biofilms were also treated with chemical compounds such as polysorbate-80 and ursolic acid. S. marcescens demonstrated susceptibility to ceftriaxone, kanamycin, gentamicin, and chlorampheni‑ col in its planktonic form, however, only chloramphenicol reduced both biofilm biomass and biofilm viability. Poly‑ sorbate-80 and ursolic acid had minimal to no effect on either planktonic and biofilm grown S. marcescens. Our results suggest that supratherapeutic doses of chloramphenicol can be used effectively against established S. marcescens biofilms. Keywords: Serratia marcescens, Biofilm, Antibiotics, Chloramphenicol Background addition, bacteria adhere to host’s epithelial cells through Serratia marcescens is a Gram-negative bacterium that formation of biofilm [9, 10]. The ability of S. marcescens causes infections in plants, insects, and animals, includ- to form biofilms contributes to its pathogenicity [1, 11]. -
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. -
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. -
Production of Plant-Associated Volatiles by Select Model and Industrially Important Streptomyces Spp
microorganisms Article Production of Plant-Associated Volatiles by Select Model and Industrially Important Streptomyces spp. 1, 2, 3 1 Zhenlong Cheng y, Sean McCann y, Nicoletta Faraone , Jody-Ann Clarke , E. Abbie Hudson 2, Kevin Cloonan 2, N. Kirk Hillier 2,* and Kapil Tahlan 1,* 1 Department of Biology, Memorial University of Newfoundland, St. John’s, NL A1B 3X9, Canada; [email protected] (Z.C.); [email protected] (J.-A.C.) 2 Department of Biology, Acadia University, Wolfville, NS B4P 2R6, Canada; [email protected] (S.M.); [email protected] (E.A.H.); [email protected] (K.C.) 3 Department of Chemistry, Acadia University, Wolfville, NS B4P 2R6, Canada; [email protected] * Correspondence: [email protected] (N.K.H.); [email protected] (K.T.) These authors contributed equally. y Received: 13 October 2020; Accepted: 9 November 2020; Published: 11 November 2020 Abstract: The Streptomyces produce a great diversity of specialized metabolites, including highly volatile compounds with potential biological activities. Volatile organic compounds (VOCs) produced by nine Streptomyces spp., some of which are of industrial importance, were collected and identified using gas chromatography–mass spectrometry (GC-MS). Biosynthetic gene clusters (BGCs) present in the genomes of the respective Streptomyces spp. were also predicted to match them with the VOCs detected. Overall, 33 specific VOCs were identified, of which the production of 16 has not been previously reported in the Streptomyces. Among chemical classes, the most abundant VOCs were terpenes, which is consistent with predicted biosynthetic capabilities. In addition, 27 of the identified VOCs were plant-associated, demonstrating that some Streptomyces spp. -
(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. -
Evaluation of Antibiotic Resistance Pattern in Clinical Isolates of Staphylococcus Aureus
Evaluation of antibiotic resistance pattern in clinical isolates of Staphylococcus aureus Erum Hanif* and Shafaq Aiyaz Hassan Department of Biotechnology, University of Karachi, Karachi, Pakistan Abstract: Staphylococcus aureus is a common skin colonizer as well as opportunistic pathogen causing serious diseases including bacteremia, endocarditis and a number of different infections. It has a unique ability to swiftly respond and develop resistance for every other antibiotic introduced against it. The prevalence of antibiotic resistant strains of S. aureus is increasing on an alarming rate, which not only restrains the treatment options but the economic deprivation sustained due to infections of this superbug are incomputable. In our study, antimicrobial resistance patterns for 13 different antibiotics were evaluated in non-duplicate isolates of MSSA and MRSA isolated from different clinical samples (i.e. urine, pus, HVS, blood, tissue, wound and ear swabs). Most cultures were identified as multi-drug resistant (MDR). The highest resistance was recorded against ampicillin and erythromycin (88% each), while resistances against oxacillin, fosfomycin, cefoxitin and ciprofloxacin were also worrisome. No strain was sensitive to all antibiotics. Resistance levels of MSSA against ampicillin, erythromycin, fosfomycin and fusidic acid were also high. Least level of resistance was observed in case of vancomycin. Only 12% isolates were resistant to vancomycin, among which 24 were MRSA and 6 was MSSA. Keywords: Staphylococcus aureus, MDR, MRSA, MSSA, -
Topical Antibiotics
Topical antibiotics Microbiological point of view [email protected] • Topical antibiotics • Efficacy • Antibiotic resistance – Propionibacteria/acne • Tetracyclines • macrolides – Staphylococci/impetigo • Fusidic acid • Mupirocin • Epilogue Topical antibiotics in dermatology • Bacitracin • Chloramphénicol • Clindamycin • Erythromycin • Fusidic acid • Gentamicin • Miconazol • Mupirocin • Neomycin • Polymyxin B • Sulfamides • Tétracyclines • Benzoyle peroxyde • Azelaic acid + “bactéries (filtrat polyvalent) + huile de foie de morue 125 mg + sulfanilamide 200 mg/1 g “ Topical antibiotics in ophtalmology / ORL • Bacitracine • Chloramphénicol • Fusidic acid • Gentamicin • Gramicidin* • Quinolones: o-,nor-, cipro-, lome- floxacin* • Neomycin • Polymyxin B • Rifamycin* • Sulfamides • Tétracyclines • Trimethoprim* • Tobramycin* • Tyrothricine* Topical antibiotics: efficacy • Impetigo: mupirocin & fusidic acid*: + ** • Acne: + ~ benzoyl peroxyde • Chronic suppurative otitis media*: + ** • Acute bacterial conjunctivitis*: + * (Cochrane review) ** better than antiseptics Topical antibiotics: resistance • Propionibacterium spp: resistance to erythromycin: – mutation in the genes encoding 23S ribosomal RNA (3 phenotypes) resistance to tetracycline: – Mutation of the gene encoding 16S ribosomal RNA Propionibacteria Distribution and differentiation of human commensal propionibacterium P. acnes P. avidum P. granulosum P. propionicum distribution Skin +++ +++ +++ - Eye + - - +++ Mouth ++ - + +++ Gut +++ - - - differentiation Esculin - + - - Catalase + -
ZEMDRI (Plazomicin) Injection, for Intravenous Use (Ml/Min) ZEMDRI B Dosing Interval Initial U.S
HIGHLIGHTS OF PRESCRIBING INFORMATION Recommended initial dosage regimen for patients with renal These highlights do not include all the information needed to use impairment is shown in the table below. (2.3) ZEMDRI safely and effectively. See full prescribing Recommended information for ZEMDRI. Estimated CLcr a Dosage for ZEMDRI (plazomicin) injection, for intravenous use (mL/min) ZEMDRI b Dosing Interval Initial U.S. Approval: 2018 Greater than or equal to 60 15 mg/kg Every 24 hours WARNING: NEPHROTOXICITY, OTOTOXICITY, to less than 90 NEUROMUSCULAR BLOCKADE and FETAL HARM Greater than or equal to 30 10 mg/kg Every 24 hours See full prescribing information for complete boxed warning. to less than 60 Nephrotoxicity has been reported with ZEMDRI. The risk Greater than or equal to 15 10 mg/kg Every 48 hours of nephrotoxicity is greater in patients with impaired renal to less than 30 a CLcr estimated by the Cockcroft-Gault formula. (2.3) function, the elderly, and in those receiving concomitant b nephrotoxic medications. (5.1) Calculate dosage using Total Body Weight (TBW). For patients Ototoxicity, manifested as hearing loss, tinnitus, and/or with TBW greater than IBW by 25% or more, use adjusted body weight. (2.3) vertigo, has been reported with ZEMDRI. Symptoms of aminoglycoside associated ototoxicity may be irreversible See Full Prescribing Information for subsequent dosage and may not become evident until after completion of adjustment based on changes in renal function or Therapeutic therapy. (5.2) Drug Monitoring (TDM). (2.3, 2.4). Aminoglycosides have been associated with neuromuscular See Full Prescribing Information for instructions on preparation blockade.