Antibiotic Residues in Honey
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Therapeutic Alternatives for Drug-Resistant Cabapenemase- Producing Enterobacteria
THERAPEUTIC ALTERNATIVES FOR MULTIDRUG-RESISTANT AND EXTREMELY All isolates resistant to carbapenems were evaluated Fig. 1: Susceptibility (%) of Carbapenemase-producing MDRE Fig. 3: Susceptibility (%) of VIM-producing MDRE to Alternative DRUG-RESISTANT CABAPENEMASE- for the presence of genes encoding carbapenemases to Alternative Antibiotics Antibiotics PRODUCING ENTEROBACTERIA OXA-48-like, KPC, GES, NDM, VIM, IMP and GIM. M. Almagro*, A. Kramer, B. Gross, S. Suerbaum, S. Schubert. Max Von Pettenkofer Institut, Faculty of Medicine. LMU Munich, München, Germany. RESULTS BACKROUND 44 isolates of CPE were collected: OXA-48 (n=29), VIM (n=9), NDM-1 (n=5), KPC (n=1) and GES (n=1). The increasing emergence and dissemination of carbapenem-resistant gram-negative bacilli has From the 44 CPE isolates, 26 isolates were identified reduced significantly the options for sufficient as Klebsiella pneumoniae (68% of the OXA-48 CPE), 8 Fig. 2: Susceptibility (%) of OXA-48-producing MDRE to Fig. 4: Susceptibility (%) of NDM-producing MDRE to Alternative antibiotic therapy. The genes encoding most of these as Escherichia coli, 6 as Enterobacter cloacae, 2 as Alternative Antibiotics Antibiotics carbapenemases reside on plasmids or transposons Citrobacter freundii,1 as Providencia stuartii and 1 as carrying additional resistance genes which confer Morganella morganii. multidrug resistance to the isolates. 31 isolates (70%) were causing an infection, including urinary tract infection (20%), respiratory tract MATERIALS AND METHODS infection (18%), abdominal infection (18%), bacteraemia (9%) and skin and soft tissue infection In the present study, we tested the in vitro activity of (5%). 13 isolates were believed to be colonizers. antimicrobial agents against a well-characterized c o l l e c t i o n o f c a r b a p e n e m a s e - p r o d u c i n g Isolates were classified as 32 MDRE and 13 XDRE. -
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. -
Spectroscopic Characterization of Chloramphenicol and Tetracycline
A tica nal eu yt c ic a a m A r a c t Trivedi et al., Pharm Anal Acta 2015, 6:7 h a P DOI: 10.4172/2153-2435.1000395 ISSN: 2153-2435 Pharmaceutica Analytica Acta Research Article Open Access Spectroscopic Characterization of Chloramphenicol and Tetracycline: An Impact of Biofield Treatment Mahendra Kumar Trivedi1, Shrikant Patil1, Harish Shettigar1, Khemraj Bairwa2 and Snehasis Jana2* 1Trivedi Global Inc., 10624 S Eastern Avenue Suite A-969, Henderson, NV 89052, USA 2Trivedi Science Research Laboratory Pvt. Ltd., Hall-A, Chinar Mega Mall, Chinar Fortune City, Hoshangabad Rd., Bhopal- 462026, Madhya Pradesh, India Abstract Objective: Chloramphenicol and tetracycline are broad-spectrum antibiotics and widely used against variety of microbial infections. Nowadays, several microbes have acquired resistance to chloramphenicol and tetracycline. The present study was aimed to evaluate the impact of biofield treatment for spectroscopic characterization of chloramphenicol and tetracycline using FT-IR and UV-Vis spectroscopy. Methods: The study was performed in two groups (control and treatment) of each antibiotic. The control groups remained as untreated, and biofield treatment was given to treatment groups. Results: FT-IR spectrum of treated chloramphenicol exhibited the decrease in wavenumber of NO2 from 1521 cm-1 to 1512 cm-1 and increase in wavenumber of C=O from 1681 cm-1 to 1694 cm-1 in acylamino group. It may be due to increase of conjugation effect in NO2 group, and increased force constant of C=O bond. As a result, stability of both NO2 and C=O groups might be increased in treated sample as compared to control. -
Oxytetracycline for Recurrent Blepharitis and Br J Ophthalmol: First Published As 10.1136/Bjo.79.1.42 on 1 January 1995
42 British rournal of Ophthalmology 1995; 79: 42-45 Placebo controlled trial of fusidic acid gel and oxytetracycline for recurrent blepharitis and Br J Ophthalmol: first published as 10.1136/bjo.79.1.42 on 1 January 1995. Downloaded from rosacea D V Seal, P Wright, L Ficker, K Hagan, M Troski, P Menday Abstract topical and systemic anti-staphylococcal A prospective, randomised, double blind, antibiotics in addition to anti-inflammatory partial crossover, placebo controlled trial therapy. has been conducted to compare the Fusidic acid has been in clinical use since performance of topical fusidic acid gel 1962 and is particularly effective against (Fucithalmic) and oral oxytetracycline as staphylococci. It has a steroid structure but no treatment for symptomatic chronic glucocorticoid activity. A new gel preparation blepharitis. Treatment success was containing 1% microcrystalline fusidic acid judged both by a reduction in symptoms (Fucithalmic) has recently been shown to be and clinical examination before and after effective for treating acute bacterial conjunc- therapy. Seventy five per cent of patients tivitis and for reducing the staphylococcal lid with blepharitis and associated rosacea flora before surgery.5-8 were symptomatically improved by Oxytetracycline has been selected for the fusidic acid gel and 500/0 by oxytetra- treatment of patients with chronic blepharitis cycline, but fewer (35%/o) appeared to as it has both anti-inflammatory and anti- benefit from the combination. Patients staphylococcal properties.9 10 It has been with chronic blepharitis of other aetiolo- demonstrated to be effective in a controlled gies did not respond to fusidic acid gel but trial in ocular rosacea for comeal infiltrates and 25% did benefit from oxytetracycline and conjunctival hyperaemiaII and in non-ocular 300/0 from the combination. -
Comparison of Thimerosal Effectiveness in the Formulation of Eye Drops Containing Neomycin Sulfate and Chloramphenicol
International Journal of Applied Pharmaceutics ISSN- 0975-7058 Vol 11, Issue 1, 2019 Original Article COMPARISON OF THIMEROSAL EFFECTIVENESS IN THE FORMULATION OF EYE DROPS CONTAINING NEOMYCIN SULFATE AND CHLORAMPHENICOL MARLINE ABDASSAH1, SRI AGUNG FITRI KUSUMA2* 1Departement of Pharmaceutics, Faculty of Pharmacy, Padjadjaran University, Sumedang, West Java, Indonesia 45363, 2Department of Biology Pharmacy, Faculty of Pharmacy, Padjadjaran University, Sumedang, West Java, Indonesia 45363 Email: [email protected] Received: 27 Sep 2018, Revised and Accepted: 19 Nov 2018 ABSTRACT Objective: This study was aimed to compare the preservative efficacy of thimerosal in eye drops formulation containing neomycin sulfate and chloramphenicol as the active agents. Methods: Determination of thimerosal concentration in combinations with chloramphenicol and neomycin sulfate was carried out using the agar diffusion method. Then the thimerosal ineffective and minimal concentration was formulated into eye drops, each with 0.5% neomycin sulfate and 0.5% chloramphenicol as the active ingredient. Evaluation of eye drops was carried out for 28 d, which included: visual observation, pH measurement, sterility, and effectiveness test. Results: Thimerosal at a minimum concentration of 0.001% remain to provide antibacterial activity against common eyes contaminants. Both eyes drops containing neomycin sulfate, and chloramphenicol resulted in clear solution, sterile, and stable in the pH and antibacterial potency,showed the efficacy of thimerosal’s role in eye drops at the lowest concentration. But, the thimerosal stability as a preservative agent was affected by the pH values of the eye drops solution. Therefore, the effectivity of thimerosal in chloramphenicol (pH 7.19-7.22) was better than neomycin sulfate (6.45- 6.60). -
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. -
(OTC) Antibiotics in the European Union and Norway, 2012
Perspective Analysis of licensed over-the-counter (OTC) antibiotics in the European Union and Norway, 2012 L Both 1 , R Botgros 2 , M Cavaleri 2 1. Public Health England (PHE), London, United Kingdom 2. Anti-infectives and Vaccines Office, European Medicines Agency (EMA), London, United Kingdom Correspondence: Marco Cavaleri ([email protected]) Citation style for this article: Both L, Botgros R, Cavaleri M. Analysis of licensed over-the-counter (OTC) antibiotics in the European Union and Norway, 2012. Euro Surveill. 2015;20(34):pii=30002. DOI: http://dx.doi.org/10.2807/1560-7917.ES.2015.20.34.30002 Article submitted on 16 September 2014 / accepted on 09 February 2015 / published on 27 August 2015 Antimicrobial resistance is recognised as a growing throughout the EU; however, there are still consider- problem that seriously threatens public health and able differences in Europe due to the different health- requires prompt action. Concerns have therefore been care structures and policies (including the extent of raised about the potential harmful effects of making pharmacist supervision for OTC medicines), reimburse- antibiotics available without prescription. Because of ment policies, and cultural differences of each Member the very serious concerns regarding further spread of State. Therefore, the availability of OTC medicines var- resistance, the over-the-counter (OTC) availability of ies in the EU and products sold as POM in certain coun- antibiotics was analysed here. Topical and systemic tries can be obtained as OTC medicines in others. OTC antibiotics and their indications were determined across 26 European Union (EU) countries and Norway As risk minimisation is an important criterion for some by means of a European survey. -
Withdrawal Times of Oxytetracycline and Tylosin in Eggs of Laying Hens After Oral Administration
1017 Journal of Food Protection, Vol. 77, No. 6, 2014, Pages 1017–1021 doi:10.4315/0362-028X.JFP-13-440 Copyright G, International Association for Food Protection Research Note Withdrawal Times of Oxytetracycline and Tylosin in Eggs of Laying Hens after Oral Administration RUBE´ N MUN˜ OZ,1 JAVIERA CORNEJO,2 ALDO MADDALENO,1 CAROLINA ARAYA-JORDA´ N,1 DANIELA IRAGU¨ EN,1 NICOLA´ S PIZARRO,1 AND BETTY SAN MARTI´N1* 1 2 Laboratory of Veterinary Pharmacology and Department of Animal Preventive Medicine, Faculty of Veterinary and Animal Sciences, Downloaded from http://meridian.allenpress.com/jfp/article-pdf/77/6/1017/1687041/0362-028x_jfp-13-440.pdf by guest on 30 September 2021 Universidad de Chile, Avenida Santa Rosa 11735, La Pintana, Santiago, Chile MS 13-440: Received 3 October 2013/Accepted 3 January 2014 ABSTRACT Antimicrobials administered to laying hens may be distributed into egg white or yolk, indicating the importance of evaluating withdrawal times (WDTs) of the pharmaceutical formulations. In the present study, oxytetracycline and tylosin’s WDTs were estimated. The concentration and depletion of these molecules in eggs were linked to their pharmacokinetic and physicochemical properties. Twenty-seven Leghorn hens were used: 12 treated with oxytetracycline, 12 treated with tylosin, and 3 remained as an untreated control group. After completion of therapies, eggs were collected daily and drug concentrations in egg white and yolk were assessed. The yolk was used as the target tissue to evaluate the WDT; the results were 9 and 3 days for oxytetracycline and tylosin, respectively. In particular, oxytetracycline has a good oral bioavailability, a moderate apparent volume of distribution, a molecular weight of 460 g/mol, and is lightly liposoluble. -
Chloramphenicol Gesting That Mitochondrial DNA Is Involved in the Pathogenesis of Secondary Leukemia
Report on Carcinogens, Fourteenth Edition For Table of Contents, see home page: http://ntp.niehs.nih.gov/go/roc Chloramphenicol gesting that mitochondrial DNA is involved in the pathogenesis of secondary leukemia. CAS No. 56-75-7 Cancer Studies in Experimental Animals Reasonably anticipated to be a human carcinogen No adequate studies of the carcinogenicity of chloramphenicol in First listed in the Tenth Report on Carcinogens (2002) experimental animals were identified. In male mice given chloram- phenicol by intraperitoneal injection in combination with busulfan OH Cl (the known human carcinogen 1,4-butanediol dimethanesulfonate), H CH N CH the incidence of lymphoma was significantly higher than in mice re- CH C Cl ceiving either busulfan or chloramphenicol alone (Robin et al. 1981). CH2 O O2N HO Properties Carcinogenicity Chloramphenicol is a naturally occurring antibiotic derivative of di- chloroacetic acid that is a white to grayish or yellowish-white fine Chloramphenicol is reasonably anticipated to be a human carcinogen, crystalline powder at room temperature. It is soluble in water and based on limited evidence of carcinogenicity from studies in humans. very soluble in methanol, ethanol, butanol, ethyl acetate, chloroform, and acetone. It is fairly soluble in ether, but insoluble in benzene, pe- Cancer Studies in Humans troleum ether, and vegetable oils (IARC 1990, HSDB 2009). It is stable Numerous case reports have shown leukemia to occur after medical under normal shipping and handling conditions (Akron 2009). The treatment for chloramphenicol-induced aplastic anemia, and three biologically active form of chloramphenicol is levorotatory (Cham- case reports have documented the occurrence of leukemia after chlor- bers 2001). -
Blepharitis Last Revised in October 2015
Menu Sign in (https://accounts.nice.org.uk/signin) Search... Blepharitis Last revised in October 2015 Changes Back to top Last revised in October 2015 October 2015 — reviewed. A literature search was conducted in October 2015 to identify evidence based guidelines, UK policy, systematic reviews, and key randomized controlled trials published since the last revision of the topic. No changes to clinical recommendations have been made. Previous changes Back to top September 2012 — reviewed. A literature search was conducted in September 2012 to identify evidencebased guidelines, UK policy, systematic reviews, and key RCTs published since the last revision of the topic. No changes to clinical recommendations have been made. April 2011 — minor update. Change to recommendation regarding need for additional contraception during or after a course of tetracycline additional contraception is no longer required when using antibiotics that are not enzyme inducers with combined hormonal methods for durations of 3 weeks or less [FSRH, 2011 (/blepharitis#!references/315093)]. Issued in June 2011. March 2011 — topic structure revised to ensure consistency across CKS topics — no changes to clinical recommendations have been made. September 2010 — minor update. Hydromoor® (hypromellose 0.3% preservativefree single dose eye drops) have been included. Issued in September 2010. March 2010 — minor update. LubriTears® eye ointment has been discontinued. Prescription removed. Issued in March 2010. December 2007 to May 2008 — converted from CKS guidance to CKS topic structure. The evidence base has been reviewed in detail, and recommendations are more clearly justified and transparently linked to the supporting evidence. The clinical scenario structure has been reviewed. -
TETRACYCLINES and CHLORAMPHENICOL Protein Synthesis
ANTIMICROBIALS INHIBITING PROTEIN SYNTHESIS AMINOGLYCOSIDES MACROLIDES TETRACYCLINES AND CHLORAMPHENICOL Protein synthesis Aminoglycosides 1. Aminoglycosides are group of natural and semi -synthetic antibiotics. They have polybasic amino groups linked glycosidically to two or more aminosugar like: sterptidine, 2-deoxy streptamine, glucosamine 2. Aminoglycosides which are derived from: Streptomyces genus are named with the suffix –mycin. While those which are derived from Micromonospora are named with the suffix –micin. Classification of Aminoglycosides 1. Systemic aminogycosides Streptomycin (Streptomyces griseus) Gentamicin (Micromonospora purpurea) Kanamycin (S. kanamyceticus) Tobramycin (S. tenebrarius) Amikacin (Semisynthetic derivative of Kanamycin) Sisomicin (Micromonospora inyoensis) Netilmicin (Semisynthetic derivative of Sisomicin) 2. Topical aminoglycosides Neomycin (S. fradiae) Framycetin (S. lavendulae) Pharmacology of Streptomycin NH H2N NH HO OH Streptidine OH NH H2N O O NH CHO L-Streptose CH3 OH O HO O HO NHCH3 N-Methyl-L- Glucosamine OH Streptomycin Biological Source It is a oldest aminoglycoside antibiotic obtained from Streptomyces griseus. Antibacterial spectrum 1. It is mostly active against gram negative bacteria like H. ducreyi, Brucella, Yersinia pestis, Francisella tularensis, Nocardia,etc. 2. It is also used against M.tuberculosis 3. Few strains of E.coli, V. cholerae, H. influenzae , Enterococci etc. are sensitive at higher concentration. Mechanism of action Aminoglycosides bind to the 16S rRNA of the 30S subunit and inhibit protein synthesis. 1. Transport of aminoglycoside through cell wall and cytoplasmic membrane. a) Diffuse across cell wall of gram negative bacteria by porin channels. b) Transport across cell membrane by carrier mediated process liked with electron transport chain 2. Binding to ribosome resulting in inhibition of protein synthesis A. -
(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.