• 제목/요약/키워드: Antibiotic agents

검색결과 267건 처리시간 0.017초

일차진료 항생제 치료기간과 비인두 항생제 내성률에 대한 연구 고찰 (A Review of Studies on Antibiotic Course and Antibiotic Resistance in Nasopharyngeal Pathogens in Primary Care Setting)

  • 신향화;이선행;윤성중;장규태
    • 대한한방소아과학회지
    • /
    • 제32권2호
    • /
    • pp.64-71
    • /
    • 2018
  • Objectives The purpose of this study is to examine the correlation of antibiotics administration duration and antimicrobial resistance by reviewing domestic and foreign literatures. Methods We searched literatures dated up to 23 February, 2018 in PubMed and Cochrane Library using terms of "Anti-Bacterial Agents", "Carrier State", "Nasopharynx", "Drug Administration Schedule", and also searched via RISS (Research Information Service System), KISS (Koreanstudies Information Service System), DBpia (DataBase Periodical Information Academic) using terms of antibiotics, resistance, and dose. Results In comparison with shortened and standard antibiotic course, longer treatment duration is associated with greater antimicrobial resistance or non-significant difference, but we cannot find literature that shortened antibiotic course increases antimicrobial resistance on human nasopharyngeal flora. Conclusions Currently, there is no evidence that completing the standard antibiotic course reduces antimicrobial resistance. It can be a strategy for reducing antibiotic use to apply Korean medicine treatment, as well as short-course antibiotic therapy or delayed antibiotic prescription. Additional well-designed trials should be conducted in domestic and foreign settings about the appropriate duration of antibiotic therapy.

소아청소년 영역에서의 새로운 항미생물제 (New Antimicrobial Agents for Children)

  • 은병욱
    • Pediatric Infection and Vaccine
    • /
    • 제16권1호
    • /
    • pp.6-12
    • /
    • 2009
  • There are relatively few novel antimicrobial agents despite the dramatic increase in antimicrobial resistance and multiple drug resistance of clinical isolates worldwide. Vancomycin is still the most widely used antibiotic for treating resistant Gram-positive coccal infections in children, especially for methicillin-resistant Staphylococcus aureus. For children with Gram-positive coccal infections where vancomycin is not effective or older therapeutic agents cannot be tolerated, linezolid, quinupristin-dalfopristin or daptomycin may be useful in the appropriate clinical setting. For Gram-negative bacterial infections, new carbapenems await clinical application. Tebipenem pivoxil is a novel oral carbapenem undergoing clinical trials for acute otitis media in pediatric patients. Antiviral drug development is now progressing at the pace of antibiotic development 30 years ago. Newer antiviral agents used for the treatment of herpes viruses and hepatitis C virus infections in children are included in this review.

  • PDF

하수구조물용 항균콘크리트의 개발 (Development of Antibacterial Concrete for Sewage Facilities)

  • 김규용;김한준;이승훈;정삼룡;길배수;김도수
    • 한국콘크리트학회:학술대회논문집
    • /
    • 한국콘크리트학회 2004년도 추계 학술발표회 제16권2호
    • /
    • pp.541-544
    • /
    • 2004
  • The purpose of this study is to examine the antibiotic and physical properties of antibiotic concrete added inorganic liquor-type antibiotic agent(as named for Antibio-C) as the basic data for the development of antibiotic concrete. The main experimental variables were the types of antibiotic agents and it is tested for the properties of antibiotic, flow, compressive strength, crack-resistance and durability of concrete. As results, concrete containing antibiotic agent presented the strong antibiotic activities compared with non-added concrete. Also antibiotic concrete showed the higher or equality properties than non-added concrete with respect to compressive strength, crack resistance and durability such as neutralization depth.

  • PDF

성인형 치주염 환자에서 분린한 Actinobacillus actinomycetemcomitans의 항생재 내성에 관한 연구 (Antibiotic Susceptibility Of Actinobacillus Actinomycetemcomitans From The Patients With Adult Periodontitis)

  • 나용철;유형근;신형식
    • Journal of Periodontal and Implant Science
    • /
    • 제26권1호
    • /
    • pp.202-215
    • /
    • 1996
  • The purpose of this study was to an in estigate the antibiotic susceptibiliity of Actinoobacillus actinomycetemcomitans isolated from the subgingival plaque to adult periodontitis. Seven bacterial strains were tested for their susceptibility to 10 antimicrobial agents under disk diffusion method and broth dilution methold, Seven patients with deep pocket(6mm) were selected for this study. They had not taken antibiotics for 6 months and no history of dental treatment for 6 months and no history of dental treatment for 6 months before this study. The results were as follows : 1. For the antibiotic disk diffusion method, seven A. actinimycetemcomitans were tested with 10 antimicrobial agents which comprised penicillin, gentamycin, clindamycin, lincomycin, ampicillin, erythromycin, tetracycline, amikacin, chloramphenicol, and vancomycin. The sensitive antibiotics were tetracycline, vancomycin, and chloramphenicol and the resistant antibiotics were clindamycin, and lincomycin. The other antimicrobial agents were less active. 2. From the study of determination on the minimal inhibitory concentration(MIC) by broth dilution method, the MIC of tetracycline to seven strains of the A. actinomycetemcomitans was $0.5-1.0{\mu}g/ml$, that of clindamycin was $32{\mu}g/ml$. These data suggest that tetracycline may be valuable drugs in the elimination of A. actinimycetemcomitans from the patients with adult periodontitis

  • PDF

Bioprospecting of Endophytic Fungi as Promising Anti-MRSA Agents

  • Wei, Yee-Min;Tan, Joo-Shun;Tang, Hock-Wei;Tong, Woei-Yenn;Leong, Chean-Ring;Tan, Wen-Nee
    • Natural Product Sciences
    • /
    • 제28권3호
    • /
    • pp.93-104
    • /
    • 2022
  • Methicillin-resistant Staphylococcus aureus (MRSA) is a serious threat to the global healthcare system. Ineffective and resistance to antibiotic treatments have increased morbidity and mortality rates worldwide. New and effective antibiotics are needed to combat against bacterial resistance. Endophytic fungi are crucial reservoirs of novel bioactive metabolites. In particular, the secondary metabolites show promising therapeutic potential, notably, antibacterial. This review discussed the emerging potential of endophytic fungi as anti-MRSA agents. The ecological sources of endophytic fungi were discussed with the synthesis of bioactive metabolites. The mode of antibacterial actions was elucidated to give a better understanding of the mechanisms involved. This review may serve as an important reference for future discovery and developments of anti-MRSA agents from endophytic fungi.

Synergistic Killing Effect of Synthetic Peptide P20 and Cefotaxime on Methicillin-Resistant Nosocomial Isolates of Staphylococcus aureus

  • Jung, Hyun-Jun;Choi, Kyu-Sik;Lee, Dong-Gun
    • Journal of Microbiology and Biotechnology
    • /
    • 제15권5호
    • /
    • pp.1039-1046
    • /
    • 2005
  • The salt resistance of antibacterial activity and synergistic effect with clinically used antibiotic agents are critical factors in developing effective peptide antibiotic drugs. For this reason, we investigated the resistance of antibacterial activity to antagonism induced by NaCl and $MgCl_2$ and the synergistic effect of P20 with cefotaxime. P20 is a 20-residue synthetic peptide derived from a cecropin A (CA)-melittin(ME) hybrid peptide. In this study, P20 was found to have potent antibacterial activity against clinically isolated methicillin-resistant Staphylococcus aureus (MRSA) strains without hemolytic activity against human erythrocytes. The combination study revealed that P20 in combination with cefotaxime showed synergistic antibacterial activity in an energy-dependent manner. We also confirmed the synergism between P20 and cefotaxime by fluorescence-activated flow cytometric analysis by staining bacterial cells with propidium iodide (PI) and bis-(1,3-dibutylbarbituric acid) trimethine oxonol (BOX). This study suggests that P20 may be useful as a therapeutic antibiotic peptide with synergistic effect in combination with conventional antibiotic agents.

Antimicrobial Peptides (AMPs): Peptide Structure and Mode of Action

  • Park, Yoon-Kyung;Hahm, Kyung-Soo
    • BMB Reports
    • /
    • 제38권5호
    • /
    • pp.507-516
    • /
    • 2005
  • Antimicrobial peptides (AMPs) have been isolated and characterized from tissues and organisms representing virtually every kingdom and phylum. Their amino acid composition, amphipathicity, cationic charge, and size allow them to attach to and insert into membrane bilayers to form pores by 'barrel-stave', 'carpet' or 'toroidal-pore' mechanisms. Although these models are helpful for defining mechanisms of AMP activity, their relevance to resolving how peptides damage and kill microorganisms still needs to be clarified. Moreover, many AMPs employ sophisticated and dynamic mechanisms of action to carry out their likely roles in antimicrobial host defense. Recently, it has been speculated that transmembrane pore formation is not the only mechanism of microbial killing by AMPs. In fact, several observations suggest that translocated AMPs can alter cytoplasmic membrane septum formation, reduce cell-wall, nucleic acid, and protein synthesis, and inhibit enzymatic activity. In this review, we present the structures of several AMPs as well as models of how AMPs induce pore formation. AMPs have received special attention as a possible alternative way to combat antibiotic-resistant bacterial strains. It may be possible to design synthetic AMPs with enhanced activity for microbial cells, especially those with antibiotic resistance, as well as synergistic effects with conventional antibiotic agents that lack cytotoxic or hemolytic activity.

축산폐기물에서 분리된 항생제 내성균 Escherichia coli....Brevibacterium sp.의 내성 특성 및 감마선 살균 효능 (Antibiotic Resistance of Escherichia Coli and Brevibacterium sp. Isolated from Livestock Waste and Disinfection Efficiency of Gamma-Ray Irradiation)

  • 장은희;정상혁;남윤구;박우신;이면주;김탁현
    • 대한환경공학회지
    • /
    • 제32권7호
    • /
    • pp.676-681
    • /
    • 2010
  • 축산 폐기물에서 항생제에 대해 내성을 가지는 균주를 분리하여, 다양한 항생제에 대한 내성특성을 확인하고, 감마선의 조사에 따른 내성균의 항생제 내성 특성변화와 살균효능에 관한 연구를 수행하였다. 그 결과, 돈분과 돈분퇴비에서 분리된 균주 중 Esherichia coli와 Brevibacterium sp.이 다제내성균으로 확인되었다. E. coli는 13종의 항생제 중 9종의 항생제에 대해 내성을 나타내었으며, Brevibacterium sp.는 7종의 항생제에 대한 내성을 나타내었다. 이 두 가지 대표 다제내성균에 대해 감마선을 이용한 살균실험을 시행한 결과, Esherichia coli는 항생제에 대한 내성이 돌연변이적으로 발생하기 쉬운 균주이나 감마선을 이용해 효율적으로 제어할 수 있는 것으로 나타났고, 그에 반해 Brevibacterium sp.는 저선량에서 감마선에 대한 내성을 나타내어 상대적으로 감마선을 이용한 제어가 용이하지 않았다. Brevibacterium sp.는 2.0 kGy의 조사량에 대해 Esherichia coli에 비해 약 100배 정도 낮은 살균 효율을 보임으로써, 감마선에 대한 내성이 강한 것으로 나타났다.

위암환자에서 분리된 Helicobacter pylori의 항생물질에 대한 감수성과 저항성 균에 대한 항생제 병합요법의 효과 (Antibiotic Susceptibility of Helicobacter pylori and the Combination Effect of Antibiotics on the Antibiotic-Resistant H. pylori Strains)

  • 송갑영;장명웅
    • 대한미생물학회지
    • /
    • 제34권6호
    • /
    • pp.543-554
    • /
    • 1999
  • The purpose of this study was to evaluate the existence of amoxicillin, clarithromycin, and metronidazole resistance Helicobacter pylori and to determine the in-vitro MIC of two and three kinds of antibiotic concominant administration in the isolates. The antimicrobial agents tested against 169 H. pylori included metronidazole, amoxicillin, ciprofloxacin, clarithromycin, omeprazole, josamycin, erythromycin, and tetracycline. MIC of each antimicrobial agents was determined by broth microdilution method. The 169 strains of H. pylori were isolated from biopsy specimens of patients with gastric cancer. $MIC_{50}$ of clarithromycin, amoxicillin, metronidazole, omeprazole, erythromycin, josamycin, tetracycline, and ciprofloxacin was 2.0, 1.0, 4.0, 8.0, 0.5, 0.5, and $0.5\;{\mu}g/ml$, respectively. $MIC_{90}$ of clarithromycin, amoxicillin, metronidazole, omeprazole, erythromycin, josamycin, tetracycline, and ciprofloxacin was 64.0, 64.0, 32.0, 16.0, 8.0, 2.0, and $1.0\;{\mu}g/ml$, respectively. H. pylori isolates were detected in the following resistaince rates: 34.3% to clarithromycin, 31.9% to metronidazole, 20.7% to amoxicillin, 12.4% to erythromycin, and 10.1% to josamycin. The prevalence of the antibiotic resistant strains of H. pylori were detected 18.1% for two kind of antibiotics and 9.6% for three kind of antibiotics, and 3.9% for four kind of antibiotics. The $MIC_{90}$ of clarithromycin-, metronidazole-, and amoxicillin-resistant H. pylori was decreased under the $1\;{\mu}g/ml$ by the two or three kind of antibiotic concomitant administration in-vitro. These results suggest that two or three antibiotics concomitant administration could be more effective for the treatment of clarithromycin-, amoxicillin-, metronidazole-, and josamycin-resistant H. pylori strains.

  • PDF

Chitinase와 항진균성 항생물질을 생산하는 방선균 Promicromonospora sp. KH-28의 선발과 동정 (Selection and Identification of Promicromonospora sp. KH-28 Producing Chitinase and Antifungal Antibiotic)

  • 한길환;김상달
    • 한국미생물·생명공학회지
    • /
    • 제27권3호
    • /
    • pp.191-196
    • /
    • 1999
  • A multifunctional antagonistic bacterium, producing both antifungal antibiotic and chitinase that could be used as biocontrol agents against fungal plant pathogens was isolated from the plant-disease suppressive soil. The isolate was identified as Promicromonospora sp. KH-28 from various morphological, biochemical and physiological tests. The antifungal antibiotic produced by Promicromonospora sp. KH-28 was soluble in n-butanol, methanol, toluene, n-hexane, ethanol but insoluble in H2O, acetone, chloroform, ethylacetate and ethylether. It inhibited the growth of fungal plant pathogens of Fusarium solani, F. oxysporum, Alternaria mali and Phytophthora capsici. The antagonistic Promicromonospora sp. KH-28 produced optimally the antifungal antibiotic when it was cultivated at pH 7, 3$0^{\circ}C$ for 5 days.

  • PDF