• 제목/요약/키워드: Triple-antibiotics

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여러 분리원으로부터 유방염 원인균에 대한 항균력을 가진 유산균의 분리 (Screening of Antimicrobial Lactic Acid Bacteria against Bovine Mastitis)

  • 이나경;최인애;박용호;김종만;김재명;정석찬;백현동
    • 한국축산식품학회지
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    • 제27권4호
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    • pp.543-547
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    • 2007
  • 본 연구에서는 원유와 사일리지, 전통발효식품 등으로부터 유방염 원인균에 대한 항균성을 가지는 유산균을 분리하였고, 이들 중 원유에서는 79, 91-3 균주와 전통발효식품에서는 SA131, NK24, NK34, 32, 44-1 균주, 사일리지에서는 253, 261, 262, 263, 265 균주, 닭분변에서 B32, C23 균주에서 유방염 원인균에 대한 비교적 높은 항균력을 확인할 수 있었다. 이를 통해 새로운 항생제 대체물질의 가능성을 확인할 수 있었다.

새로운 헬리코박터 제균 요법 (New Helicobacter pylori Eradication Therapies)

  • 박재용;김재규
    • 대한소화기학회지
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    • 제72권5호
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    • pp.237-244
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    • 2018
  • While the prevalence of Helicobacter pylori (H. pylori) infection is decreasing in Korea, the incidence of gastric cancer remains high, emphasizing the importance of H. pylori eradication. A new treatment strategy is needed as the eradication rate with standard triple therapy, which is currently the standard first-line regimen for H. pylori infection, has decreased below the optimum level. The major cause of eradication failure is increased antibiotic resistance. Sequential, concurrent, and hybrid therapies that include clarithromycin produce higher eradication rates than conventional standard triple therapy. However, the effectiveness of these treatments is limited in regions where the resistance rate to various antibiotics is high. Bismuth quadruple therapy is another alternative therapy, but again the eradication rate is not sufficiently high. Tailored therapy based on individual characteristics, including antibiotic susceptibility, may be ideal, but there are several limitations for clinical application and further research is needed. New potassium-competitive acid blocker-based therapies could emerge as effective alternatives in the near future. A consensus is needed to establish a strategy for applying new eradication therapies in Korea.

경북지역에서 분리된 기종저균의 소독제에 대한 내성 (Resistance on disinfectants of Clostridium chauvoei isolated from Kyongbuk province)

  • 김순태;김신;김우현;권헌일
    • 한국동물위생학회지
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    • 제22권1호
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    • pp.85-92
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    • 1999
  • This study was investigated resistance on disinfectants and antibiotics of Clostridium chauvoei isolated from dairy farm in Kyongbuk province. The results obtained were summarized as follows ; C chauvoei isolated from dairy farm were susceptible to norfloxacin, penicillin, tetracycline, erythromycin, enrofloxacin, bacitracin, tyrosine, cephalothin and cefazolin but resistant to gentamicin, kanamycin, sulfamethoxazole+trimethoprim, amikacin, neomycin streptomycin, colistin. In effect on disinfectants, C chauvoei was inhibited completely to growth in mercuric bichloride ($HgCl_2$), harasol(sodium hypochloride 4-6%), long-life(high boiling tar acids et al), and phenol($C_6$$H_5$OH), but growth in all-stop(didecyl dimethyl ammonium chloride 10%), powercide(potassium monopersulphate 50% et al), antec vercon-s(triple salt 50% et al), and taego-51(6-alkyl-2.6-diaza-hexane-carbonic acid-1ㆍHCl et al). The effect of disinfectant was excellent in mercuric bichloride and harasol.

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돈유래(豚由來) Escherichia coli의 항생물질내성(抗生物質耐性) 및 전달성내성인자(傳達性耐性因子)에 관(關)하여 (Antibiotic Resistance of Escherichia coli from Pigs Fed with Antibiotics-containing Feedstuffs)

  • 탁연빈;정길택
    • 대한수의학회지
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    • 제16권2호
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    • pp.159-163
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    • 1976
  • One hundred and sixty one Escherichia coli strains isolated from 24 swine (11 swine fed with feedstuffs containing 7.5mg/kg of tetracycline and 13 swine not received antibiotic) were studied for the drug resistance and distribution of R factors. About 42 per cent of E. coli strains isolated from pigs of a herd fed with tetracycline (TC)-containing feeds were resistant to TC, streptomycin(SM), sulfisomidine(SA), ampicillin (AP) and kanamycin (KM), alone or in combination thereof, but none of the swine not receiving antibiotic containing feedstuffs excreted E. coli resistant to these drugs, Among resistant strains, 18.2% were found to be singly resistant to TC, whereas 81.8% were resistant to two or more antibiotics. The most common pattern was the triple resistant to TC, SM and SA(30.3%), and follolwed by double ones to TC and SM(24.2%). About one half of resistant strains carried R factors which were tranferable to the recipients by conjugation. In spite of feeding with feedstuffs containing only TC, high incidences of multiple resistance and R factors were observed in the E. coli isolated from these swine.

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대구신천(大邱新川)으로부터 분리(分離)된 약제내성대장균군(藥劑耐性大腸菌群)의 전달성내성(傳達性耐性)에 관(關)하여 (Drug Resistant Coliform Organisms in Shinchun Stream (Daegu))

  • 김기석;탁련빈
    • 대한수의학회지
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    • 제17권2호
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    • pp.73-78
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    • 1977
  • The distribution of coliform population and drug-resistant coliforms in Shinchun water during April to August in 1976 and R factors in resistant strains were studied. The mean coliform population in the stream water was 361 organisms per 0.1ml and 53.5% of total coliforms were fecal coliforms. Thritynine and a half percent of total coliforms were streptomycin (SM) resistant to one or more of following antibiotics; tetracycline (TC), chloramphenicol (CM), ampicillin (AP) and kanamycin (KM). The most frequent resistant pattern was triple resistance to SM, TC and AP (23.8%) and followed by quadruple one to SM, TC, CM and AP (17.5%). About 87 percent strains carried R factors which were transferable by conjugation to E. coli ML 1410 or S. typhimurium LT 2.

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Helicobader pylori Infection: Epidemiology, Pathophysiology, and Therapy

  • Crespo, Antonio;Suh, Byungse
    • Archives of Pharmacal Research
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    • 제24권6호
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    • pp.485-498
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    • 2001
  • Helicobacter pylori is one of the most commonly encountered human pathogens. It has been shown to be closely associated with peptic ulcer disease (PUD), gastric adenocarcinoma, and the gastric mucosa-associated lymphoid tissue (MALT) that may lead to gastric lymphoma. The current diagnostic methods include histology, microbiological culture, classic serology unease activity detection, polymerase chain reaction (PCR) and stool antigen detection. Its treatment modality options are multiple; however, a triple regimen consisting of a proton pump inhibitor (PPI), and two antibiotics for 10 to 14 days is preferred. Drug resistance is a growing problem in this organism and new therapeutic options are currently limited .

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MLS계 항생제에 대한 유도내성 유전자 ermK 및 그 돌연변이체의 유도내성 표현형 (Characteristics of the Resistance Phenotypes by Inducible Resistance Gene ermK and Its Terminator Region Mutants)

  • 최성숙;최응칠
    • 약학회지
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    • 제41권4호
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    • pp.533-537
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    • 1997
  • The characteristics of the resistance phenotypes of Bacillus subtilis having ermk and its terminator region mutants were determined. Wild type ermK(pEC101) and pECMT109(methylase SD-region mutant) showed typical inducible resistance phenotype. pECMF1(terminator1 region mutant) and pECMT2(terminator2 region mutant) showed constitutive resistance to Kitasamycin but inducible resistance to tylosin. In contrast, pECMT3(terminator1 and terminator2 double mutant) and pECMT309(terminator1, terminator2 and methylase SD region triple mutant) showed constitutive resistance both to kitasamycin and tylosin.

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재생근관치료로 유도된 미성숙 치근 성장의 속도와 비율 (Ratio and Rate of Induced Root Growth in Necrotic Immature Teeth)

  • 상은정;송지수;신터전;김영재;김정욱;장기택;이상훈;현홍근
    • 대한소아치과학회지
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    • 제45권2호
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    • pp.225-234
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    • 2018
  • 괴사된 미성숙 영구치의 치수치료에 있어서 치근단형성술의 대안으로 제안된 재생근관치료는 근관내 살균을 통해 치근단의 성장을 유도하여 치근상아질 두께를 증가시키고 치아의 치관-치근 비율을 유리하게 하여 치아의 파절 가능성을 낮추는 장점이 있다. 본 연구는 미성숙 영구치에 metronidazole, ciprofloxacin, cefaclor의 복합 항생제를 적용한 후에 방사선 사진상에서 나타난 치근 성장 양상을 치근 상아질의 면적 변화와 치근단공의 내측 폭경 변화의 측면에서 장기적으로 관찰하였고, 정상 소구치의 치근 성숙 양상과 비교 분석하고자 하였다. 치료군은 24개의 영구치를 대상으로 하였고 대조군은 27개의 소구치를 대상으로 하였다. 두 군간의 성장 속도 차이는 Mann-Whitney test로 검정하였다. 두 군은 첫 1개월 내, 1 -3개월 내, 3 - 6개월 내, 6 - 12개월 내에서는 치근단 폭경 감소 비율에 통계적으로 유의한 차이가 없었다. 12개월 뒤 치료군에서 치근단공의 내측 폭경은 치료 시작 시기보다 50.59% 감소하여 대조군의 71.82%와 통계적으로 유의한 차이가 발생하였다. 치료군에서의 치근단 폭경 감소비율은 3개월, 6개월, 6개월 이후에서 모두 유의한 차이가 있었다. 치근 상아질의 면적 증가율은 모든 정기 검진 시기에서 치료군과 대조군간의 통계적으로 유의한 차이가 나타나지 않았다.

헬리코박터 파일로리(Helicobacter pylori) 감염 및 치료법 개요 (Overview of Helicobacter pylori and Treatment Options)

  • 송영구
    • 자원환경지질
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    • 제48권3호
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    • pp.241-246
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    • 2015
  • Helicobacter pylori는 사람의 위점막에서 발견되는 전염성이 있는 중요한 병원균이다. 장기간 기생하면서 만성위염, 소화성궤양, 위 변연부 B세포 림프종, 그리고 위암을 일으키는 세균으로 알려져 있다. 국내에서는 프로톤펌프 억제제(proton pump inhibitor, PPI)와 두 가지 항생제(amoxicillin, clarithromycin)를 포함하는 표준 삼제 요법을 1차 치료로 사용하여 왔으나, 점점 증가하고 있는 항생제 내성으로 인해 제균율은 점차 감소하고 있다. 여기서는 H. pylori의 현재의 치료법들과 이들 치료법들의 문제점들을 검토하고, 표적치료의 필요성과 표적치료에 활용할 수 있는 약물전달체로서의 점토광물의 가능성에 대해 알아보고, 이들을 이용한 새로운 치료 방향에 대한 향후 연구계획 등에 대해서 논하고자 한다.

Calcium hydroxide intracanal medication effects on pain and flare-up: a systematic review and meta-analysis

  • Ibrahim, Ahmed Mohamed;Zakhary, Siza Yacoub;Amin, Suzan Abdul Wanees
    • Restorative Dentistry and Endodontics
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    • 제45권3호
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    • pp.26.1-26.18
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    • 2020
  • Objectives: This study aimed to systematically review the pain and flare-up effects of calcium hydroxide (CH) as intracanal medication (ICM) in non-vital mature teeth. Materials and Methods: Electronic-databases searching for published and grey literature and manual searching were conducted. Only randomized clinical trials (RCTs) were included comparing CH to other ICMs in non-vital mature teeth. The risk of bias was assessed using the RoB 2.0 Cochrane tool. The main outcomes were pain and flare-up. Qualitative and quantitative analysis, wherever applicable, was performed. The certainty of evidence (CoE) was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Results: Sixteen articles were included in 6 comparisons at different time points for different outcomes. CH reduced pain risk than no ICM within the 1-14-days interval (p < 0.05) and than triple-antibiotic paste within the first day (p < 0.05) and was similar to corticosteroid/antibiotics combination (p > 0.05). Chlorhexidine (CHX) or CH/CHX, however, reduced pain levels than CH alone (p < 0.05). CH showed higher flare-up risk than CHX (p < 0.05). CoE, however, ranged from very low to moderate. Conclusion: Most comparisons for different outcomes are based on very few studies, mostly low-powered, with an overall low CoE. Thus, the available evidence is considered insufficient to either support or refute CH effectiveness or to recommend one ICM over another. Therefore, further well-designed, larger RCTs are required.