• 제목/요약/키워드: cephalosporin

검색결과 253건 처리시간 0.029초

원외획득폐렴 환자 치료에서 Moxifloxacin 단독요법과 Cephalosporin-Azithromycin 병용요법의 비교 (Comparison of Moxifloxacin Monotherapy versus Cephalosporin-Azithromycin Combination Therapies for the Treatment of Community Acquired Pneumonia)

  • 정은진;이숙향
    • 한국임상약학회지
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    • 제15권2호
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    • pp.75-81
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    • 2005
  • Community acquired pneumonia (CAP) remains a prevalent and potentially life threatening illness. American Thoracic Society and Infectious Disease Society America recommend combination therapies with ${\beta}-lactam$ plus a macrolide or a fluoroquinolone monotherapy for the empirical treatment of CAP. The aim of this study was to compare moxifloxacin monotherapy with cephalosporin plus azithromycin combination therapies. From January 2004 to March 2005, 18 patients in the moxifloxacin group(MG) and 21 patients in the cefuroxime or ceftriaxone plus azithromycin group(CAG) with CAP were retrospectively reviewed with regard to clinical, laboratory and microbiological data. Each patient was stratified into mild (risk class I-II), moderate (risk class III) and severe (risk class VI, V) group according to and PSI (Pneumonia Severity Index) score. Each group was compared for microbiological eradication, clinical assessment, the length of hospital stay. As results, Total 39 patients with CAP were reviewed. The appropriateness of admission was 83.3% in MC vs. 76.2% in CAC. The mean length of the hospital day was for 8.31 days vs. 7.39 days, days switching parenteral to oral antibiotics in 5.19 days vs. 5.28 days, clinical improvement in 2.43 days vs. 2.61 days in MG vs. CAC. Radiological improvement required 3.75 days vs 3.63 days in MG vs. CAG and bacteriological eradication rate at discharge was the same in the both groups. Mortality rate was 11.1% (2 of 18) vs 14.3% (3 of 21) in MG vs. CAG (p=0.77). Drug cost of the mean 5 hospital days requiring parenteral antibiotics was the most inexpensive in moxifloxacin group for the 147,045 won, and ceftriaxone 1g-azithromycin group for the 170,285 won, cefuroxime bid-azithromycin group for the 207,800 won, ceftriaxone 2g-azithromycin group far the 220,570 won, cefuroxime tid-azithromycin group for the 251,700 won. There was no significant statistical difference in clinical, bacterial, radiological cure and hospital days, and switch to oral days. In conclusion, that i.v. moxifloxacin monotherapy was as effective as azithromycin plus cefuroxime or ceftriaxone combination therapies fur the treatment of CAP. In drug cost analysis, moxifloxacin is less expensive than CAG.

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발효부산물 오니의 시용이 열무 생장과 토양화학성에 미치는 영향 (Effect of Waste Sludge of Fermentation By-Product on the Growth of Young Radish and Chemical Properties of Soil)

  • 홍순달;석영선;사동민
    • 한국환경농학회지
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    • 제20권1호
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    • pp.8-14
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    • 2001
  • 항생물질 발효산업 부산물인 부산물오니의 농업적 활용성을 검토하기 위하여 98년 5월과 8월 두 차례 열무의 생장량 및 토양 화학성에 미치는 효과를 비교하였다. 오니의 처리수준은 열무의 표준시비량($N-P_2O_5-K_2O=160-59-104$ kg/ha)을 대조구로 하여 오니 및 관행퇴비를 각각 1000 kg/ha 씩 추가 시용 하는 오니 및 퇴비 첨가구 와 오니 및 퇴비 각각에 함유된 질소량의 30%를 질소 시용량에서 공제하는 질소공제 오니 및 퇴비구 등 5개 처리로 비교하였다. 오니 첨가구 및 질소공제 오니구의 열무 발아율과 초기생육은 대조구, 퇴비 첨가구 및 질소공제 퇴비구에 비하여 부진하였다. 이는 미분해된 오니의 토양중 분해과정에서 생성될 수 있는 암모니아가스 피해에 기인된 것으로 생각된다. 그러나 수확기의 열무 수량은 오니 첨가구 및 질소공제 오니구를 포함한 모든 처리구간에 1차 및 2차 시험 모두 유의성 있는 차이가 인정되지 않았다. 이는 오니의 시용에 의한 열무의 생육이 후반기에 빠르게 증진되었다는 것을 시사하고 있다. 식물체의 질소함량과 토양의 무기태 질소 함량은 오니의 시용에 의하여 증가되는 경향이었으나 항생물질 cephalosporin-C는 열무의 지상부나 지하부 그리고 시험 후 토양에서 검출되지 않았다. 따라서 부산물오니는 유기물(750 g/kg)과 전질소(56 g/kg)를 많이 함유하고 유해 중금속 함량이 허용치 이하인 점을 고려할 때 양질의 유기물 자원으로서 농업적 활용가치가 인정되었다.

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In vitro and in vivo Evaluations of LB 10517, a Novel Parenteral Broad-Spectrum Cephalosporin

  • Song, Hye-Kyong;Nishino, Takeshi;Seo, Mi-Kyeong;Kim, Mu-Yong;Lee, Yong-Hee;Kim, In-Chull;Kwak, Jin-Hwan
    • Archives of Pharmacal Research
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    • 제19권1호
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    • pp.46-51
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    • 1996
  • The in vitro activity of LB 10517, a new catechol-substituted cephalosporin, was compared with those of E-1077, cefpirome and ceftazidime 1034 clinical isolates collected in Japan. LB10517 showed a broad-spectrum antibacterial activity against a wide range of grampositive and gram-negative bacteria including non-glucose fermenting rods, Pseudomonas aeruginosa. Against the methicillin-susceptible strains of Staphylococcus aureus (MSSA) and Strptoccus pyogenes, the $MIC_{90}$ values of LB10517 which required to inhibit 90% of the strains wre $3.13\mug/ml\; and\; 0.1\mug/ml$, respectively. It was as active as E-1077 but more active than cefpirome and ceftazidime. Methicillin-resistant strains of S.aureus (MRSA) and Enterococcus spp. were highly resistant to all the test compunds. LB10517 was highly active against most members of the family Enterobacteriaceae, 90% of which were inhibited at a concentration of less than $0.78\mug/ml$, except for Enterobacter cloacae ($1.56\mug/ml$) and Serratia marcescens ($3.13\mug/ml$)Its activity was comparable to those of E-1077 and cefpirome but it was greater than that of ceftazidime. Against Pseudomonas aeruginosa, LB10517 showed the most potent antibacterial activity among the compounds tested. Ninety percent of P. aeruginosa isolates were susceptible at the concentration of $0.39\mug/ml$. Its activity was 32-to 128 fold higher than those of E-1077, cefpirome and ceftazidime. Against imipenem- or ofloxacin-resistant P. aeruginosa, LB10517 with $MIC_{90}\; of\; 6.25 \\mug/ml\; and\; 3.13\mug/ml$, respectively, showed 16-fold more potent activity than the other test compounds. LB10517 showed a relatively high plasma level and long plasma elimination half-life in rats $(t_{1/2}(\beta,\; 52 min)\; and\; dogs\; (t_{1/2}(\beta),\; 103 min)$.

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Role of Amino Acids in Production of D-amino Acid Oxidase

  • Puneet Singh;Marwaha, Satwinder-Singh;Neelam Verma
    • Journal of Microbiology
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    • 제39권3호
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    • pp.229-231
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    • 2001
  • Different DL-amino acids were studied as inducers of D-amino acid oxidase (DAAO) and for their influence on the growth of Trigonopsis variabilis. DL-amino acids with non-polar side groups were found to be the befit inducers of DAAO. Maximum increase in the growth of Trigonopsis variabilis (gram dry weight per liter culfure) was observed with DL-methionine (2.39 g/l) followed by DL-serine (2.22 g/l) and DL-alanine (2.21 g/l).

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$7{\beta}$-[2-(치환 Benzylthio) Alkanamido] Cephalosporins의 합성 및 항균작용 (Synthesis and Antibacterial Activity of $7{\beta}$-[2-(Substituted Benzylthio) Alkanamido] Cephalosporins)

  • 박정섭;김강열;유응걸
    • 약학회지
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    • 제32권4호
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    • pp.222-229
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    • 1988
  • A series of substituted benzylthioalkanamidocephalosporins 3a-3p were synthesized and tested in vitro antibacterial activity. Of these new cephalosporins exhibited good antibacterial activity against Gram-positive bacteria whereas none of the compounds possessed the activity against Gram-negative bacteria at the concentration tested.

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Synthesis and Antibacterial Activity of New Cephalosporins with Lactonyloxyimino Moiety

  • Suh, Kwee-Hyun;Park, Joo-Woong
    • Archives of Pharmacal Research
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    • 제17권2호
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    • pp.87-92
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    • 1994
  • A series of $7-{2-(aminothiazol-4-yl)-2-Z-({\gamma}-lacton-3-yl)oxyiminoactamido}$ cephalosporins with various substituents at the 30position in cephem nucleus in cephem nucleus were synthesized and evaluated microbiologically. The tested compounds showed potent activities but were somewhat less active than cefotaxime or cefixime against a wide variety of Gram-positive and Gram-negative bacteria.

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D-p-hydroxyphenylglycine의 합성 및 생산 - 생물 전환 기술

  • 김학성
    • 미생물과산업
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    • 제20권1호
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    • pp.42-45
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    • 1994
  • 아미노산은 식품이나 사료의 첨가물로, 의약품으로 그리고 화학합성에 있어서의 단위구조체(building block)로써 널리 이용되어 왔는데, 위에서 광학적으로 순수한 single enantiomer로서 D- 혹은 L-form의 .alpha.-아미노산은 의약품의 합성에 있어서 그 산업적 중요성이 날로 증대되고 있다. 이중 D-form의 아미노산은 .betha.-lactam계 항생제, peptide hormone, 살충제 등의 합성에서 중간 물질로 사용되고 있는데, 특히 D-p-hydroxyphenylglycine(이하 D-HPG)의 경우 amoxicillin, cefadroxil, cefatrizine, cefaparole, cefaperazone등의 penicillin이나 cephalosporin계의 반합성항생제의 전구체로서 전 세계적으로 널리 사용되고 있다.

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Structure-Activity Relationship Study on Cephalosporins with Mechanism-based Descriptors

  • Jun-Ho Choi;Hojing Kim
    • Bulletin of the Korean Chemical Society
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    • 제14권5호
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    • pp.631-635
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    • 1993
  • The polarizability and the transition state energy of a cephalosporin are assumed to be theoretical indices of the permeability through the outer membrane and of reactivity of ${\beta}$ -lactam ring with penicillin binding proteins, respectively, in Gram-negative bacteria. They are computed by AM1 method and used as variables of quantitative structure-activity relationship study. The results justify quadratic dependence of the activity on the variables. The intersection of difference volumes between $\beta-lactamase$ stable cephalosporins and unstable ones manifests that the steric hindrance of 7-side chain is responsible for the ${\beta}$ -lactamase stability.