• 제목/요약/키워드: trimethoprim

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A survey on head lice infestation in Korea (2001) and the therapeutic efficacy of oral trimethoprim/sulfamethoxazole adding to lindane shampoo

  • Sim, Seo-Bo;Lee, In-Yong;Lee, Kyu-Jae;Seo, Jang-Hoon;Im, Kyung-Il;Shin, Myeong-Heon;Yong, Tai-Soon
    • Parasites, Hosts and Diseases
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    • 제41권1호
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    • pp.57-61
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    • 2003
  • Total of 7,495 children including 3,908 boys and 3,587 girls from a kindergarten and 15 primary schools were examined for head lice infestation (HLI). The overall prevalence of HLI in this study was found to be 5.8%. Head lice were much more commonly detected in girls than in boys with prevalence of 11.2% and 0.9%, respectively. Sixty-nine children with HLI were treated with 1% lindane shampoo alone (group 1), and 45 children with HLI were treated with 1% lindane shampoo and oral trimethoprim/sulfamethoxazole (group 2), and follow-up visits were conducted 2 and 4 weeks later, The children who still had HLI 2 weeks after the primary treatment were treated again. At the 2-week follow-up visit, the treatment success rates of groups I and 2 were 76.8% and 80.7%, respectively, and at the 4-week follow-up visit, the rates were 91.3% and 97.8%, respectively. No statistically significant synergistic effect was observed for the combination of a 1% lindane shampoo and oral trimethoprim/sulfamethoxazole.

Trimethoprim-sulfamethoxazole이 톡소플라스마 감염 마우스의 혈액상에 미치는 영향 (Chemotherapeutic Efficacy of Trimethoprim-Sulfamethoxaxole ($Bactrim^{\circledR}$) in Experimental Murine Toxoplasmosis)

  • 조성원;용태순
    • Parasites, Hosts and Diseases
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    • 제25권2호
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    • pp.199-208
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    • 1987
  • The chemotherapeutic efficacy of trimethoprim-sulfamethoxazole ($Bactrim^{\circledR}$) in mice experimentally infected with Toxoplasma gcndii was evaluated. The average survival days and survival rate of mice infected intraperitoneally with $1{\times}10^5$ trophozoites and treated with $Bactrim^{\circledR}$ were compared with those of untreated group. The hematologic findings of blood samples of experimental mice were observed for comparison of side elects between $Bactrim^{\circledR}$ and pyrimethamine ($Daraprim^{\circledR}$), the latter of which has been one of the favorable drugs for the treatment of toxoplasmosis. The results are summarized as follows: 1. $Bactrim^{\circledR}$ showed a strong evidence of potent anti-Toxoplasma activity. The survival rate of mice administered with 24 mg of $Bactrim^{\circledR}$ per mouse per day for 7 days, was 83.3%, and the rate was increased to 100% in mice administered with two-fold concentrated dose of the drug. 2. The average numbers of white blood cells (W.B.C.) in the mouse groups treated with $Bactrim^{\circledR}$ or $Daraprim^{\circledR}$ were more increased than those only infected with T. gondii. The mice treated with $Daraprim^{\circledR}$ however, showed remarkably decreased numbers of W.B.C. as compared with those treated with $Bactrim^{\circledR}$ . 3. The average numbers of red blood cells (R.B.C.) and platelets both in the drug-treated and untreated T. gondii-infected mice were decreased as compared with normal mice. The numbers of R. B. C. in $Daraprim^{\circledR}-treated$ mice, however, were more decreased than in $Bactrim^{\circledR}-treated$ mice. 4. The average levels of hemoglobin both in the drug.treated and untreated T. gondii-infected mice were decreased, compared with normal mice. But there was no difference in the levels of hemoglobin between $Bactrim^{\circledR}$ and $Daraprim^{\circledR}-treated$ groups. In conclusion, trimethoprim.sulfamethoxasole ($Bactrim^{\circledR}$) was proven to be effective and safe for the treatment of murine toxoplasmosis. The efficacy was comparable with pyrimethamine ($Daraprim^{\circledR}$), but bone marrow depression was less severe with $Bactrim^{\circledR}$ treatment.

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Box-Behnken Design을 이용한 수용액 중의 Trimethoprim에 대한 폐감귤박 자성활성탄의 흡착 특성 (Adsorption Characteristics Analysis of Trimethoprim in Aqueous Solution by Magnetic Activated Carbon Prepared from Waste Citrus Peel Using Box-Behnken Design)

  • 이창한;이민규;허철구;감상규
    • 한국환경과학회지
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    • 제31권8호
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    • pp.691-706
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    • 2022
  • Magnetic activated carbon was prepared by adding a magnetic material to activated carbon that had been prepared from waste citrus peel in Jeju. The adsorption characteristics of an aqueous solution of the antibiotic trimethoprim (TMP) were investigated using the magnetic activated carbon, as an adsorbent, and response surface methodology (RSM). Batch experiments were carried out according to a four-factor Box-Behnken experimental design affecting TMP adsorption with their input parameters (TMP concentration: 50~150 mg/L; pH: 4~10; temperature: 293~323 K; adsorbent dose: 0.05~0.15 g). The significance of the independent variables and their interaction was assessed by ANOVA and t-test statistical techniques. Statistical results showed that TMP concentration was the most effective parameter, compared with others. The adsorption process can be well described by the pseudo-second-order kinetic model. The experimental isotherm data followed the Langmuir isotherm model. The maximum adsorption capacities of TMP, estimated with the Langmuir isotherm model were 115.9-130.5 mg/g at 293-323 K. Also, both the thermodynamic parameters, ΔH and ΔG, have both positive values, indicating that the adsorption of TMP by the magnetic activated carbon is an endothermic reaction and proceeds via an involuntary process.

Urosodeoxycholic Acid Therapy in a Child with Trimethoprim- Sulfamethoxazole-induced Vanishing Bile Duct Syndrome

  • Cho, Hyun Jeong;Jwa, Hye Jeong;Kim, Kyu Seon;Gang, Dae Yong;Kim, Jae Young
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제16권4호
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    • pp.273-278
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    • 2013
  • We present a case of a 7-year-old boy who had cholestasis after trimethoprim-sulfamethoxazole combination therapy. Liver biopsy was performed 36 days after the onset of jaundice because of no evidence of improving cholestasis. Liver histology revealed portal inflammation, bile plug, and biliary stasis around the central vein with the loss of the interlobular bile ducts. Immunohistochemical stains for cytokeratin 7 and 19 were negative. These findings were consistent with those of vanishing bile duct syndrome (VBDS). Chlestasis was progressively improved with dose increment of urosodeoxycholic acid from conventional to high dose. This is the first case report of trimethoprime-sulfamethoxazole associated VBDS in Korean children. The case suggests that differential diagnosis of VBDS should be considered in case of progressive cholestatic hepatitis with elevation of alkaline phosphatase and gamma-glutamyl transpeptidase after or during taking medicine to treat nonhepatobiliary diseases illness.

박스-벤켄 설계법을 이용한 폐감귤박 활성탄에 의한 수용액 중의 항생제 Trimethoprim의 흡착 연구 (Study on the Adsorption of Antibiotics Trimethoprim in Aqueous Solution by Activated Carbon Prepared from Waste Citrus Peel Using Box-Behnken Design)

  • 이민규;감상규
    • Korean Chemical Engineering Research
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    • 제56권4호
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    • pp.568-576
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    • 2018
  • 폐감귤박으로 제조한 활성탄(WCAC, waste citrus peel based activated carbon)에 의한 항생제 trimethoprim (TMP)의 흡착 특성을 조사하기 위해 반응표면법(RSM, response surface methodology)을 사용하여 TMP 흡착에 대한 운전인자들의 영향을 조사하였다. 농도($X_1$: 50-150 mg/L), pH ($X_2$: 4-10), 온도($X_3$: 293-323 K), 흡착제 투여량($X_4$: 0.05-0.15 g)의 4가지 입력 파라미터를 가진 4-요인 Box-Behnken 실험 설계에 따라 회분식 실험을 수행하고, 얻어진 실험 결과를 다중 회귀 분석으로 2차 다항식에 맞추고 통계적 방법을 사용하여 검토하였다. 독립 변수 및 변수들 간의 교호 작용의 유의성은 ANOVA 및 t-검정 통계기법으로 평가하였으며, 통계적 결과는 TMP 농도가 다른 요인들에 비하여 가장 많은 영향을 미치는 운전인자라는 것을 보여 주었다. 흡착공정은 유사 2차 속도식에 잘 부합하였으며, 등온흡착평형관계는 Langmuir 식이 Freundlich 식 보다 잘 부합하였다. Langmuir 등온식으로 부터 계산한 WCAC에 의한 TMP의 최대 흡착량은 293 K에서 144.9 mg/g이었다.

Toxoplasma 감염 마우스에 있어서 trimethoprim-sulfamethoxazole의 투여 효과 (Prophylactic effects of trimethoprim-sulfamethoxazole in Toxoplasma-infected mice)

  • 이영하;이두용;신대환
    • Parasites, Hosts and Diseases
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    • 제31권4호
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    • pp.363-370
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    • 1993
  • Toxoprqsmagonnii의 강독주(RH주) 혹은 약독주(Beverley주)를 마우스에 감염시킴과 동시에 trimethoprim-sulfamethoxazole(TMP-SMZ)을 투여하여 Toxoplasma 감염 마우스에 있어 서 TMP-SMZ의 감염 예방효과를 마우스의 생존기간과 생존율. 면역혈청학적 반응 및 뇌조직내 씨스트의 수로 평가한 후 감염대조군 및 spiramycin 투여군과 비교하였다. T. gondii의 RH주를 감염시킨 마우스(마우스당 $1{\;}{\times}{\;}10^5$개의 tachyzoite를 감염)에 TMP-SMZ을 투여시 마우스의 생존기간은 감염대조군이나 spiramycin 투여군보다 유의하게 증가하였으며(p < 0.01), TMP-SMZ의 투여량을 증가시킴에 따라 생존기간 및 생존율이 증가하였고 마우스당 24 mg/day 이상 15일간 투여시 100% 생존하였다. T. gondii의 Beverley주를 감염시킨 마우스(마우스당 10개의 씨스트를 감염)의 혈청내 IgG 및 IgM 항체가는 TMP-SMZ 투여시 유의하게 감소하였으며(p < 0.05) TMP-SMZ을 마우스당 24 mg/day 이상 투여시 뇌조직내에서 씨스트를 발견할 수 없었다. 그러나 spiramycin 투여군은 감염대조군과 유사한 항체가를 보였으며 감염 후 20일부터 씨스트가 발견되었다 이상의 성적으로 보아 TMP-SMZ은 T. gondii의 강독주나 약독주 감염 마우스에 투여시 감염 예방효과가 있었다.

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Simultaneous hypersensitivity reactions to trimethoprim-sulfamethoxazole and amoxicillin-clavulanate in a dog

  • Yunho Jeong ;Yoon-Hwan Kim ;Jin-Ok Ahn;Jin-Young Chung
    • Journal of Veterinary Science
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    • 제24권6호
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    • pp.77.1-77.7
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    • 2023
  • Antibiotics are known to be able to cause hypersensitivity reactions through various mechanisms. We present a case of drug-induced immune thrombocytopenia (DITP) and anaphylactic shock occurring simultaneously in a dog after the administration of two classes of antibiotics, namely trimethoprim-sulfamethoxazole (TMP-SMX) and amoxicillin-clavulanate (AMC). The patient recovered completely from DITP on discontinuation of TMP-SMX and the anaphylactic shock caused by AMC was treated with intensive care. DITP is a rare adverse drug reaction (ADR), and anaphylactic shock is a life-threatening ADR. This is the first case report of a dog manifesting two types of hypersensitivity reactions caused by two antibiotics.

Characterization of Trimethoprim-Sulfamethoxazole Resistance Genes and Their Relatedness to Class 1 Integron and Insertion Sequence Common Region in Gram-Negative Bacilli

  • Shin, Hae Won;Lim, Jinsook;Kim, Semi;Kim, Jimyung;Kwon, Gye Cheol;Koo, Sun Hoe
    • Journal of Microbiology and Biotechnology
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    • 제25권1호
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    • pp.137-142
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    • 2015
  • Trimethoprim-sulfamethoxazole (TMP-SMX) has been used for the treatment of urinary tract infections, but increasing resistance to TMP-SMX has been reported. In this study, we analyzed TMP-SMX resistance genes and their relatedness with integrons and insertion sequence common regions (ISCRs) in uropathogenic gram-negative bacilli. Consecutive nonduplicate TMP-SMX nonsusceptible clinical isolates of E. coli, K. pneumoniae, Acinetobacter spp., and P. aeruginosa were collected from urine. The minimal inhibitory concentration was determined by Etest. TMP-SMX resistance genes (sul and dfr), integrons, and ISCRs were analyzed by PCR and sequencing. A total of 45 E. coli (37.8%), 15 K. pneumoniae (18.5%), 12 Acinetobacter spp. (70.6%), and 9 Pseudomonas aeruginosa (30.0%) isolates were found to be resistant to TMP-SMX. Their MICs were all over 640. In E. coli and K. pneumoniae, sul1 and dfr genes were highly prevalent in relation with integron1. The sul3 gene was detected in E. coli. However, in P. aeruginosa and Acinetobacter spp., only sul1 was prevalent in relation with class 1 integron; however, dfr was not detected and sul2 was less prevalent than in Enterobacteriaceae. ISCR1 and/or ISCR2 were detected in E. coli, K. pneumoniae, and Acinetobacter spp. but the relatedness with TMP-SMX resistance genes was not prominent. ISCR14 was detected in six isolates of E. coli. In conclusion, resistance mechanisms for TMP-SMX were different between Enterobacteriaceae and glucose non-fermenting gram-negative bacilli. Class 1 integron was widely disseminated in uropathogenic gram-negative baciili, so the adoption of prudent use of antimicrobial agents and the establishment of a surveillance system are needed.