scholarly journals Triple oral beta-lactam containing therapy for Buruli ulcer treatment shortening

2019 ◽  
Vol 13 (1) ◽  
pp. e0007126 ◽  
Author(s):  
María Pilar Arenaz-Callao ◽  
Rubén González del Río ◽  
Ainhoa Lucía Quintana ◽  
Charles J. Thompson ◽  
Alfonso Mendoza-Losana ◽  
...  
2018 ◽  
Author(s):  
María Pilar Arenaz Callao ◽  
Rubén González del Río ◽  
Ainhoa Lucía Quintana ◽  
Charles J. Thompson ◽  
Alfonso Mendoza-Losana ◽  
...  

ABSTRACTThe potential use of clinically approved beta-lactams for Buruli ulcer (BU) treatment was investigated with representative classes analyzed in vitro for activity against Mycobacterium ulcerans. Beta-lactams tested were effective alone and displayed a strong synergistic profile in combination with antibiotics currently used to treat BU, i.e. rifampicin and clarithromycin; this activity was further potentiated in the presence of the beta-lactamase inhibitor clavulanate. In addition, quadruple combinations of rifampicin, clarithromycin, clavulanate and beta-lactams resulted in multiplicative reductions in their minimal inhibitory concentration (MIC) values. The MIC of amoxicillin against a panel of clinical isolates decreased more than 200-fold within this quadruple combination. Amoxicillin/clavulanate formulations are readily available with clinical pedigree, low toxicity, and orally and pediatric available; thus, supporting its potential inclusion as a new anti-BU drug in current combination therapies.


2020 ◽  
Vol 14 (5) ◽  
pp. e0008369
Author(s):  
Shelui Collinson ◽  
Venus N. B. Frimpong ◽  
Bernadette Agbavor ◽  
Bethany Montgomery ◽  
Michael Oppong ◽  
...  

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3047 ◽  
Author(s):  
Grace Kpeli ◽  
Andrew H. Buultjens ◽  
Stefano Giulieri ◽  
Evelyn Owusu-Mireku ◽  
Samuel Y. Aboagye ◽  
...  

BackgroundThe emergence and evolution of community-acquired methicillin resistantStaphylococcus aureus(CA-MRSA) strains in Africa is poorly understood. However, one particular MRSA lineage called ST88, appears to be rapidly establishing itself as an “African” CA-MRSA clone. In this study, we employed whole genome sequencing to provide more information on the genetic background of ST88 CA-MRSA isolates from Ghana and to describe in detail ST88 CA-MRSA isolates in comparison with other MRSA lineages worldwide.MethodsWe first established a complete ST88 reference genome (AUS0325) using PacBio SMRT sequencing. We then used comparative genomics to assess relatedness among 17 ST88 CA-MRSA isolates recovered from patients attending Buruli ulcer treatment centres in Ghana, three non-African ST88s and 15 other MRSA lineages.ResultsWe show that Ghanaian ST88 forms a discrete MRSA lineage (harbouring SCCmec-IV [2B]). Gene content analysis identified five distinct genomic regions enriched among ST88 isolates compared with the otherS. aureuslineages. The Ghanaian ST88 isolates had only 658 core genome SNPs and there was no correlation between phylogeny and geography, suggesting the recent spread of this clone. The lineage was also resistant to multiple classes of antibiotics includingβ-lactams, tetracycline and chloramphenicol.DiscussionThis study reveals thatS. aureusST88-IV is a recently emerging and rapidly spreading CA-MRSA clone in Ghana. The study highlights the capacity of small snapshot genomic studies to provide actionable public health information in resource limited settings. To our knowledge this is the first genomic assessment of the ST88 CA-MRSA clone.


2015 ◽  
Vol 9 (8) ◽  
pp. e0003996 ◽  
Author(s):  
Nicole Scherr ◽  
Gerd Pluschke ◽  
Charles J. Thompson ◽  
Santiago Ramón-García
Keyword(s):  

2016 ◽  
Vol 10 (7) ◽  
pp. e0004602 ◽  
Author(s):  
Arnaud Setondji Amoussouhoui ◽  
Roch Christian Johnson ◽  
Ghislain Emmanuel Sopoh ◽  
Ines Elvire Agbo ◽  
Paulin Aoulou ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Pius Agbenorku ◽  
Isaac K. Donwi ◽  
Pawson Kuadzi ◽  
Paul Saunderson
Keyword(s):  

2019 ◽  
Vol 13 (10) ◽  
pp. e0007866 ◽  
Author(s):  
Anita C. Wadagni ◽  
Jonathan Steinhorst ◽  
Yves T. Barogui ◽  
P. M. Catraye ◽  
Ronald Gnimavo ◽  
...  

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