scholarly journals Late Prosthetic Vascular Graft Infections after Reconstructions on Aortoiliac Segment: An Eleven Years Experience

2013 ◽  
Vol 6 (1) ◽  
pp. 43-50
Author(s):  
Lyubomir Ts. Beshev ◽  
Valentina E. Edreva-Besheva ◽  
Mariya P. Sredkova ◽  
Dobromir D. Nguen

Summary The purpose of the study was to evaluate the frequency and etiology of late prosthetic vascular graft infections after reconstructions on aortoiliac segment. From 2001 to 2011,545 primary reconstructions were performed on 545 consecutive patients. We had 18 cases of late intracavitary graft infections in 14 of them. A total of 58 clinical specimens collected from patients before, during and after reoperation were analyzed. Pathogens were isolated using conventional methods for aerobic and anaerobic bacteria. The isolates were identified down to species level by conventional biochemical methods, VITEK 2 and mini API Systems (bioMereux, France). During an 11-year period after prosthetic grafting of the abdominal aorta and aortoiliac segment the incidence of late (more than 4 months after implantation) infection was 3.11%. The mean interval between the initial operation and development of infection was 39.2 months (range 4 to 84). Positive microbial cultures were found in 46 clinical specimens. A total of 66 microbial isolates were cultured, comprising 27 clinical strains. Gram-positive bacteria were predominant - 15 (55.55%) strains, followed by Gram-negative bacteria - 9 (3 3.33%), Candida albicans - 2 (7.4%) and Bacteroides fragilis - 1 (3.7%). In 7 cases, the infection was monobacterial, caused predominantly by Staphylococcus species. In the rest of the cases, the infections were polymicrobial, caused by association between two microbial species. Mortality rate was 35.71% (5 cases) - in 4 of them the infection was caused by association between two species of Gram-negative bacteria or between Gram-negative bacteria and Candida albicans. The incidence of late intracavitary vascular graft infection was low. The average period for development of this complication was about 3 years after reconstruction. Among the causative agents, Gram-positive microorganisms had a predominant role but infections caused by Gram-negative bacteria, especially when they were in association, had a worse outcome.

2014 ◽  
Vol 8 (3) ◽  
pp. 40-45
Author(s):  
Zina Hashem Shehab ◽  
Huda Suhail Abid ◽  
Sumaya Fadhil Hamad ◽  
Sara Haitham

The study was conducted to evaluate the inhibitory activity of methanol extract of Gardenia jasminoides leaves compared with leaf crude extracts for some organic solvents namely Methanol, Ethanol, Petroleum ether, Asetone and Chloroform on growth of some pathogenic bacteria and yeast, which included four gram positive isolates Staphylococcus aureus, Enterococcus faecalis, Streptococcus pyogenes and Bacillus cereus and gram negative isolates Escherichia coli, Salmonella typhi, Proteus vulgaris and Pseudomonas aeruginosa and some yeasts Candida albicans and Saccharomyces boulardii, by using well diffusion method. The inhibitory activity of extracts in the tested bacterial strains and yeasts was varied according to the type of extracting solvents and are tested microorganisms. The methanol callus extract which grown on Murashige and Skoog (MS) media by using (Naphthalen acitic acid) NAA and (Benzyle adenine) BA as growth regulator highly effective as compared to the other extracts as for inhibition of three gram positive bacteria and three gram negative bacteria,which include Staphylococcus aureus and, Proteus vulgaris, followed by acetone and ethanolic extracts which include two gram positive bacteria and two gram negative bacteria. All extracts had highly effect in growth of Candida albicans while all crude extracts didn’t show any sensitivity against Saccharomyces boulardii, and when we’d done (High Performance Liquid Chromatography) HPLC test for detection of some active compound we found Quinic acid, Iridiods glycosides and Crocin which its rate in fresh callus was higher than fresh leaves.


2004 ◽  
Vol 59 (5-6) ◽  
pp. 373-378 ◽  
Author(s):  
El-Sayed S. Mansour ◽  
Galal T. Maatooq ◽  
Ashraf T. Khalil ◽  
El-Sayed M. Marwan ◽  
Amal A. Sallam

The composition of the essential oil of the fruits, leaves and stems of Daucus glaber Forssk has been studied by GC/MS. It was found that, the essential oil of the fruits consists of monoterpene hydrocarbons (limonene and sylvestrene are the majors) and phenylpropanoids (elemicin is the major). Sylvestrene has never been reported before in the essential oil of any Daucus species. The study of the essential oil of the leaves revealed the presence of monoterpene hydrocarbons; limonene and γ-terpinene are the majors and a small amount of sylvestrene. The essential oil of stems consists of monoterpene hydrocarbons (γ-terpinene is the major), terpene alcohols (mainly 4-terpineol) and phenylpropanoids (myristicin and elemicin are the majors). It is interesting that, the essential oil of the fruits is free from any oxygenated terpenes while that of the stems is free from limonene and sylvestrene which are present in the essential oil of the fruits and leaves in fairly large amounts. The essential oil of the fruits, leaves and stems shows broad antimicrobial activities against both gram positive and gram negative bacteria. In addition, the volatile oil of the stem, particularly, show activi­ties against Candida albicans (yeast). Also, the prepared oils have variable cytotoxic activities with LC50 21.52, 36.01 and 42.34 μrg/ml. respectively.


Author(s):  
Lovey Sharma ◽  
Ram Kumar Pundir

The present study was undertaken to assess the antimicrobial potential of leaves’ extract of Green tea (Camellia sinensis) against skin associated microorganisms. The antimicrobial activity was studied through agar well diffusion method against Gram positive, Gram negative bacteria and fungus included Propionibacterium acne, Staphylococcus aureus, Pseudomonas aeruginosa, Escherichia coli and Candida albicans in five different solvents viz. Methanol, Ethanol, Distilled water, Chloroform and Petroleum ether. The methanolic extract of Camellia sinensis showed maximum zone of inhibition against Propionibacterium acne (27 mm) and S. aureus (26 mm); ethanolic extract was most effective against Candida albicans (22 mm) and petroleum ether extract was most effective against S. aureus (20 mm). The antimicrobial analyses showed that the extracts were more effective against Gram positive bacteria than Gram negative bacteria and fungus. Comparative study of antimicrobial activity of Camellia sinensis extracts with antibiotics revealed that Camellia sinensis methanolic extract had maximum effective antimicrobial activity against all the tested microorganisms. MIC (Minimum Inhibitory Concentration) and MBC (Minimum Bactericidal Concentration) of methanolic extract of Camellia sinensis against the microbial agents under study ranged between 0.125 to 0.015625 mg/ml. The synergistic interaction of Camellia sinensis with antibiotics revealed much better results as compared to antibiotics susceptibility pattern alone. Phytochemicals analyses of Camellia sinensis included alkaloids, saponins, glycosides, proteins, phenols, tannins and phytosterols. The compounds identified by GC-MS analysis of methanolic extract of Camellia sinensis were reported to be used as water treatment, antifungals, antimicrobials and enzymatic inhibitors, improve mental alertness, antifungal, anti-HIV, anticancer, anti-inflammatory, analgesic and comonomer (e.g. for lubricating oil additives). Therefore, it may be concluded that Camellia sinensis leaves possess antibacterial and antifungal properties, which may be used as alternate drug of choice due to its lower side-effects to human skin as compared to presently used therapeutic agents.


2007 ◽  
Vol 2 (4) ◽  
pp. 1934578X0700200 ◽  
Author(s):  
Leopold Jirovetz ◽  
Gerhard Buchbauer ◽  
Thomas Schweiger ◽  
Zapriana Denkova ◽  
Alexander Slavchev ◽  
...  

The chemical composition of a sample of Jasminum grandiflorum L. absolute from India was analyzed by GC and GC/MS. The major compounds identified were benzyl acetate (23.7%), benzyl benzoate (20.7%), phytol (10.9%), linalool (8.2%), isophytol (5.5%), geranyl linalool (3.0%), methyl linoleate (2.8%) and eugenol (2.5%). The odor of this absolute sample was olfactorically evaluated as intense and heavy floral-flowery, with penetrant-animalic and fruity side-notes. Some main and minor compounds were found to be responsible for the aroma impression of this sample. The antimicrobial activities of the J. grandiflorum sample and of some of its main and minor compounds were tested against Gram-positive and Gram-negative bacteria, as well as against the yeast Candida albicans, using agar dilution and agar diffusion methods. The jasmine absolute showed medium to high activity (reference compounds: eugenol and three synthetic antibiotics) against the Gram-positive bacterium Enterococcus faecalis, against the Gram-negative bacteria Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumoniae and Salmonella sp., as well as against the yeast Candida albicans. A comparison of these biological data with those of some constituents of the jasmine absolute is also given.


2018 ◽  
Vol 19 (4) ◽  
Author(s):  
Anna Kędzia ◽  
Andrzej W. Kędzia ◽  
Henry O. Meissner ◽  
Joanna Wiśniewska

Introduction. Sweet majoram (Origanum majorana L.), green plant from family Lamiaceae is common used in traditional medicine. Herba majoranae containing from 1 to 3.5% essential oil. The main components of the oil depend on the geographic origin of the plant and include: terpinen-4-ol, α-terpineol, terpinene, γ-terpinene, cis-sabinene hydrate, p-cymene, triterpenic acid, phenolic acid, flavonoids glycosides, tanins, diterpenoids and triterpenoids. The oil is used for treatment of lung diseases, spleen, kidneys, hepatitis, alimentary tract and headaches. It has antiemetic, anticancer, antioxidant and antimicrobial properties. Aim. The aim of the study was to determine the susceptibility of anaerobic bacteria isolated from oral cavity to majoram oil. Material and methods. A total of 57 anaerobic bacteria belonging to the genus of Porphyromonas (4 strains), Prevotella (9), Bacteroides (11), Parabacteroides (1), Tannerella (2), Fusobacterium (7), 11 strains of Gram-positive cocci, 12 strains of Gram-positive rods and 6 reference strains were tested. Investigation was carried out using the plate dilution technique in Brucella agar supplemented with 5% defibrynated sheep blood, menadione and hemine. Inoculum containing 106 CFU per spot was seeded with Steers replicator upon the agar with various oil concentrations as well as upon that no majoram oil (Semifarm, Elbląg). The concentrations oil were: 0.06, 0.12, 0.25, 0.5, 1.0 and 2.0 mg/ml. The plate were incubated in anaerobic conditions, in anaerobic jars for 48 hours in 37°C. Minimum inhibitory concentration (MIC) was interpreted as the lowest concentrations oil inhibiting the growth of strains of anaerobes. Results and discussion. The results of investigations indicated that the from Gram-negative bacteria belonging to the genus of Bacteroides uniformis, Tannerella forsythia and Bacteroides vulgatus were the most susceptible to the essential oil (MIC <0.06-0.5 mg/ml). But the 89% strains from genus of Prevotella was sensitive to 2.0 mg/ml and more. Tested oil was less active against the strains from genera of Fusobacterium. MIC of the strains were in ranges 1.0-> 2.0 mg/ml. The rods from the genera Prevotella bivia, Prevotella buccalis, Prevotella loescheii, Bacteroides fragilis, Parabacteroides distasonis and Fusobacterium nucleatum were the lowest sensitive (MIC > 2.0 mg/ml). The oil was very active vs. Gram-positive cocci. MIC for 50% this strains was in ranges < 0.06-0.25 mg/ml. But the Gram-positive rods were less sensitive. The growth of the strains were inhibited by concentrations in ranges 1.0-> 2.0 mg/ml (without Actinomyces viscosus – MIC 1.0 mg/ml). It appears that Gram-positive anaerobic bacteria were more susceptible to majoram oil than Gram-negative rods. Conclusions. The most susceptible to majoram oil from Gram-negative bacteria were rods of Bacteroides uniformis, Tannerella forsythia and Bacteroides vulgatus. The oil was very active against Gram-positive cocci and rods. The Gram-negative anaerobes were less susceptible to majoram oil than Gram-positive anaerobes.


2020 ◽  
Vol 65 (9) ◽  
pp. 562-566
Author(s):  
I. V. Shipitsyna ◽  
E. V. Osipova ◽  
O. A. Astashova ◽  
D. S. Leonchuk

The annual monitoring of the species composition of the causative agents of osteomyelitis, the identification of antibiotic-resistant strains, the study of the species composition of associations of microorganisms, their adhesive activity will prevent the spread of infection. Analyze the spectrum of the leading causative agents of osteomyelitis, their antibiotic sensitivity, and also the adhesive activity of the identified bacterial associations. A microbiological analysis of 2197 smears of adult patients with various etiological forms of osteomyelitis who were treated in the departments of the purulent center of the FSBI «NMRCTO» of the RF Ministry of Health in 2019. The spectrum of pathogenic microflora, sensitivity to standard antibacterial drugs used in the clinic was studied. The biofilm-forming ability of associations of microorganisms was investigated. According to the conducted microbiological monitoring for 2019, the microflora spectrum for osteomyelitis is diverse, the main pathogens are S. aureus, S. epidermidis, P. aeruginosa, K. pneumoniae, Enterococcus sp. A high percentage of isolation of microbial associations was noted, most often mix cultures of gram-positive and gram-negative bacteria. Bacterial associations: S. aureus + P. aeruginosa, S. aureus + S. marcescens, S. aureus + A. baumannii, S. epidermidis + E. cloacae - actively formed a biofilm on the surface of polystyrene plates, and the adhesive potential depended on interstrain relations in the composition of the formed biofilm. Among Gram-negative microflora, multiresistant strains prevail, among Gram-positive microflora - a high percentage of methicillin-resistant Staphylococci. When analyzing the antibiotic sensitivity of the isolated microorganisms, a high percentage of resistant strains is noted. So, with respect to enterobacteria, β-lactam antibiotics, drugs from the group of aminoglycosides, turned out to be ineffective. Among non-fermenting gram-negative bacteria, A. baumannii strains had multiple antimicrobial resistance. Among gram-positive microorganisms, a high percentage of isolation of methicillin-resistant staphylococci was noted. The specificity of the course of the disease and measures aimed at eliminating the pathogen depend on the species composition in the focus of infection. The study of the etiological structure of osteomyelitis, the monitoring of the antibiotic resistance of pathogens and their persistent potential, makes it possible to adopt sound tactics of conservative and surgical treatment.


1974 ◽  
Vol 29 (11-12) ◽  
pp. 792-796 ◽  
Author(s):  
A. K. Mansour ◽  
S. B. Awad ◽  
S. Antoun

Treatment each of 3-mercapto-1,2,4-triazine derivatives (1 a) and (2b) with alkyl (or aryl) halides afforded the corresponding 3-alkyl (or aryl)mercapto-1,2,4-triazine derivatives (lb-e) and (2b-e) respectively. Treatment each of compounds (lb-e) and (2b-e) with different amines effected the formation of the corresponding 3-substituted-amino-1,2,4-triazine derivatives (lg-k) and (2g-k). The 4,5-dihydro-derivatives (3 a, c, d) were obtained by reduction of the corresponding triazines (la, f, g) with different reducing agents. The structure of compound 3 d was confirmed via synthesis through another route. The triazine (1f) reacted with Grignard reagents to give the corresponding 5-alkyl(benzyl)-4,5-dihydro-1,2,4-triazine derivatives (4a-c). The antagonistic properties of the triazines (1 a-k) and (2 a-k) were tested against some Gram positive and Gram negative bacteria as well as the fungus Candida albicans.


1986 ◽  
Vol 20 (3) ◽  
pp. 204-208
Author(s):  
Frederick H. Weber ◽  
Mary E. Wilson

2003 ◽  
Vol 07 (11) ◽  
pp. 755-760 ◽  
Author(s):  
Tatyana O. Philippova ◽  
Boris N. Galkin ◽  
Oksana Yu. Zinchenko ◽  
Maria Yu. Rusakova ◽  
Vladimir A. Ivanitsa ◽  
...  

The antimicrobial activity of new meso-tetrakis(N-methyl-6-quinolinyl)-substituted porphyrins and meso-tetrakis(N-methyl-6-quinolinyl)-substituted chlorins is described. The dark toxicity and photosensitising potentials of free-base (TQP and TQC) and its Sn(IV)-complexes [(TQP)Sn(IV) and (TQC)Sn(IV)] were tested on Gram-positive (Staphylococus aureus), Gram-negative (Escherichia coli and Pseudomonas aeruginosa) bacteria and two species of yeasts (Candida albicans and Rhodotorula bogoriensis). The results described in this paper show that TQP and (TQP)Sn(IV) did not inhibit the growth of S. aureus in the dark, but efficiently photosensitize the inactivation of this Gram-positive bacteria. These porphyrins have no appreciable photosensitizing activity towards Gram-negative bacteria. However, (TQP)Sn(IV) shows high dark toxicity against E. coli and P. aeruginosa. The free-base derivatives demonstrated dark activity only in the case of P. aeruginosa. We suppose that these meso-tetrakis(N-methyl-6-quinolinyl)-substituted porphyrins can bind to the Gram-negative bacteria outer membrane receptors that transported vitamin B12. The meso-substituted chlorins TQC and (TQC)Sn(IV) have shown similar efficiency in the dark- and photoinactivation of S. aureus. They revealed a middle level of dark toxicity towards Gram-negative bacteria. The Sn(IV)-complex of chlorin in comparison with free base and metalloporphyrins are more effective in photoinactivation of Gram-negative bacteria. Yeasts, such as Candida albicans and Rhodotorula bogoriensis are more sensitive to photodynamic inactivation as bacterial cells. The effects of (TQP)Sn(IV) and (TQC)Sn(IV) are more expressed than effects of free bases.


Author(s):  
M.O. Faustova

In recent decades, the etiological structure of infectious complications in surgery has remained almost unchanged. The aim of this study is to identify the leading pathogens of odontogenic infectious and inflammatory diseases of the maxillofacial area in patients. Materials and methods. The study involved 137 patients with odontogenic infectious and inflammatory diseases of the maxillofacial area. The final species identification of microorganisms was performed according to the generally accepted method. Results. 117 clinical strains of microorganisms were isolated from patients and identified. It was found the most common causative agents of odontogenic infectious and inflammatory diseases of the maxillofacial area in patients were gram-positive cocci. It should be noted that the vast majority of isolates were members of the genus Staphylococcus. Gram-negative microorganisms were detected in patients much less frequently (31.6%) compared with gram-positive. In 5.1% of case, C. albicans acted as the dominant pathogen in the material taken from patients with purulent diseases. It was found out that during the development of the abscess, the microbiota were more diverse, but the percentage of pathogens differed significantly with the selection of S. aureus, A. baumannii and E. faecalis as the main ones. In turn, with the aggravation of the infectious process and the development of phlegmon and mediastinitis in patients, a decrease in the spectrum of microorganisms in the studied materials was observed, along with an increase in their percentages. Conclusions. The etiological structure of microbiota of odontogenic infectious-inflammatory diseases of the maxillofacial area is predominantly represented by opportunistic microorganisms of the genera Staphylococcus, Enterococcus, Acinetobacter and Pseudomonas. In general, gram-positive cocci and non-fermenting gram-negative bacteria are the dominant causative agents of odontogenic infectious-inflammatory diseases of the maxillofacial area in most surgical patients.


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