scholarly journals Valutazione clinico/morfologica di Amukine Med® e Braunol®, su CVC in spisilicone

2018 ◽  
Vol 23 (2) ◽  
pp. 19-22
Author(s):  
M. Canzi ◽  
P. Coral ◽  
T. Roggio ◽  
L. De Filippo ◽  
G. Panarello

La gestione infermieristica riveste un ruolo importante per la sopravvivenza dell'accesso vascolare per emodialisi, soprattutto quando per la sua realizzazione sono stati utilizzati materiali protesici etcrologhi. Scopo di questo studio è di valutare in vitro e in vivo gli eventuali effetti collaterali e l'efficacia di due disinfettanti tra i più comunemente usati (ipoclorito di sodio allo 0,057 Amukine Med® e iodopovidone al 10% Braunol®,) per le medicazioni dei cateteri venosi centrali. Lo studio è stato effettuato da gennaio 2003 a gennaio 2004. In tale periodo abbiamo valutato in vitro mediante esame morfologico gli effetti sui cateteri incubati a breve e lungo termine nei 2 disinfettanti e in vivo l'incidenza di reazioni cutanee locali e la positività dell'esame colturale del tampone cutaneo, in 17 malati uremici con “Tesio cat®” Medcomp (spisilicone) come accesso vascolare per emodialisi. Non si sono notate differenze morfologiche significative nello studio in vitro tra i campioni trattati con i due disinfettanti. Il contatto prolungato dello spisilicone con Amukine Med e Braunol anche in ambiente libero non ha determinato alterazioni morfologiche della parete all'esame macro e microscopico. Nello studio in vivo, condotto su due gruppi composti da 10 pazienti nel gruppo Amukine Med e 7 pazienti in quello con Braunol, sono state effettuate 1088 medicazioni (640 con Amukine Med pari al 58,8% medicazioni totali e 448 con Braunol pari al 41,2% medicazioni totali) pari al 40,5% delle sedute dialitiche con ambo le tecniche di disinfezione. Dagli esami colturali (271 tamponi) in 71 casi è stata riportata crescita batterica; 68 Staphilococcus Epidermidis; 2 Escherichia Coli (gruppo Amuchina Med) 1 Pseudomonas Aeruginosa (gruppo Braunol). Negli ultimi 3 casi (1/68 mesi d'esposizione) era presente sepsi locale. Non si sono rilevate differenze nell'incidenza di infezioni locali o di effetti collaterali indotti dai due disinfettanti.

2002 ◽  
Vol 15 (6) ◽  
pp. 705-711
Author(s):  
P. Renzetti ◽  
R. C. Parodi ◽  
C. Ottonello ◽  
F. Zandrino ◽  
M. Cossu ◽  
...  

L'elevato peso atomico del Gd giustifica l'ipotesi di un utilizzo in tomografia computerizzata (TC) di mezzi di contrasto (MdC) già clinicamente in uso in risonanza magnetica (RM). Il potenziamento TC determinato dalla Gadodiamide (Gd-DTPA-BMA, Omniscan, Nycomed-Amersham), MdC paramagnetico non ionico, è stato valutato e quantificato in vitro e in vivo. Due serie di soluzioni scalari di Gadodiamide e di MdC iodato (Iopamiro 370, Bracco) sono state sottoposte a scansione TC per la quantificazione densitometrica in unità Hounsfield (UH). Sette pazienti affetti da neoplasia intracranica sono stati sottoposti a TC prima e dopo somministrazione endovenosa di 0,3 mmol/Kg di Gadodiamide; sono stati rilevati i valori medi di densità pre- e postcontrasto a livello dell'arteria basilare e della massa tumorale. Nello studio in vitro, a parità di concentrazione molare del MdC, è risultata maggiore la densità media della soluzione di gadodiamide rispetto al MdC iodato, superiorità statisticamente significativa (test F, p < 0,0001), a conferma del fatto che il Gd ha caratteristiche fisiche che lo rendono utilizzabile in MdC per TC. Nello studio in vivo, la gadodiamide ha determinato incrementi densitometrici medi (postcontrasto /precontrasto) del 71,05% per l'arteria basilare e del 45,23% per la lesione tumorale, consentendo una sufficiente apprezzabilità soggettiva dell'enhancement. La Gadodiamide può essere utilizzata come MdC in TC in pazienti con dubbia o asserita diatesi allergica per i MdC iodati allorquando non sia praticamente disponibile la RM (urgenze!) o sussistano importanti controindicazioni (pacemaker, ecc.). L'osmolarità medio-bassa (780 mOsm/Kg) e il profilo tossi-cologico favorevole della Gadodiamide permettono di ipotizzare l'utilizzo di dosi anche più elevate. Tali risultati preliminari rafforzano l'ipotesi della messa a punto di MdC per TC a base di Gd; più atomi di Gd potrebbero ad esempio essere contenuti all'interno della molecola con il duplice effetto di ridurre la tossicità ed elevare il peso atomico del MdC. Gadolinium (Gd) high atomic weight can enable us to use the Gd-chelates as contrast agents (c.a.) in computed tomography (CT). CT contrast enhancement (c.e.) due to Gadodiamide (Gd-DTPA-BMA, Omniscan, Nycomed-Amersham), a non-ionic paramagnetic c.a. used in magnetic resonance (MR) imaging, was evaluated and quantified through an in vitro and in vivo study.


1998 ◽  
Vol 42 (5) ◽  
pp. 1015-1021 ◽  
Author(s):  
Teruo Kirikae ◽  
Fumiko Kirikae ◽  
Shinji Saito ◽  
Kaoru Tominaga ◽  
Hirohi Tamura ◽  
...  

ABSTRACT The supernatants taken from Pseudomonas aeruginosa andEscherichia coli cultures in human sera or chemically defined M9 medium in the presence of ceftazidime (CAZ) contained high levels of endotoxin, while those taken from the same cultures in the presence of imipenem (IPM) yielded a very low level of endotoxin. The biological activities of endotoxin in the supernatants were compared with those of phenol water-extracted lipopolysaccharide (LPS). The endotoxin released from the organisms as a result of CAZ treatment (CAZ-released endotoxin) contained a large amount of protein. The protein, however, lacked endotoxic activity, since the endotoxin did not show any in vivo toxic effects in LPS-hyporesponsive C3H/HeJ mice sensitized with d-(+)-galactosamine (GalN) or any activation of C3H/HeJ mouse macrophages in vitro. The activities of CAZ- and IPM-released endotoxin (as assessed by a chromogenicLimulus test) were fundamentally the same as those ofP. aeruginosa LPS, since their regression lines were parallel. The CAZ-released endotoxin was similar to purified LPS with respect to the following biological activities in LPS-responsive C3H/HeN mice and LPS-hyporesponsive C3H/HeJ mice: lethal toxicity in GalN-sensitized mice, in vitro induction of tumor necrosis factor- and NO production by macrophages, and mitogen-activated protein kinase activation in macrophages. The macrophage activation by CAZ-released endotoxin as well as LPS was mainly dependent on the presence of serum factor and CD14 antigen. Polymyxin B blocked the activity. These findings indicate that the endotoxic activity of CAZ-released endotoxin is due primarily to LPS (lipid A).


2019 ◽  
Author(s):  
Y. Soltani ◽  
M.A. Bouzidi ◽  
F. Toumi ◽  
A. Benyamina

L’objectif de cette étude est d’évaluer l’activité antibactérienne (in vitro) et antipyrétique (in vivo) des extraits hydroalcooliques de trois organes (feuilles, rameaux et baies) de Juniperus phoenicea L. Le test de la sensibilité des souches bactériennes (Escherichia coli ATCC25922, Pseudomonas aeruginosa ATCC27853, Staphylococcus aureus ATCC25923, Staphylococcus aureus subsp. aureus ATCC43300) a été évalué vis-à-vis de nos extraits par la méthode de diffusion en milieu gélosé. La toxicité aiguë a été déterminée par la méthode de Lorke. L’hyperthermie chez les souris a été induite par la levure de bière à 20 %. Les résultats montrent que les extraits des feuilles et des rameaux présentent un remarquable effet antibactérien sur les bactéries à Gram+. Le texte de toxicité aiguë révèle que les extraits de trois organes sont considérés comme des substances faiblement toxiques, l’administration intrapéritonéale des extraits hydroalcooliques de trois organes, à différentes doses, réduit significativement l’hyperthermie. Ces résultats supportent, du moins partiellement, certaines indications thérapeutiques traditionnelles de la plante.


1996 ◽  
Vol 40 (8) ◽  
pp. 1825-1831 ◽  
Author(s):  
M Y Kim ◽  
J I Oh ◽  
K S Paek ◽  
Y Z Kim ◽  
I C Kim ◽  
...  

In vitro activity of LB10522 was compared with those of cefpirome, ceftazidime, ceftriaxone, and cefoperazone against clinical isolates. Against gram-positive bacteria, LB10522 was most active among the compounds tested. It was fourfold more active than cefpirome against methicillin-susceptible Staphylococcus aureus and Enterococcus faecalis. LB10522 was highly effective against most members of the family Enterobacteriaceae tested. Ninety percent of isolates of Escherichia coli, Klebsiella oxytoca, Proteus vulgaris, Proteus mirabilis, and Salmonella spp. were inhibited at a concentration of < or = 0.5 micrograms/ml. These activities were comparable to those of cefpirome. Against Pseudomonas aeruginosa, LB10522 with a MIC at which 90% of the isolates are inhibited of 2 micrograms/ml was 16- and 32-fold more active than ceftazidime and ceftazidime against systemic infections caused by Staphylococcus aureus giorgio, Streptococcus pneumoniae III, Pseudomonas aeruginosa 1912E, Escherichia coli 851E, Proteus mirabilis 1315E, Serratia marcescens 1826E, and Acinetobacter calcoaceticus Ac-54. LB10522 was very resistant to hydrolysis by various beta-lactamases such as TEM-3, TEM-7, SHV-1, FEC-1, and P-99. LB10522 did not induce beta-lactamase in Enterobacter cloacae 1194E, although most of the reference cephalosporins acted as inducers of beta-lactamase in this strain. Time-kill study showed that LB10522, at concentrations of two or four times the MIC, had a rapid bactericidal activity against Staphylococcus aureus 6538p, Escherichia coli 851E, and Pseudomonas aeruginosa 1912E.


1982 ◽  
Vol 204 (3) ◽  
pp. 771-775 ◽  
Author(s):  
A Kallio ◽  
P P McCann ◽  
P Bey

DL-alpha-Monofluoromethylputrescine (compound R.M.I. 71864) is an enzyme-activated irreversible inhibitor of the biosynthetic enzyme ornithine decarboxylase from Escherichia coli. This compound, however, has much less effect in vitro on ornithine decarboxylase obtained from Pseudomonas aeruginosa. These findings are in contrast with those previously found with the substrate analogue DL-alpha-difluoromethylornithine (compound R.M.I. 71782). The K1 of the DL-alpha-monofluoromethylputrescine for the E. coli ornithine decarboxylase is 110 microM, and the half-life (t1/2) calculated for an infinite concentration of inhibitor is 2.1 min. When DL-alpha-monofluoromethylputrescine is used in combination with DL-alpha-difluoromethylarginine (R.M.I. 71897), an irreversible inhibitor of arginine decarboxylase, in vivo in E. coli, both decarboxylase activities are inhibited (greater than 95%) but putrescine levels are only decreased to about one-third of control values and spermidine levels are slightly increased.


Microbiology ◽  
2009 ◽  
Vol 155 (9) ◽  
pp. 2838-2844 ◽  
Author(s):  
Nicoletta Castiglione ◽  
Serena Rinaldo ◽  
Giorgio Giardina ◽  
Francesca Cutruzzolà

Pseudomonas aeruginosa is a well-known pathogen in chronic respiratory diseases such as cystic fibrosis. Infectivity of P. aeruginosa is related to the ability to grow under oxygen-limited conditions using the anaerobic metabolism of denitrification, in which nitrate is reduced to dinitrogen via nitric oxide (NO). Denitrification is activated by a cascade of redox-sensitive transcription factors, among which is the DNR regulator, sensitive to nitrogen oxides. To gain further insight into the mechanism of NO-sensing by DNR, we have developed an Escherichia coli-based reporter system to investigate different aspects of DNR activity. In E. coli DNR responds to NO, as shown by its ability to transactivate the P. aeruginosa norCB promoter. The direct binding of DNR to the target DNA is required, since mutations in the helix–turn–helix domain of DNR and specific nucleotide substitutions in the consensus sequence of the norCB promoter abolish the transcriptional activity. Using an E. coli strain deficient in haem biosynthesis, we have also confirmed that haem is required in vivo for the NO-dependent DNR activity, in agreement with the property of DNR to bind haem in vitro. Finally, we have shown, we believe for the first time, that DNR is able to discriminate in vivo between different diatomic signal molecules, NO and CO, both ligands of the reduced haem iron in vitro, suggesting that DNR responds specifically to NO.


2015 ◽  
Author(s):  
Αναστασία Γαλάνη

Το αντικείµενο της παρούσας διδακτορικής διατριβής αφορά την µελέτη συµπλόκων ενώσεων του χαλκού, του ψευδαργύρου, του µολυβδαινίου και του βαναδίου µε µόρια βιολογικής και φαρµακολογικής σηµασίας. Συγκεκριµένα µελετάται η σύνθεση, ο χαρακτηρισµός και η ταυτοποίηση συµπλόκων ενώσεων του χαλκού, ψευδαργύρου,µολυβδαινίου και βαναδίου µε τους υποκαταστάτες λεβοφλοξασίνη, 1.10-φαινανθρολίνη, 2.2΄-διπυριδίνη, καρνιτίνη, µαλονικό οξύ και καφεϊκό οξύ. Οι υποκαταστάτες αυτοί είναι σηµαντικοί διότι εµπλέκονται σε βιολογικές διεργασίες και έχουν φαρµακολογικές εφαρµογές. Τα προαναφερθέντα στοιχεία µετάπτωσης, είναι απαραίτητα για τον άνθρωπο και τα φυτά, συµµετέχοντας σε πολλές βιολογικές δράσεις. Οι κινολόνες είναι µια κατηγορία συνθετικών φαρµάκων, τα οποία είναι παράγωγα της 4-κινολόνης, και είναι γνωστά για την αντιβακτηριακή τους δράση κυρίως λόγω της παρεµπόδισης σχηµατισµού του δεοξυριβονουκλεικού οξέος. Στο πλαίσιο αυτό αναφέρεται η σύνθεση, η µελέτη και ο χαρακτηρισµός µε στοιχειακή ανάλυση και διάφορες φασµατοσκοπικές µεθόδους (IR, UV-Vis, EPR, NMR, TGA) των συµπλόκων ενώσεων της λεβοφλοξασίνης. Παρασκευάσθηκαν σύµπλοκες ενώσεις της τρίτης γενεάς φθοροκινολόνης, λεβοφλοξασίνης, παρουσία και µη υποκαταστατών δοτών ετεροκυκλικών ατόµων αζώτου όπως 2.2-διπυριδίνης και 1.10-φαινανθρολίνης. Σε ορισµένα από αυτά πραγµατοποιήθηκε η επίλυση της δοµής µε περίθλαση ακτίνων Χ. Μελετήθηκε περαιτέρω ο τρόπος αλληλεπίδρασης των συµπλόκων αυτώνµε DNA καθώς και η δράση τους έναντι τριών διαφορετικών µικροοργανισµών, των Escherichia Coli, Pseudomonas Aeruginosa και Staphylococcus Aureus. Πραγµατοποιήθηκε επίσης προσδιορισµός της κυτταροτοξικής τους δράσης έναντι της κυτταρικής σειράς, MCF-7. Περαιτέρω στα σύµπλοκα της λεβοφλοξασίνης µε τον ψευδάργυρο πραγµατοποιήθηκαν πειράµατα µικροσκοπικής φθορισµοµετρίας (confocal fluorescent). Η καρνιτίνη, είναι ένα µόριο που εµπλέκεται σε βιολογικές οξειδώσεις. Επιπλέον είναι γνωστή για την αντικαρκινική και αντιδιαβητικήτης δράση όπως και τα µόρια µαλονικό και καφεϊκό οξύ. Στο πλαίσιο αυτό αναφέρεται η σύνθεση, η µελέτη και ο χαρακτηρισµός µε στοιχειακή ανάλυση και διάφορες φασµατοσκοπικές µεθόδους (IR, UV-Vis, NMR, TGA) συµπλόκων ενώσεων των προαναφερθέντων υποκαταστατών. Σε ορισµένα από αυτά πραγµατοποιήθηκε επίλυση της κρυσταλλικής δοµής µε περίθλαση ακτίνων Χ. Περαιτέρω πραγµατοποιήθηκε προσδιορισµός της αντικαρκινικής και εν µέρει της αντιδιαβητικής τους δράσης in vitro και in vivo. Στα σύµπλοκα της καρνιτίνης πραγµατοποιήθηκαν επίσηςπειράµατα µικροσκοπικής φθορισµοµετρίας (confocal fluorescent).


mSphere ◽  
2021 ◽  
Author(s):  
Bosul Lee ◽  
Jun Yan ◽  
Amber Ulhaq ◽  
Sarah Miller ◽  
Wonjae Seo ◽  
...  

Rifabutin has been recently described as a potential adjunctive therapy for antibiotic-resistant A. baumannii infections due to hypersensitivity in iron-depleted media, which may more closely mimic an in vivo environment. Here, we report that this hyperactivity is specific for A. baumannii , rather than being a general effect for other pathogens.


2008 ◽  
Vol 10 (4) ◽  
Author(s):  
Geovana Eloisa Quege ◽  
Maria Márcia Bachion ◽  
Ruy De Souza Lino Junior ◽  
Ana Beatriz Mori Lima ◽  
Priscila Santos Ferreira ◽  
...  

Em pessoas curadas de hanseníase, as úlceras em membros inferiores representam um desafio aos profissionais, por serem crônicas, infectadas e recorrentes. Esta pesquisa teve como objetivo comparar a ação de uma biomembrana de látex (Biocure®) e de um produto à base de AGE (Dersani®) na microbiota de feridas crônicas infectadas, em pessoas que receberam alta do tratamento para hanseníase. Trata-se de pesquisa realizada no Hospital de Dermatologia Sanitária, de Goiânia (GO), no período de fevereiro a outubro de 2007, na qual participaram 8 pessoas curadas de hanseníase, com 19 feridas infectadas, que foram, alocadas aleatoriamente em grupo A (tratado com Dersani®) e grupo B (tratado com Biocure®). Foram identificados Staphylococcus aureus (50%), Pseudomonas aeruginosa (35,7%), Proteusvulgaris (8,2%), Enterobacter aerogenes (3,3%) e Escherichia coli (2,7%). Os resultados obtidos in vivo sugerem que o Dersani® tenha efeito antimicrobiano positivo sobre Enterobacter aerogenes e o Biocure® sobre Pseudomonas aeruginosa. Os resultados in vitro mostraram ausência de atividade de ambos os produtos sobre os microrganismos isolados das lesões.


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