Displaying publications 141 - 160 of 2191 in total

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  1. Fulltext ISPD Catheter-related Infection Recommendations: 2023 Update
    Chow KM, Li PK, Cho Y, Abu-Alfa A, Bavanandan S, Brown EA, et al.
    Perit Dial Int, 2023 May;43(3):201-219.
    PMID: 37232412 DOI: 10.1177/08968608231172740
    Peritoneal dialysis (PD) catheter-related infections are important risk factors for catheter loss and peritonitis. The 2023 updated recommendations have revised and clarified definitions and classifications of exit site infection and tunnel infection. A new target for the overall exit site infection rate should be no more than 0.40 episodes per year at risk. The recommendation about topical antibiotic cream or ointment to catheter exit site has been downgraded. New recommendations include clarified suggestion of exit site dressing cover and updated antibiotic treatment duration with emphasis on early clinical monitoring to ascertain duration of therapy. In addition to catheter removal and reinsertion, other catheter interventions including external cuff removal or shaving, and exit site relocation are suggested.
    Matched MeSH terms: Anti-Bacterial Agents/therapeutic use
  2. Fulltext Protocol for a three-phase prospective study to develop educational resource of antimicrobial resistance and stewardship for medical programme
    Dhaliwal JS, Mohamad Yusra MAM, Muharram SH, Akkawi ME, Hussain Z, Rahman H, et al.
    BMJ Open, 2022 Feb 28;12(2):e049867.
    PMID: 35228275 DOI: 10.1136/bmjopen-2021-049867
    INTRODUCTION: Antimicrobial resistance (AMR) is one of the critical medical issues of the 21st century. Medical professionals are the primary prescribers of antimicrobials; their undergraduate education of antimicrobial stewardship (AMS) is considered one of the fundamental approaches in combating the issue of AMR. This education level provides a platform to bridge any gaps in their knowledge and competency in AMS. This study aims to develop an educational resource on microbes, hygiene and prudent antimicrobial use for the undergraduate medical programme. The guideline produced will then be assimilated into the existing curriculum which will help to improve the quality of education which in turn will improve rationale as the use of antimicrobials in the future.

    METHODS AND ANALYSIS: A three-step approach consensus approach will be adopted for this study for the development of a validated medical curriculum guideline on AMR. A preliminary curriculum for the programme will be drafted from reviews of published literature including syllabi as well as national and international guidelines. A total of 26 potential sources were found to be relevant, and selected for this study. Subsequently, the drafted curriculum will be subjected for validation via online surveys by various infectious disease experts. Finally, a Delphi technique will be employed to obtain consensus on heterogeneous findings to the revised curriculum. The quantitative and qualitative responses will be analysed and discussed among the panel of researchers.

    ETHICS AND DISSEMINATION: This study protocol has been approved by the Institute of Health Sciences Research Ethics Committee of Universiti Brunei Darussalam (Reference: UBD/PAPRSBIHSREC/2020/124). Informed consent declaration will be collected prior to data collections as indication of agreement of participation in the study. Results will be made available to medical educators and also researchers on AMR and stewardship. The results also will be disseminated at feedback sessions to officers at Ministry of Health and Ministry of Education, Brunei Darussalam.

    Matched MeSH terms: Anti-Bacterial Agents/therapeutic use
  3. Clinical course of Klebsiella variicola peritonitis in end-stage kidney disease patients receiving peritoneal dialysis
    Arimuthu DA, Fuah KW, Lim CTS
    BMJ Case Rep, 2024 Nov 07;17(11).
    PMID: 39510614 DOI: 10.1136/bcr-2024-262696
    Klebsiella variicola is part of the K. pneumoniae complex and has been recently identified to have pathogenic properties. Emerging reports show that it can cause bloodstream, respiratory and urinary tract infections. It has been shown to be an important causative agent in immunocompromised individuals. We report here three cases of K. variicola peritonitis encountered in our peritoneal dialysis patients.
    Matched MeSH terms: Anti-Bacterial Agents/therapeutic use
  4. Fulltext Qualitative analyses of the antimicrobial effect of ozonated water on supragingival plaque and salivary microbes
    Sadatullah S, Mohamed N, Razak F
    Ann Med Health Sci Res, 2014 Jul;4(4):526-31.
    PMID: 25221698 DOI: 10.4103/2141-9248.139301
    Ozone is an unstable gas, capable of oxidizing any biological entity. It is an effective bactericide in its gaseous as well as aqueous form.
    Matched MeSH terms: Anti-Bacterial Agents
  5. Phenotypic and genotypic characteristics of tetracycline resistant Acinetobacter baumannii isolates from nosocomial infections at Tehran hospitals
    Maleki MH, Sekawi Z, Soroush S, Azizi-Jalilian F, Asadollahi K, Mohammadi S, et al.
    Iran J Basic Med Sci, 2014 Jan;17(1):21-6.
    PMID: 24592303
    To date, the most important genes responsible for tetracycline resistance among Acinetobacter baumannii isolates have been identified as tet A and tet B. This study was carried out to determine the rate of resistance to tetracycline and related antibiotics, and mechanisms of resistance.
    Matched MeSH terms: Anti-Bacterial Agents
  6. Synthesis and antimicrobial studies of hydroxylated chalcone derivatives with variable chain length
    Ngaini Z, Fadzillah SM, Hussain H
    Nat Prod Res, 2012;26(10):892-902.
    PMID: 21678160 DOI: 10.1080/14786419.2010.502896
    A series of (E)-1-(4-alkyloxyphenyl)-3-(hydroxyphenyl)-prop-2-en-1-one have been successfully synthesised via Claisen-Schmidt condensation. The synthesised chalcone derivatives consisted of hydroxyl groups at either ortho, meta or para position and differed in the length of the alkyl groups, C (n) H(2) (n) (+1,) where n = 6, 10, 12 and 14. The structures of all compounds were defined by elemental analysis, IR, (1)H- and (13)C-NMR. The antimicrobial studies were carried out against wild-type Escherichia coli American Type Culture Collection 8739 to evaluate the effect of the hydroxyl and the alkyl groups of the synthesised chalcones. All the synthesised compounds have shown significant antimicrobial activities. The optimum inhibition was dependent on the position of the hydroxyl group as well as the length of the alkyl chains.
    Matched MeSH terms: Anti-Bacterial Agents/chemical synthesis*; Anti-Bacterial Agents/pharmacology*; Anti-Bacterial Agents/chemistry
  7. Chemical constituents and antibacterial activity of Melastoma malabathricum L
    Wong KC, Hag Ali DM, Boey PL
    Nat Prod Res, 2012;26(7):609-18.
    PMID: 21834640 DOI: 10.1080/14786419.2010.538395
    The aqueous methanolic extracts of Melastoma malabathricum L. exhibited antibacterial activity when assayed against seven microorganisms by the agar diffusion method. Solvent fractionation afforded active chloroform and ethyl acetate fractions from the leaves and the flowers, respectively. A phytochemical study resulted in the identification of ursolic acid (1), 2α-hydroxyursolic acid (2), asiatic acid (3), β-sitosterol 3-O-β-D-glucopyranoside (4) and the glycolipid glycerol 1,2-dilinolenyl-3-O-β-D-galactopyanoside (5) from the chloroform fraction. Kaempferol (6), kaempferol 3-O-α-L-rhamnopyranoside (7), kaempferol 3-O-β-D-glucopyranoside (8), kaempferol 3-O-β-D-galactopyranoside (9), kaempferol 3-O-(2″,6″-di-O-E-p-coumaryl)-β-D-galactopyranoside (10), quercetin (11) and ellagic acid (12) were found in the ethyl acetate fraction. The structures of these compounds were determined by chemical and spectral analyses. Compounds 1-4, the flavonols (6 and 11) and ellagic acid (12) were found to be active against some of the tested microorganisms, while the kaempferol 3-O-glycosides (7-9) did not show any activity, indicating the role of the free 3-OH for antibacterial activity. Addition of p-coumaryl groups results in mild activity for 10 against Staphylococcus aureus and Bacillus cereus. Compounds 2-5, 7 and 9-12 are reported for the first time from M. malabathricum. Compound 10 is rare, being reported only once before from a plant, without assignment of the double bond geometry in the p-coumaryl moiety.
    Matched MeSH terms: Anti-Bacterial Agents/isolation & purification; Anti-Bacterial Agents/pharmacology*; Anti-Bacterial Agents/chemistry*
  8. Two new epimers of C15-acetogenin, 4-epi-isolaurallene and 4-epi-itomanallene A as diastereomeric model
    Phan CS, Kamada T, Vairappan CS
    Nat Prod Res, 2020 Apr;34(7):1008-1013.
    PMID: 30600714 DOI: 10.1080/14786419.2018.1543681
    Two new C15-acetogenins, 4-epi-isolaurallene (1) and 4-epi-itomanallene A (2) were isolated from a population of marine red alga Laurencia nangii Masuda from Carrington Reef. The structures of these compounds were determined intensively by NMR and HRESIMS data. Their configurations were elucidated by detailed comparison of chemical shifts, germinal protons splitting and NOE correlations with known and synthesized analogues. In addition, antibacterial activities of these compounds were evaluated. These compounds would serve as diastereomeric models for future reference. Since the isolaurallene, neolaurallene, 9-acetoxy-1,10,12-tribromo-4,7:6,13-bisepoxypentadeca-1,2-diene, itomanallene A and laurendecumallene A were isolated, compounds 1 and 2 were the sixth example of C15-acetogenin with dioxabicyclo[7.3.0]dodecene skeleton.
    Matched MeSH terms: Anti-Bacterial Agents/isolation & purification; Anti-Bacterial Agents/pharmacology; Anti-Bacterial Agents/chemistry
  9. Antifouling and antibacterial evaluation of ZnO/MWCNT dual nanofiller polyethersulfone mixed matrix membrane
    Pang WY, Ahmad AL, Zaulkiflee ND
    J Environ Manage, 2019 Nov 01;249:109358.
    PMID: 31450197 DOI: 10.1016/j.jenvman.2019.109358
    The aim of this study is to evaluate the performance and antifouling properties of polyethersulfone (PES) membrane incorporated with dual nanofiller, zinc oxide (ZnO) and multi-walled carbon nanotube (MWCNT). The synergistic effect of the these nanofillers in PES membrane is studied by blending different ratio of ZnO/MWCNT nanofiller into the PES membrane. The fabricated membranes were characterized in terms of cross-section and surface morphology, surface hydrophilicity, pore size and porosity. The filtration performance of the membranes was tested using 50 mg/L humic acid (HA) solution as model solution. SEM image and gravimetric evaluation reported that the incorporation of both MWCNT and ZnO into the PES membrane improved porosity significantly up to 46.02%. Lower water contact angle of PES membrane incorporated with equal ratio of MWCNT and ZnO (PES 3) revealed that it has neat PES membrane properties and more hydrophilic membrane surface than single filler. PES 3 outperform other membranes with excellent HA permeate flux of 40.00 L/m2.h and rejection of 88.51%. Due to hydrophilic membrane surface, PES 3 membrane demonstrate efficient antifouling properties with lower relative flux reduction (RFR) and higher flux recovery ratio (FRR). PES 3 also showed notable antibacterial properties with less bacterial attached to the membrane compared to neat PES membrane (PES 0).
    Matched MeSH terms: Anti-Bacterial Agents
  10. A Single Posterolateral Scapular Approach to Drain Post-Traumatic Intramuscular Scapular and Axillary Abscess in an Adolescent: A Case Report
    Khaw YC, Faisham WI
    Malays Orthop J, 2019 Jul;13(2):56-58.
    PMID: 31467655 DOI: 10.5704/MOJ.1907.012
    Scapular abscess is a rare clinical diagnosis. This is a report of an atypical case of extensive intramuscular scapular abscess involving the anterior and posterior aspects of the scapula with extension into the axillary region following minor trauma in a young healthy adolescent, describing a single posterolateral approach to the scapula to evacuate the abscess. Following surgical drainage and antibiotic treatment, patient recovered without any complication.
    Matched MeSH terms: Anti-Bacterial Agents
  11. Antibacterial halogenated metabolites from the Malaysian Laurencia species
    Vairappan CS, Daitoh M, Suzuki M, Abe T, Masuda M
    Phytochemistry, 2001 Sep;58(2):291-7.
    PMID: 11551553
    Two halogenated C15 acetogenins, named lembyne-A and lembyne-B, have been isolated from an unrecorded Laurencia species collected off the Malaysian waters. Their structures were deduced on the basis of spectroscopic evidence. Previously known elatol and iso-obtusol showed potent antibacterial activity against some marine bacteria.
    Matched MeSH terms: Anti-Bacterial Agents/isolation & purification*; Anti-Bacterial Agents/metabolism; Anti-Bacterial Agents/chemistry
  12. Fulltext National Antimicrobial Guideline, Third Edition
    Citation: National Antimicrobial Guideline, Third Edition. Petaling Jaya: Ministry of Health, Malaysia; 2019

    Older version:
    National Antibiotic Guideline, Second Edition. Petaling Jaya: Ministry of Health, Malaysia; 2014. https://www.pharmacy.gov.my/v2/sites/default/files/document-upload/national-antibiotic-guideline-2014-full-versionjun2015_1.pdf
    National Antibiotic Guideline. Petaling Jaya: Ministry of Health, Malaysia; 2008
    Matched MeSH terms: Anti-Bacterial Agents
  13. Rational design of built-in stannic oxide-copper manganate microrods p-n heterojunction for photoelectrochemical sensing of tetracycline
    Velmurugan S, Zhi-Xiang L, C-K Yang T, Juan JC
    Chemosphere, 2021 May;271:129788.
    PMID: 33556631 DOI: 10.1016/j.chemosphere.2021.129788
    Tetracycline (TC), a popularly found drug pollutant, can be contaminated in food and aquatic regions and causes a severe impact on human health. In this research, a visible light active p-stannic oxide/n-copper manganate (p-SnO2/n-CuMnO2) heterojunction was synthesized and has been applied for a signal on photoelectrochemical sensing of antibiotic TC. Firstly, the n-SnO2 microrods were synthesized via a simple and efficient homogeneous precipitation method and the p-CuMnO2 nanoparticles were synthesized by a facile ultrasound-assisted hydrothermal method. The SnO2/CuMnO2 microrods p-n heterojunction was prepared through a simple impregnation method and physicochemical properties of the microrods are characterized by using X-ray diffraction (XRD), Raman, Brunauer-Emmett-Teller (BET), Fourier-transform infrared (FTIR), UV-Vis diffuse reflectance spectroscopy (UVDRS), X-ray photoelectron spectroscopy (XPS), field emission scanning electron microscopy (FESEM), transmission electron microscopy (TEM), and Mott-Schottky analyses. The photoelectrochemical sensing performance of SnO2/CuMnO2 microrods was 2.7 times higher than that of as-synthesized pure SnO2 microrods is due to the more visible light absorption ability and p-n heterojunction (synergy). The designed SnO2/CuMnO2/ITO sensor gives photocurrent signals for the detection of TC in the range of 0.01-1000 μM with the detection limit (LOD) of 5.6 nM. The practical applicability of the sensor was monitored in cow milk and the Taipei River water sample.
    Matched MeSH terms: Anti-Bacterial Agents
  14. Recent trends in advanced oxidation process-based degradation of erythromycin: Pollution status, eco-toxicity and degradation mechanism in aquatic ecosystems
    Ashraf A, Liu G, Yousaf B, Arif M, Ahmed R, Irshad S, et al.
    Sci Total Environ, 2021 Jun 10;772:145389.
    PMID: 33578171 DOI: 10.1016/j.scitotenv.2021.145389
    Wide spread documentation of antibiotic pollution is becoming a threat to aquatic environment. Erythromycin (ERY), a macrolide belonging antibiotic is at the top of this list with its concentrations ranging between ng/L to a few μg/L in various global waterbodies giving rise to ERY-resistance genes (ERY-RGs) and ERY- resistance bacteria (ERY-RBs) posing serious threat to the aquatic organisms. ERY seems resistant to various conventional water treatments, remained intact and even increased in terms of mass loads after treatment. Enhanced oxidation potential, wide pH range, elevated selectivity, adaptability and greater efficiency makes advance oxidation processes (AOPs) top priority for degrading pollutants with aromatic rings and unsaturated bonds like ERY. In this manuscript, recent developments in AOPs for ERY degradation are reported along with the factors that affect the degradation mechanism. ERY, marked as a risk prioritized macrolide antibiotic by 2015 released European Union watch list, most probably due to its protein inhibition capability considered third most widely used antibiotic. The current review provides a complete ERY overview including the environmental entry sources, concentration in global waters, ERY status in STPs, as well as factors affecting their functionality. Along with that this study presents complete outlook regarding ERY-RGs and provides an in depth detail regarding ERY's potential threats to aquatic biota. This study helps in figuring out the best possible strategy to tackle antibiotic pollution keeping ERY as a model antibiotic because of extreme toxicity records.
    Matched MeSH terms: Anti-Bacterial Agents
  15. Population Pharmacokinetics of Intravenous Colistin in Pediatric Patients: Implications for the Selection of Dosage Regimens
    Ooi MH, Ngu SJ, Chor YK, Li J, Landersdorfer CB, Nation RL
    Clin Infect Dis, 2019 11 13;69(11):1962-1968.
    PMID: 30722017 DOI: 10.1093/cid/ciz067
    BACKGROUND: Intravenous colistin is widely used to treat infections in pediatric patients. Unfortunately, there is a paucity of pharmacological information to guide the selection of dosage regimens. The daily dose recommended by the US Food and Drug Administration (FDA) and European Medicines Agency (EMA) is the same body weight-based dose traditionally used in adults. The aim was to increase our understanding of the patient factors that influence the plasma concentration of colistin, and assess the likely appropriateness of the FDA and EMA dosage recommendations.

    METHODS: There were 5 patients, with a median age of 1.75 (range 0.1-6.25) years, a median weight of 10.7 (2.9-21.5) kg, and a median creatinine clearance of 179 (44-384) mL/min/1.73m2, who received intravenous infusions of colistimethate each 8 hours. The median daily dose was 0.21 (0.20-0.21) million international units/kg, equivalent to 6.8 (6.5-6.9) mg of colistin base activity per kg/day. Plasma concentrations of colistimethate and formed colistin were subjected to population pharmacokinetic modeling to explore the patient factors influencing the concentration of colistin.

    RESULTS: The median, average, steady-state plasma concentration of colistin (Css,avg) was 0.88 mg/L; individual values ranged widely (0.41-3.50 mg/L), even though all patients received the same body weight-based daily dose. Although the daily doses were ~33% above the upper limit of the FDA- and EMA-recommended dose range, only 2 patients achieved Css,avg ≥2mg/L; the remaining 3 patients had Css,avg <1mg/L. The pharmacokinetic covariate analysis revealed that clearances of colistimethate and colistin were related to creatinine clearance.

    CONCLUSIONS: The FDA and EMA dosage recommendations may be suboptimal for many pediatric patients. Renal functioning is an important determinant of dosing in these patients.

    Matched MeSH terms: Anti-Bacterial Agents/administration & dosage; Anti-Bacterial Agents/blood; Anti-Bacterial Agents/pharmacokinetics*
  16. Fulltext Whole-Genome Sequencing of Pantoea sp. Strain RIT388, a Potential Oral Opportunistic Pathogen Isolated from a Chewing Stick (Distemonanthus benthamianus)
    Gan HM, Parthasarathy A, Henry KR, Savka MA, Thomas BN, Hudson AO
    Microbiol Resour Announc, 2020 Feb 27;9(9).
    PMID: 32107300 DOI: 10.1128/MRA.01468-19
    In this study, we report the isolation, identification, characterization, and whole-genome sequence of the endophyte Pantoea sp. strain RIT388, isolated from Distemonanthus benthamianus, a plant known for its antifungal and antibacterial properties that is commonly used for chewing sticks.
    Matched MeSH terms: Anti-Bacterial Agents
  17. A facile three-component [3+2]-cycloaddition for the regioselective synthesis of highly functionalised dispiropyrrolidines acting as antimycobacterial agents
    Wei AC, Ali MA, Yoon YK, Ismail R, Choon TS, Kumar RS
    Bioorg Med Chem Lett, 2013 Mar 1;23(5):1383-6.
    PMID: 23352268 DOI: 10.1016/j.bmcl.2012.12.069
    A series of fourteen dispiropyrrolidines were synthesized using [3+2]-cycloaddition reactions and were screened for their antimycobacterial activity against Mycobacterium tuberculosis H(37)Rv in HTS (High Throughput Screen). Most of the compounds showed moderate to good activity with MIC of less than 20 μM. Compound 4'-(4-bromophenyl)-1'-methyldispiro[acenaphthylene-1,2'-pyrrolidine-3',2″-indane]-2,1″(1H)-dione (4c) was found to be the most active with MIC of 12.50 μM.
    Matched MeSH terms: Anti-Bacterial Agents/chemical synthesis*; Anti-Bacterial Agents/pharmacology; Anti-Bacterial Agents/chemistry
  18. Antimycobacterial evaluation of novel hybrid arylidene thiazolidine-2,4-diones
    Ponnuchamy S, Kanchithalaivan S, Ranjith Kumar R, Ali MA, Choon TS
    Bioorg Med Chem Lett, 2014 Feb 15;24(4):1089-93.
    PMID: 24472146 DOI: 10.1016/j.bmcl.2014.01.007
    A series of novel hybrid heterocycles comprising arylidene thiazolidine-2,4-dione and 1-cyclopropyl-2-(2-fluorophenyl)ethanone were synthesized. These compounds were evaluated for their antimycobacterial activity against Mycobacterium tuberculosis H37Rv in High Throughput Screen. Most of the hybrid arylidene thiazolidine-2,4-diones displayed moderate to good activity with MIC of less than 50 μM. Compound 1m exhibited maximum potency being 5.87 fold more active at EC50 and 6.26 fold more active at EC90 than the standard drug pyrimethamine.
    Matched MeSH terms: Anti-Bacterial Agents/chemical synthesis; Anti-Bacterial Agents/pharmacology*; Anti-Bacterial Agents/chemistry
  19. An Overview of the Activities of Cefiderocol Against Sensitive and Multidrug- Resistant (MDR) Bacteria
    AlMatar M, Albarri O, Makky EA, Var I, Köksal F
    Mini Rev Med Chem, 2020;20(18):1908-1916.
    PMID: 32811410 DOI: 10.2174/1389557520666200818211405
    The need for new therapeutics and drug delivery systems has become necessary owing to the public health concern associated with the emergence of multidrug-resistant microorganisms. Among the newly discovered therapeutic agents is cefiderocol, which was discovered by Shionogi Company, Japan as an injectable siderophore cephalosporin. Just like the other β-lactam antibiotics, cefiderocol exhibits antibacterial activity via cell wall synthesis inhibition, especially in Gram negative bacteria (GNB); it binds to the penicillin-binding proteins, but its unique attribute is that it crosses the periplasmic space of bacteria owing to its siderophore-like attribute; it also resists the activity of β-lactamases. Among all the synthesized compounds with the modified C-7 side chain, cefiderocol (3) presented the best and well-balanced activity against multi-drug resistant (MDR) Gram negative bacteria, including those that are resistant to carbapenem. İn this article, an overview of the recent studies on cefiderocol was presented.
    Matched MeSH terms: Anti-Bacterial Agents/chemical synthesis; Anti-Bacterial Agents/pharmacology*; Anti-Bacterial Agents/chemistry
  20. Fulltext Bacterial endophytes: a reservoir of bioactive anti-microbial compounds
    Mohamed Ikhtifar Rafi, Cheah, Yoke Kqueen
    Life Sciences, Medicine and Biomedicine, 2018;2(1):22-28.
    MyJurnal
    Bacterial endophytes are found on all types of plants and is a potential source of bioactive compounds which can be utilized to fight against multi-resistant pathogens and could be further develop into new leads for antibiotic development. However, the research done on the bacterial endophytes is relatively new and has potential to grow as it is theorized that each plant has one or more bacterial endophytes inhabiting them. This review aims to review the studies that have been done previously and give new insights on the latest trends in this field of research.
    Matched MeSH terms: Anti-Bacterial Agents
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