A bacteriostatic antibacterial agent that interferes with folic acid synthesis in susceptible bacteria. Its broad spectrum of activity has been limited by the development of resistance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p208)
A pyrimidine inhibitor of dihydrofolate reductase, it is an antibacterial related to PYRIMETHAMINE. It is potentiated by SULFONAMIDES and the TRIMETHOPRIM, SULFAMETHOXAZOLE DRUG COMBINATION is the form most often used. It is sometimes used alone as an antimalarial. TRIMETHOPRIM RESISTANCE has been reported.
This drug combination has proved to be an effective therapeutic agent with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS.
Nonsusceptibility of bacteria to the action of TRIMETHOPRIM.
Substances that reduce the growth or reproduction of BACTERIA.
Substances that prevent infectious agents or organisms from spreading or kill infectious agents in order to prevent the spread of infection.
Any tests that demonstrate the relative efficacy of different chemotherapeutic agents against specific microorganisms (i.e., bacteria, fungi, viruses).
The ability of bacteria to resist or to become tolerant to chemotherapeutic agents, antimicrobial agents, or antibiotics. This resistance may be acquired through gene mutation or foreign DNA in transmissible plasmids (R FACTORS).
A pulmonary disease in humans occurring in immunodeficient or malnourished patients or infants, characterized by DYSPNEA, tachypnea, and HYPOXEMIA. Pneumocystis pneumonia is a frequently seen opportunistic infection in AIDS. It is caused by the fungus PNEUMOCYSTIS JIROVECII. The disease is also found in other MAMMALS where it is caused by related species of Pneumocystis.
A species of PNEUMOCYSTIS infecting humans and causing PNEUMOCYSTIS PNEUMONIA. It also occasionally causes extrapulmonary disease in immunocompromised patients. Its former name was Pneumocystis carinii f. sp. hominis.
The ability of bacteria to resist or to become tolerant to several structurally and functionally distinct drugs simultaneously. This resistance may be acquired through gene mutation or foreign DNA in transmissible plasmids (R FACTORS).
Antiprotozoal agent effective in trypanosomiasis, leishmaniasis, and some fungal infections; used in treatment of PNEUMOCYSTIS pneumonia in HIV-infected patients. It may cause diabetes mellitus, central nervous system damage, and other toxic effects.
DNA elements that include the component genes and insertion site for a site-specific recombination system that enables them to capture mobile gene cassettes.
Inflammatory responses of the epithelium of the URINARY TRACT to microbial invasions. They are often bacterial infections with associated BACTERIURIA and PYURIA.
A species of STENOTROPHOMONAS, formerly called Xanthomonas maltophilia, which reduces nitrate. It is a cause of hospital-acquired ocular and lung infections, especially in those patients with cystic fibrosis and those who are immunosuppressed.
Infections caused by bacteria that show up as pink (negative) when treated by the gram-staining method.
A broad-spectrum antimicrobial carboxyfluoroquinoline.
A family of gram-negative, facultatively anaerobic, rod-shaped bacteria that do not form endospores. Its organisms are distributed worldwide with some being saprophytes and others being plant and animal parasites. Many species are of considerable economic importance due to their pathogenic effects on agriculture and livestock.
An infection caused by an organism which becomes pathogenic under certain conditions, e.g., during immunosuppression.
Infections with bacteria of the species ESCHERICHIA COLI.
Inflammation of the MIDDLE EAR including the AUDITORY OSSICLES and the EUSTACHIAN TUBE.
A sulfone active against a wide range of bacteria but mainly employed for its actions against MYCOBACTERIUM LEPRAE. Its mechanism of action is probably similar to that of the SULFONAMIDES which involves inhibition of folic acid synthesis in susceptible organisms. It is also used with PYRIMETHAMINE in the treatment of malaria. (From Martindale, The Extra Pharmacopoeia, 30th ed, p157-8)
Substances capable of killing agents causing urinary tract infections or of preventing them from spreading.
Any infection acquired in the community, that is, contrasted with those acquired in a health care facility (CROSS INFECTION). An infection would be classified as community-acquired if the patient had not recently been in a health care facility or been in contact with someone who had been recently in a health care facility.
Infections with bacteria of the genus STAPHYLOCOCCUS.
Inhibitors of the enzyme, dihydrofolate reductase (TETRAHYDROFOLATE DEHYDROGENASE), which converts dihydrofolate (FH2) to tetrahydrofolate (FH4). They are frequently used in cancer chemotherapy. (From AMA, Drug Evaluations Annual, 1994, p2033)
A species of gram-negative, facultatively anaerobic, rod-shaped bacteria (GRAM-NEGATIVE FACULTATIVELY ANAEROBIC RODS) commonly found in the lower part of the intestine of warm-blooded animals. It is usually nonpathogenic, but some strains are known to produce DIARRHEA and pyogenic infections. Pathogenic strains (virotypes) are classified by their specific pathogenic mechanisms such as toxins (ENTEROTOXIGENIC ESCHERICHIA COLI), etc.
A strain of Staphylococcus aureus that is non-susceptible to the action of METHICILLIN. The mechanism of resistance usually involves modification of normal or the presence of acquired PENICILLIN BINDING PROTEINS.
Any infection which a patient contracts in a health-care institution.
One of the short-acting SULFONAMIDES used in combination with PYRIMETHAMINE to treat toxoplasmosis in patients with acquired immunodeficiency syndrome and in newborns with congenital infections.
A short-acting sulfonamide antibacterial with activity against a wide range of gram- negative and gram-positive organisms.
An enzyme of the oxidoreductase class that catalyzes the reaction 7,8-dihyrofolate and NADPH to yield 5,6,7,8-tetrahydrofolate and NADPH+, producing reduced folate for amino acid metabolism, purine ring synthesis, and the formation of deoxythymidine monophosphate. Methotrexate and other folic acid antagonists used as chemotherapeutic drugs act by inhibiting this enzyme. (Dorland, 27th ed) EC 1.5.1.3.
Potentially pathogenic bacteria found in nasal membranes, skin, hair follicles, and perineum of warm-blooded animals. They may cause a wide range of infections and intoxications.
Process of determining and distinguishing species of bacteria or viruses based on antigens they share.
The ability of microorganisms, especially bacteria, to resist or to become tolerant to chemotherapeutic agents, antimicrobial agents, or antibiotics. This resistance may be acquired through gene mutation or foreign DNA in transmissible plasmids (R FACTORS).
Single preparations containing two or more active agents, for the purpose of their concurrent administration as a fixed dose mixture.
Immunologically mediated adverse reactions to medicinal substances used legally or illegally.
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.
Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience.
Elements of limited time intervals, contributing to particular results or situations.
A genus of gram-positive bacteria in the family Cellulomonadaceae.
A class of plasmids that transfer antibiotic resistance from one bacterium to another by conjugation.
An aminobenzoic acid isomer that combines with pteridine and GLUTAMIC ACID to form FOLIC ACID. The fact that 4-aminobenzoic acid absorbs light throughout the UVB range has also resulted in its use as an ingredient in SUNSCREENS.
A lactose-fermenting bacterium causing dysentery.
The action of a drug in promoting or enhancing the effectiveness of another drug.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
A genus of gram-negative, facultatively anaerobic, rod-shaped bacteria that ferments sugar without gas production. Its organisms are intestinal pathogens of man and other primates and cause bacillary dysentery (DYSENTERY, BACILLARY).
A parasexual process in BACTERIA; ALGAE; FUNGI; and ciliate EUKARYOTA for achieving exchange of chromosome material during fusion of two cells. In bacteria, this is a uni-directional transfer of genetic material; in protozoa it is a bi-directional exchange. In algae and fungi, it is a form of sexual reproduction, with the union of male and female gametes.
Infections with bacteria of the genus NOCARDIA.
An enzyme that catalyzes the formation of dihydropteroate from p-aminobenzoic acid and dihydropteridine-hydroxymethyl-pyrophosphate. EC 2.5.1.15.
A chronic systemic infection by a gram-positive bacterium, Tropheryma whippelii, mainly affecting the SMALL INTESTINE but also the JOINTS; CARDIOVASCULAR SYSTEM; and the CENTRAL NERVOUS SYSTEM. The disease is characterized by fat deposits in the INTESTINAL MUCOSA and LYMPH NODES, malabsorption, DIARRHEA with fatty stools, MALNUTRITION, and ARTHRITIS.
A sulfanilamide antibacterial agent.
A naphthacene antibiotic that inhibits AMINO ACYL TRNA binding during protein synthesis.
Semi-synthetic derivative of penicillin that functions as an orally active broad-spectrum antibiotic.
A semisynthetic antibiotic produced from Streptomyces mediterranei. It has a broad antibacterial spectrum, including activity against several forms of Mycobacterium. In susceptible organisms it inhibits DNA-dependent RNA polymerase activity by forming a stable complex with the enzyme. It thus suppresses the initiation of RNA synthesis. Rifampin is bactericidal, and acts on both intracellular and extracellular organisms. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p1160)
A genus of gram-negative, facultatively anaerobic, rod-shaped bacteria that utilizes citrate as a sole carbon source. It is pathogenic for humans, causing enteric fevers, gastroenteritis, and bacteremia. Food poisoning is the most common clinical manifestation. Organisms within this genus are separated on the basis of antigenic characteristics, sugar fermentation patterns, and bacteriophage susceptibility.
A genus of ascomycetous FUNGI, family Pneumocystidaceae, order Pneumocystidales. It includes various host-specific species causing PNEUMOCYSTIS PNEUMONIA in humans and other MAMMALS.
A group of compounds that contain the structure SO2NH2.
Red blood cell precursors, corresponding to ERYTHROBLASTS, that are larger than normal, usually resulting from a FOLIC ACID DEFICIENCY or VITAMIN B 12 DEFICIENCY.
Deoxyribonucleic acid that makes up the genetic material of bacteria.
A genus of gram-positive, aerobic bacteria whose species are widely distributed and are abundant in soil. Some strains are pathogenic opportunists for humans and animals.
A synthetic 1,8-naphthyridine antimicrobial agent with a limited bacteriocidal spectrum. It is an inhibitor of the A subunit of bacterial DNA GYRASE.
A subgenus of Salmonella containing several medically important serotypes. The habitat for the majority of strains is warm-blooded animals.
Strains of VIBRIO CHOLERAE containing O ANTIGENS group 1. All are CHOLERA-causing strains (serotypes). There are two biovars (biotypes): cholerae and eltor (El Tor).
A hydroxynaphthoquinone that has antimicrobial activity and is being used in antimalarial protocols.
DYSENTERY caused by gram-negative rod-shaped enteric bacteria (ENTEROBACTERIACEAE), most often by the genus SHIGELLA. Shigella dysentery, Shigellosis, is classified into subgroups according to syndrome severity and the infectious species. Group A: SHIGELLA DYSENTERIAE (severest); Group B: SHIGELLA FLEXNERI; Group C: SHIGELLA BOYDII; and Group D: SHIGELLA SONNEI (mildest).
Infections with bacteria of the family ENTEROBACTERIACEAE.
Excrement from the INTESTINES, containing unabsorbed solids, waste products, secretions, and BACTERIA of the DIGESTIVE SYSTEM.
Gel electrophoresis in which the direction of the electric field is changed periodically. This technique is similar to other electrophoretic methods normally used to separate double-stranded DNA molecules ranging in size up to tens of thousands of base-pairs. However, by alternating the electric field direction one is able to separate DNA molecules up to several million base-pairs in length.
Small antigenic determinants capable of eliciting an immune response only when coupled to a carrier. Haptens bind to antibodies but by themselves cannot elicit an antibody response.
An acute diarrheal disease endemic in India and Southeast Asia whose causative agent is VIBRIO CHOLERAE. This condition can lead to severe dehydration in a matter of hours unless quickly treated.
Infections in animals with bacteria of the genus SALMONELLA.
Infections by bacteria, general or unspecified.
Any liquid or solid preparation made specifically for the growth, storage, or transport of microorganisms or other types of cells. The variety of media that exist allow for the culturing of specific microorganisms and cell types, such as differential media, selective media, test media, and defined media. Solid media consist of liquid media that have been solidified with an agent such as AGAR or GELATIN.
Extrachromosomal, usually CIRCULAR DNA molecules that are self-replicating and transferable from one organism to another. They are found in a variety of bacterial, archaeal, fungal, algal, and plant species. They are used in GENETIC ENGINEERING as CLONING VECTORS.

Antibiotic strategies for developing countries: experience with acute respiratory tract infections in Pakistan. (1/892)

The Pakistan program for control of acute respiratory tract infections (ARIs) adopted the standard ARI-case-management strategy of the World Health Organization and recommended co-trimoxazole for the management of nonsevere pneumonia. Reports in that country of high in vitro antimicrobial resistance of Streptococcus pneumoniae and Haemophilus influenzae to co-trimoxazole prompted the program to reevaluate its treatment policy. Two community-based studies during 1991-1993 showed in vivo efficacy of co-trimoxazole in 92% and 91% of children with nonsevere pneumonia. A third double-blind trial showed co-trimoxazole and oral amoxicillin to be equally effective in vivo in cases of nonsevere pneumonia, despite high in vitro resistance. Country-wide surveillance from 1991 to 1994 revealed 78.3%-79.9% in vitro resistance to co-trimoxazole among S. pneumoniae isolates and 59.5%-61.0% among H. influenzae isolates. Co-trimoxazole is still recommended by the Pakistan ARI control program. The fact that amoxicillin is three times more expensive and must be administered more frequently is a big impediment to recommending it as a first-line drug for nonsevere pneumonia.  (+info)

Extremely high incidence of macrolide and trimethoprim-sulfamethoxazole resistance among clinical isolates of Streptococcus pneumoniae in Taiwan. (2/892)

From January 1996 to December 1997, 200 isolates of Streptococcus pneumoniae recovered from 200 patients treated at National Taiwan University Hospital were serotyped and their susceptibilities to 16 antimicrobial agents were determined by the agar dilution method. Sixty-one percent of the isolates were nonsusceptible to penicillin, exhibiting either intermediate resistance (28%) or high-level resistance (33%). About two-fifths of the isolates displayed intermediate or high-level resistance to cefotaxime, ceftriaxone, cefepime, imipenem, and meropenem. Extremely high proportions of the isolates were resistant to erythromycin (82%), clarithromycin (90%), and trimethoprim-sulfamethoxazole (TMP-SMZ) (87%). Among the isolates nonsusceptible to penicillin, 23.8% were resistant to imipenem; more than 60% displayed resistance to cefotaxime, ceftriaxone, cefepime, and carbapenems; 96.7% were resistant to erythromycin; and 100% were resistant to TMP-SMZ. All isolates were susceptible to rifampin and vancomycin. The MICs at which 50% and 90% of the isolates were inhibited were 0.12 and 1 microgram/ml, respectively, for cefpirome, and 0.12 and 0.25 microgram/ml, respectively, for moxifloxacin. Six serogroups or serotypes (23F, 19F, 6B, 14, 3, and 9) accounted for 77.5% of all isolates. Overall, 92.5% of the isolates were included in the serogroups or serotypes represented in the 23-valent pneumococcal vaccine. The incidence of macrolide and TMP-SMZ resistance for S. pneumoniae isolates in Taiwan in this study is among the highest in the world published to date.  (+info)

Influence of centriole behavior on the first spindle formation in zygotes of the brown alga Fucus distichus (Fucales, Phaeophyceae). (3/892)

The influence of centrioles, derived from the sperm flagellar basal bodies, and the centrosomal material (MTOCs) on spindle formation in the brown alga Fucus distichus (oogamous) was studied by immunofluorescence microscopy using anti-centrin and anti-beta-tubulin antibodies. In contrast to a bipolar spindle, which is formed after normal fertilization, a multipolar spindle was formed in polyspermic zygote. The number of mitotic poles in polyspermic zygotes was double the number of sperm involved in fertilization. As an anti-centrin staining spot (centrioles) was located at these poles, the multipolar spindles in polyspermic zygotes were produced by the supplementary centrioles. When anucleate egg fragments were fertilized, chromosome condensation and mitosis did not occur in the sperm nucleus. Two anti-centrin staining spots could be detected, microtubules (MTs) radiated from nearby, but the mitotic spindle was never produced. When a single sperm fertilized multinucleate eggs (polygyny), abnormal spindles were also observed. In addition to two mitotic poles containing anti-centrin staining spots, extra mitotic poles without anti-centrin staining spots were also formed, and as a result multipolar spindles were formed. When karyogamy was blocked with colchicine, it became clear that the egg nucleus proceeded independently into mitosis accompanying chromosome condensation. A monoastral spindle could be frequently observed, and in rare cases a barrel-shaped spindle was formed. However, when a sperm nucleus was located near an egg nucleus, the two anti-centrin staining spots shifted to the egg nucleus from the sperm nucleus. In this case, a normal spindle was formed, the egg chromosomes arranged at the equator, and the associated MTs elongated from one pole of the egg spindle toward the sperm chromosomes which were scattered. From these results, it became clear that paternal centrioles derived from the sperm have a crucial role in spindle formation in the brown algae, such as they do during animal fertilization. However, paternal centrioles were not adequate for the functional centrosome during spindle formation. We speculated that centrosomal materials from the egg cytoplasm aggregate around the sperm centrioles and are needed for centrosomal activation.  (+info)

Disseminated nocardiosis in a bone marrow transplant recipient with chronic GVHD. (4/892)

We describe a case of disseminated nocardiosis in a 53-year-old male allogeneic marrow recipient with chronic GVHD, 15 years post BMT. Six months prior to admission he was treated for recurrent chronic GVHD with corticosteroids with a good response. He deteriorated subsequently while still on steroids requiring admission for fever, anorexia, weight loss, productive cough and progressive dyspnoea. On admission he had multiple nodular lesions on chest roentgenogram and subsequently grew Nocardia farcinica in blood culture. N. farcinica is rare post BMT, has a high mortality, is resistant to various antibiotics and needs prolonged antimicrobial therapy. We report the successful management of our patient with single agent trimethoprim-sulphamethoxazole.  (+info)

An essential role for katanin in severing microtubules in the neuron. (5/892)

Several lines of evidence suggest that microtubules are nucleated at the neuronal centrosome, and then released for transport into axons and dendrites. Here we sought to determine whether the microtubule-severing protein known as katanin mediates microtubule release from the neuronal centrosome. Immunomicroscopic analyses on cultured sympathetic neurons show that katanin is present at the centrosome, but is also widely distributed throughout the neuron. Microinjection of an antibody that inactivates katanin results in a dramatic accumulation of microtubules at the centrosome, indicating that katanin is indeed required for microtubule release from the centrosome. However, the antibody also causes an inhibition of axon outgrowth that is more immediate than expected on this basis alone. It may be that katanin severs microtubules throughout the cell body to keep them sufficiently short to be efficiently transported into developing processes. Consistent with this idea, there were significantly fewer free ends of microtubules in the cell bodies of neurons that had been injected with the katanin antibody compared with controls. These results indicate that microtubule-severing by katanin is essential for releasing microtubules from the neuronal centrosome, and also for regulating the length of the microtubules after their release.  (+info)

A trial comparing low-dose, short-course ciprofloxacin and standard 7 day therapy with co-trimoxazole or nitrofurantoin in the treatment of uncomplicated urinary tract infection. (6/892)

The study was undertaken to compare the safety and efficacy of twice-daily ciprofloxacin for 3 days with standard 7 day therapy with either co-trimoxazole or nitrofurantoin in the treatment of women with acute, uncomplicated urinary tract infections (UTI). This multicentre, prospective, randomized, double-blind trial compared oral ciprofloxacin (100 mg bd) for 3 days with co-trimoxazole (160/800 mg bd) or nitrofurantoin (100 mg bd) for 7 days. Bacteriological and clinical evaluations were performed at study entry, during therapy and 4-10 days and 4-6 weeks after the completion of therapy. The primary efficacy parameter was eradication of the causative organism 4-10 days following treatment. Of 713 women enrolled and evaluable for safety, 521 were evaluable for efficacy (168 ciprofloxacin, 174 co-trimoxazole, 179 nitrofurantoin). Escherichia coli (83%) was the most frequently isolated pathogen in all treatment groups. Bacteriological eradication was reported in 88% of ciprofloxacin patients, 93% of co-trimoxazole patients and 86% of nitrofurantoin patients. At the 4-6 week follow-up, ciprofloxacin had statistically significantly higher eradication rates (91%) than co-trimoxazole (79%; 95% confidence limit (CL) = -20.6%, -3.9%) and nitrofurantoin (82%; 95% CL = -17.1%, -0.9%). Clinical resolution 4-10 days after therapy and at the 4-6 week follow-up was similar among the three treatment groups. The overall incidence of treatment-emergent adverse events was not significantly different (P = 0.093) among the three drug regimens, although co-trimoxazole was associated with a greater number of adverse events than ciprofloxacin (P < or = 0.05). Ciprofloxacin also caused fewer episodes of nausea than either of the other agents (P < or = 0.01).  (+info)

Zidovudine therapy protects against Salmonella bacteremia recurrence in human immunodeficiency virus-infected patients. (7/892)

Fifty-five human immunodeficiency virus-infected patients with Salmonella bacteremia were studied to assess the rate of and causes for recurrence and to determine the influence on relapse of zidovudine, cotrimoxazole, and antimicrobial suppressive therapy according to the susceptibility of the isolates. Overall, 22% of patients relapsed in a median time of 87 days, independent of CD4 cell count, Salmonella serotype, or duration of antibiotic therapy. The use of zidovudine was associated with the lowest rate of recurrences compared with cotrimoxazole or amoxicillin as suppressive therapy. In the microbiologic assay, zidovudine showed bactericidal effect on Salmonella species at current dosages, and resistance to zidovudine was uncommon (2 cases, 4%). Due to its direct effect on Salmonella species, a zidovudine-containing regimen may protect against the recurrence of the disease.  (+info)

Risk factors for resistance to "first-line" antimicrobials among urinary tract isolates of Escherichia coli in children. (8/892)

BACKGROUND: There are increasing concerns regarding antimicrobial resistance in Canada. Data are limited on the prevalence, patterns of resistance and risk factors associated with resistant organisms, including coliforms, in children. This study was done to address these issues as they relate to urinary tract isolates of Escherichia coli in a tertiary care pediatric centre in Ottawa. METHODS: A surveillance study was conducted from December 1992 to December 1994. Susceptibility testing of urinary tract isolates of E. coli was performed using a panel of antimicrobial agents. A case-control study was also conducted for subjects with isolates resistant to trimethoprim-sulfamethoxazole (T-S), this drug being used a representative "first-line" agent. RESULTS: A total of 1636 consecutive isolates were obtained from 967 subjects. Of the 1636 isolates, 736 (45.0%) were resistant to ampicillin, 514 (31.4%) were resistant to T-S, 363 (22.2%) were resistant to both ampicillin and T-S, and 27 (1.7%) were resistant to both ampicillin and gentamicin. In the case-control study 274 children with isolates resistant to T-S were matched with 274 children who had T-S-sensitive isolates obtained during the study period or the preceding or subsequent 6 months. Multivariate analyses indicated that subjects who had received antimicrobials for more than 4 weeks in the previous 6 months were about 23 times more likely to have isolates resistant to T-S than were subjects without this risk factor (odds ratio [OR] 23.4, 95% confidence interval [CI] 12.0-47.6). Children with genitourinary tract abnormalities were 2.4 times more likely to have resistant isolates than those without such abnormalities (95% CI 1.2-4.5). Compared with children who had no hospital admissions in the previous year, those with 1 admission in that period were more likely to have resistant isolates (OR 2.3, 95% CI 1.4-7.5), as were those with 2 or more admissions in that period (OR 3.2, 95% CI 1.1-4.8). Compared with children aged 2-6 years, children under 2 years of age were less likely to have resistant isolates (OR 0.3, 95% CI 0.2-0.8). INTERPRETATION: Selective antimicrobial pressure and multiple admissions to hospital were among the risk factors associated with antimicrobial resistance. The finding of a low but definite level of resistance to both ampicillin and gentamicin is important for the selection of empiric therapy for sepsis in neonates. The role of inexpensive first-line agents in the outpatient treatment and prevention of urinary tract infections requires re-examination, particularly in children who have recently received antimicrobial therapy.  (+info)

Sulfamethoxazole is a type of antibiotic known as a sulfonamide. It works by interfering with the ability of bacteria to produce folic acid, which is necessary for their growth and survival. Sulfamethoxazole is often combined with trimethoprim (another antibiotic) in a single medication called co-trimoxazole, which is used to treat a variety of bacterial infections, including respiratory tract infections, urinary tract infections, and skin and soft tissue infections.

The medical definition of Sulfamethoxazole can be found in various pharmaceutical and medical resources, here are some examples:

* According to the Merck Manual, Sulfamethoxazole is a "synthetic antibacterial drug that inhibits bacterial synthesis of folic acid by competing with para-aminobenzoic acid for the enzyme dihydropteroate synthetase."
* According to the British National Formulary (BNF), Sulfamethoxazole is a "sulfonamide antibacterial agent, active against many Gram-positive and Gram-negative bacteria. It is often combined with trimethoprim in a 5:1 ratio as co-trimoxazole."
* According to the National Library of Medicine (NLM), Sulfamethoxazole is a "synthetic antibacterial agent that is used in combination with trimethoprim for the treatment of various bacterial infections. It works by inhibiting the bacterial synthesis of folic acid."

It's important to note that, as any other medication, Sulfamethoxazole should be taken under medical supervision and following the instructions of a healthcare professional, as it can cause side effects and interact with other medications.

Trimethoprim is an antibiotic medication that is primarily used to treat bacterial infections. It works by inhibiting the bacterial enzyme dihydrofolate reductase, which is necessary for the synthesis of DNA and protein. This leads to bacterial cell death. Trimethoprim is often combined with sulfamethoxazole (a sulfonamide antibiotic) to create a more effective antibacterial therapy known as co-trimoxazole or TMP-SMX.

Medical Definition:
Trimethoprim is a synthetic antibacterial drug that selectively inhibits bacterial dihydrofolate reductase, an enzyme required for the synthesis of tetrahydrofolate, a cofactor involved in the biosynthesis of thymidine and purines. By blocking this essential pathway, trimethoprim disrupts bacterial DNA and protein synthesis, leading to bacteriostatic activity against many gram-positive and gram-negative bacteria. Trimethoprim is often combined with sulfamethoxazole (a sulfonamide antibiotic) to create a more effective antibacterial therapy known as co-trimoxazole or TMP-SMX, which inhibits two consecutive steps in the bacterial folate synthesis pathway.

Trimethoprim-sulfamethoxazole combination is an antibiotic medication used to treat various bacterial infections. It contains two active ingredients: trimethoprim and sulfamethoxazole, which work together to inhibit the growth of bacteria by interfering with their ability to synthesize folic acid, a vital component for their survival.

Trimethoprim is a bacteriostatic agent that inhibits dihydrofolate reductase, an enzyme needed for bacterial growth, while sulfamethoxazole is a bacteriostatic sulfonamide that inhibits the synthesis of tetrahydrofolate by blocking the action of the enzyme bacterial dihydropteroate synthase. The combination of these two agents produces a synergistic effect, increasing the overall antibacterial activity of the medication.

Trimethoprim-sulfamethoxazole is commonly used to treat urinary tract infections, middle ear infections, bronchitis, traveler's diarrhea, and pneumocystis pneumonia (PCP), a severe lung infection that can occur in people with weakened immune systems. It is also used as a prophylactic treatment to prevent PCP in individuals with HIV/AIDS or other conditions that compromise the immune system.

As with any medication, trimethoprim-sulfamethoxazole combination can have side effects and potential risks, including allergic reactions, skin rashes, gastrointestinal symptoms, and blood disorders. It is essential to follow the prescribing physician's instructions carefully and report any adverse reactions promptly.

Trimethoprim resistance refers to the ability of certain bacteria to survive and grow in the presence of trimethoprim, a synthetic antibiotic that inhibits bacterial DNA synthesis. This occurs due to genetic changes in the bacteria that make them resistant to the effects of trimethoprim. These genetic changes can include mutations in the target site of the drug or the acquisition of genes that encode for enzymes capable of modifying or degrading the antibiotic.

Trimethoprim resistance is often associated with resistance to sulfamethoxazole, another antibiotic that targets bacterial folate synthesis, as these two drugs are commonly used together in clinical practice. The development and spread of trimethoprim resistance can significantly limit the effectiveness of this antibiotic combination therapy and pose a challenge in the treatment of various bacterial infections.

Anti-bacterial agents, also known as antibiotics, are a type of medication used to treat infections caused by bacteria. These agents work by either killing the bacteria or inhibiting their growth and reproduction. There are several different classes of anti-bacterial agents, including penicillins, cephalosporins, fluoroquinolones, macrolides, and tetracyclines, among others. Each class of antibiotic has a specific mechanism of action and is used to treat certain types of bacterial infections. It's important to note that anti-bacterial agents are not effective against viral infections, such as the common cold or flu. Misuse and overuse of antibiotics can lead to antibiotic resistance, which is a significant global health concern.

Anti-infective agents are a class of medications that are used to treat infections caused by various microorganisms such as bacteria, viruses, fungi, and parasites. These agents work by either killing the microorganism or inhibiting its growth, thereby helping to control the infection and alleviate symptoms.

There are several types of anti-infective agents, including:

1. Antibiotics: These are medications that are used to treat bacterial infections. They work by either killing bacteria (bactericidal) or inhibiting their growth (bacteriostatic).
2. Antivirals: These are medications that are used to treat viral infections. They work by interfering with the replication of the virus, preventing it from spreading and causing further damage.
3. Antifungals: These are medications that are used to treat fungal infections. They work by disrupting the cell membrane of the fungus, killing it or inhibiting its growth.
4. Antiparasitics: These are medications that are used to treat parasitic infections. They work by either killing the parasite or inhibiting its growth and reproduction.

It is important to note that anti-infective agents are not effective against all types of infections, and it is essential to use them appropriately to avoid the development of drug-resistant strains of microorganisms.

Microbial sensitivity tests, also known as antibiotic susceptibility tests (ASTs) or bacterial susceptibility tests, are laboratory procedures used to determine the effectiveness of various antimicrobial agents against specific microorganisms isolated from a patient's infection. These tests help healthcare providers identify which antibiotics will be most effective in treating an infection and which ones should be avoided due to resistance. The results of these tests can guide appropriate antibiotic therapy, minimize the potential for antibiotic resistance, improve clinical outcomes, and reduce unnecessary side effects or toxicity from ineffective antimicrobials.

There are several methods for performing microbial sensitivity tests, including:

1. Disk diffusion method (Kirby-Bauer test): A standardized paper disk containing a predetermined amount of an antibiotic is placed on an agar plate that has been inoculated with the isolated microorganism. After incubation, the zone of inhibition around the disk is measured to determine the susceptibility or resistance of the organism to that particular antibiotic.
2. Broth dilution method: A series of tubes or wells containing decreasing concentrations of an antimicrobial agent are inoculated with a standardized microbial suspension. After incubation, the minimum inhibitory concentration (MIC) is determined by observing the lowest concentration of the antibiotic that prevents visible growth of the organism.
3. Automated systems: These use sophisticated technology to perform both disk diffusion and broth dilution methods automatically, providing rapid and accurate results for a wide range of microorganisms and antimicrobial agents.

The interpretation of microbial sensitivity test results should be done cautiously, considering factors such as the site of infection, pharmacokinetics and pharmacodynamics of the antibiotic, potential toxicity, and local resistance patterns. Regular monitoring of susceptibility patterns and ongoing antimicrobial stewardship programs are essential to ensure optimal use of these tests and to minimize the development of antibiotic resistance.

Bacterial drug resistance is a type of antimicrobial resistance that occurs when bacteria evolve the ability to survive and reproduce in the presence of drugs (such as antibiotics) that would normally kill them or inhibit their growth. This can happen due to various mechanisms, including genetic mutations or the acquisition of resistance genes from other bacteria.

As a result, bacterial infections may become more difficult to treat, requiring higher doses of medication, alternative drugs, or longer treatment courses. In some cases, drug-resistant infections can lead to serious health complications, increased healthcare costs, and higher mortality rates.

Examples of bacterial drug resistance include methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococci (VRE), and multidrug-resistant tuberculosis (MDR-TB). Preventing the spread of bacterial drug resistance is crucial for maintaining effective treatments for infectious diseases.

"Pneumonia, Pneumocystis" is more commonly referred to as "Pneumocystis pneumonia (PCP)." It is a type of pneumonia caused by the microorganism Pneumocystis jirovecii. This organism was previously classified as a protozoan but is now considered a fungus.

PCP is an opportunistic infection, which means that it mainly affects people with weakened immune systems, such as those with HIV/AIDS, cancer, transplant recipients, or people taking immunosuppressive medications. The symptoms of PCP can include cough, shortness of breath, fever, and difficulty exercising. It is a serious infection that requires prompt medical treatment, typically with antibiotics.

It's important to note that PCP is not the same as pneumococcal pneumonia, which is caused by the bacterium Streptococcus pneumoniae. While both conditions are types of pneumonia, they are caused by different organisms and require different treatments.

"Pneumocystis jirovecii" is a species of fungus that commonly infects the lungs of humans, leading to a serious respiratory infection known as Pneumocystis pneumonia (PCP). This fungal infection primarily affects individuals with weakened immune systems, such as those with HIV/AIDS, cancer, or organ transplant recipients. The organism was previously classified as a protozoan but has since been reclassified as a fungus based on genetic analysis. It is typically acquired through inhalation of airborne spores and can cause severe illness if left untreated.

Multiple bacterial drug resistance (MDR) is a medical term that refers to the resistance of multiple strains of bacteria to several antibiotics or antimicrobial agents. This means that these bacteria have developed mechanisms that enable them to survive and multiply despite being exposed to drugs that were previously effective in treating infections caused by them.

MDR is a significant public health concern because it limits the treatment options available for bacterial infections, making them more difficult and expensive to treat. In some cases, MDR bacteria may cause severe or life-threatening infections that are resistant to all available antibiotics, leaving doctors with few or no effective therapeutic options.

MDR can arise due to various mechanisms, including the production of enzymes that inactivate antibiotics, changes in bacterial cell membrane permeability that prevent antibiotics from entering the bacteria, and the development of efflux pumps that expel antibiotics out of the bacteria. The misuse or overuse of antibiotics is a significant contributor to the emergence and spread of MDR bacteria.

Preventing and controlling the spread of MDR bacteria requires a multifaceted approach, including the judicious use of antibiotics, infection control measures, surveillance, and research into new antimicrobial agents.

Pentamidine is an antimicrobial drug that is primarily used to treat and prevent certain types of pneumonia caused by the parasitic organisms Pneumocystis jirovecii (formerly known as P. carinii) and Leishmania donovani. It can also be used for the treatment of some fungal infections caused by Histoplasma capsulatum and Cryptococcus neoformans.

Pentamidine works by interfering with the DNA replication and protein synthesis of these microorganisms, which ultimately leads to their death. It is available as an injection or inhaled powder for medical use. Common side effects of pentamidine include nausea, vomiting, diarrhea, abdominal pain, and changes in blood sugar levels. More serious side effects can include kidney damage, hearing loss, and heart rhythm disturbances.

It is important to note that the use of pentamidine should be under the supervision of a healthcare professional due to its potential for serious side effects and drug interactions.

Integrons are genetic elements that can capture, integrate and express mobile gene cassettes, which are circular DNA molecules containing one or more antibiotic resistance genes. Integrons consist of an integrase gene (intI), a recombination site (attI), and a promoter region that drives the expression of integrated gene cassettes. They play a significant role in the spread and dissemination of antibiotic resistance among bacterial populations, as they can facilitate the acquisition and exchange of resistance genes between different bacteria. Integrons are commonly found on plasmids and transposons, which are mobile genetic elements that can move between different bacterial species, further contributing to the rapid spread of antibiotic resistance.

Urinary Tract Infections (UTIs) are defined as the presence of pathogenic microorganisms, typically bacteria, in any part of the urinary system, which includes the kidneys, ureters, bladder, and urethra, resulting in infection and inflammation. The majority of UTIs are caused by Escherichia coli (E. coli) bacteria, but other organisms such as Klebsiella, Proteus, Staphylococcus saprophyticus, and Enterococcus can also cause UTIs.

UTIs can be classified into two types based on the location of the infection:

1. Lower UTI or bladder infection (cystitis): This type of UTI affects the bladder and urethra. Symptoms may include a frequent and urgent need to urinate, pain or burning during urination, cloudy or strong-smelling urine, and discomfort in the lower abdomen or back.

2. Upper UTI or kidney infection (pyelonephritis): This type of UTI affects the kidneys and can be more severe than a bladder infection. Symptoms may include fever, chills, nausea, vomiting, and pain in the flanks or back.

UTIs are more common in women than men due to their shorter urethra, which makes it easier for bacteria to reach the bladder. Other risk factors for UTIs include sexual activity, use of diaphragms or spermicides, urinary catheterization, diabetes, and weakened immune systems.

UTIs are typically diagnosed through a urinalysis and urine culture to identify the causative organism and determine the appropriate antibiotic treatment. In some cases, imaging studies such as ultrasound or CT scan may be necessary to evaluate for any underlying abnormalities in the urinary tract.

Stenotrophomonas maltophilia is a gram-negative, aerobic, non-fermentative bacillus that is commonly found in moist environments such as soil and water. It has emerged as an important nosocomial pathogen, particularly in patients with compromised immune systems or underlying lung diseases.

S. maltophilia can cause a variety of infections, including pneumonia, bacteremia, urinary tract infections, and wound infections. It is inherently resistant to many antibiotics, making it difficult to treat. The bacteria produce biofilms, which can make them even more resistant to antibiotics and host defenses.

Infection with S. maltophilia is associated with high mortality rates, particularly in critically ill patients. Prompt identification and appropriate antimicrobial therapy are essential for the successful management of infections caused by this organism.

Gram-negative bacterial infections refer to illnesses or diseases caused by Gram-negative bacteria, which are a group of bacteria that do not retain crystal violet dye during the Gram staining procedure used in microbiology. This characteristic is due to the structure of their cell walls, which contain a thin layer of peptidoglycan and an outer membrane composed of lipopolysaccharides (LPS), proteins, and phospholipids.

The LPS component of the outer membrane is responsible for the endotoxic properties of Gram-negative bacteria, which can lead to severe inflammatory responses in the host. Common Gram-negative bacterial pathogens include Escherichia coli (E. coli), Klebsiella pneumoniae, Pseudomonas aeruginosa, Acinetobacter baumannii, and Proteus mirabilis, among others.

Gram-negative bacterial infections can cause a wide range of clinical syndromes, such as pneumonia, urinary tract infections, bloodstream infections, meningitis, and soft tissue infections. The severity of these infections can vary from mild to life-threatening, depending on the patient's immune status, the site of infection, and the virulence of the bacterial strain.

Effective antibiotic therapy is crucial for treating Gram-negative bacterial infections, but the increasing prevalence of multidrug-resistant strains has become a significant global health concern. Therefore, accurate diagnosis and appropriate antimicrobial stewardship are essential to ensure optimal patient outcomes and prevent further spread of resistance.

Ciprofloxacin is a fluoroquinolone antibiotic that is used to treat various types of bacterial infections, including respiratory, urinary, and skin infections. It works by inhibiting the bacterial DNA gyrase, which is an enzyme necessary for bacterial replication and transcription. This leads to bacterial cell death. Ciprofloxacin is available in oral and injectable forms and is usually prescribed to be taken twice a day. Common side effects include nausea, diarrhea, and headache. It may also cause serious adverse reactions such as tendinitis, tendon rupture, peripheral neuropathy, and central nervous system effects. It is important to note that ciprofloxacin should not be used in patients with a history of hypersensitivity to fluoroquinolones and should be used with caution in patients with a history of seizures, brain injury, or other neurological conditions.

Enterobacteriaceae is a family of gram-negative, rod-shaped bacteria that are commonly found in the intestines of humans and animals. Many species within this family are capable of causing various types of infections, particularly in individuals with weakened immune systems. Some common examples of Enterobacteriaceae include Escherichia coli (E. coli), Klebsiella pneumoniae, Proteus mirabilis, and Salmonella enterica.

These bacteria are typically characterized by their ability to ferment various sugars and produce acid and gas as byproducts. They can also be distinguished by their biochemical reactions, such as their ability to produce certain enzymes or resist specific antibiotics. Infections caused by Enterobacteriaceae can range from mild to severe, depending on the species involved and the overall health of the infected individual.

Some infections caused by Enterobacteriaceae include urinary tract infections, pneumonia, bloodstream infections, and foodborne illnesses. Proper hygiene, such as handwashing and safe food handling practices, can help prevent the spread of these bacteria and reduce the risk of infection.

Opportunistic infections (OIs) are infections that occur more frequently or are more severe in individuals with weakened immune systems, often due to a underlying condition such as HIV/AIDS, cancer, or organ transplantation. These infections are caused by microorganisms that do not normally cause disease in people with healthy immune function, but can take advantage of an opportunity to infect and cause damage when the body's defense mechanisms are compromised. Examples of opportunistic infections include Pneumocystis pneumonia, tuberculosis, candidiasis (thrush), and cytomegalovirus infection. Preventive measures, such as antimicrobial medications and vaccinations, play a crucial role in reducing the risk of opportunistic infections in individuals with weakened immune systems.

Escherichia coli (E. coli) infections refer to illnesses caused by the bacterium E. coli, which can cause a range of symptoms depending on the specific strain and site of infection. The majority of E. coli strains are harmless and live in the intestines of healthy humans and animals. However, some strains, particularly those that produce Shiga toxins, can cause severe illness.

E. coli infections can occur through various routes, including contaminated food or water, person-to-person contact, or direct contact with animals or their environments. Common symptoms of E. coli infections include diarrhea (often bloody), abdominal cramps, nausea, and vomiting. In severe cases, complications such as hemolytic uremic syndrome (HUS) can occur, which may lead to kidney failure and other long-term health problems.

Preventing E. coli infections involves practicing good hygiene, cooking meats thoroughly, avoiding cross-contamination of food during preparation, washing fruits and vegetables before eating, and avoiding unpasteurized dairy products and juices. Prompt medical attention is necessary if symptoms of an E. coli infection are suspected to prevent potential complications.

Otitis media is an inflammation or infection of the middle ear. It can occur as a result of a cold, respiratory infection, or allergy that causes fluid buildup behind the eardrum. The buildup of fluid can lead to infection and irritation of the middle ear, causing symptoms such as ear pain, hearing loss, and difficulty balancing. There are two types of otitis media: acute otitis media (AOM), which is a short-term infection that can cause fever and severe ear pain, and otitis media with effusion (OME), which is fluid buildup in the middle ear without symptoms of infection. In some cases, otitis media may require medical treatment, including antibiotics or the placement of ear tubes to drain the fluid and relieve pressure on the eardrum.

Dapsone is a medication that belongs to a class of drugs called sulfones. It is primarily used to treat bacterial skin infections such as leprosy and dermatitis herpetiformis (a skin condition associated with coeliac disease). Dapsone works by killing the bacteria responsible for these infections.

In addition, dapsone has anti-inflammatory properties and is sometimes used off-label to manage inflammatory conditions such as vasculitis, bullous pemphigoid, and chronic urticaria. It is available in oral tablet form and topical cream or gel form.

Like all medications, dapsone can cause side effects, which may include nausea, loss of appetite, and headache. More serious side effects, such as methemoglobinemia (a blood disorder that affects the body's ability to transport oxygen), peripheral neuropathy (nerve damage that causes pain, numbness, or weakness in the hands and feet), and liver damage, can occur but are less common.

It is important for patients taking dapsone to be monitored by a healthcare provider to ensure safe and effective use of the medication.

Anti-infective agents for the urinary tract are medications used to prevent or treat infections caused by microorganisms (such as bacteria, fungi, or viruses) in the urinary system. These agents can be administered locally (for example, via catheter instillation) or systemically (orally or intravenously).

Common classes of anti-infective agents used for urinary tract infections include:

1. Antibiotics: These are the most commonly prescribed class of anti-infectives for urinary tract infections. They target and kill or inhibit the growth of bacteria responsible for the infection. Common antibiotics used for this purpose include trimethoprim-sulfamethoxazole, nitrofurantoin, ciprofloxacin, and fosfomycin.
2. Antifungals: These medications are used to treat fungal urinary tract infections (UTIs). Common antifungal agents include fluconazole, amphotericin B, and nystatin.
3. Antivirals: Although rare, viral UTIs can occur, and antiviral medications may be prescribed to treat them. Examples of antiviral agents used for urinary tract infections include acyclovir and valacyclovir.

It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment for any suspected urinary tract infection. Improper use or misuse of anti-infective agents can lead to antibiotic resistance, making future treatments more challenging.

Community-acquired infections are those that are acquired outside of a healthcare setting, such as in one's own home or community. These infections are typically contracted through close contact with an infected person, contaminated food or water, or animals. Examples of community-acquired infections include the common cold, flu, strep throat, and many types of viral and bacterial gastrointestinal infections.

These infections are different from healthcare-associated infections (HAIs), which are infections that patients acquire while they are receiving treatment for another condition in a healthcare setting, such as a hospital or long-term care facility. HAIs can be caused by a variety of factors, including contact with contaminated surfaces or equipment, invasive medical procedures, and the use of certain medications.

It is important to note that community-acquired infections can also occur in healthcare settings if proper infection control measures are not in place. Healthcare providers must take steps to prevent the spread of these infections, such as washing their hands regularly, using personal protective equipment (PPE), and implementing isolation precautions for patients with known or suspected infectious diseases.

Staphylococcal infections are a type of infection caused by Staphylococcus bacteria, which are commonly found on the skin and nose of healthy people. However, if they enter the body through a cut, scratch, or other wound, they can cause an infection.

There are several types of Staphylococcus bacteria, but the most common one that causes infections is Staphylococcus aureus. These infections can range from minor skin infections such as pimples, boils, and impetigo to serious conditions such as pneumonia, bloodstream infections, and toxic shock syndrome.

Symptoms of staphylococcal infections depend on the type and severity of the infection. Treatment typically involves antibiotics, either topical or oral, depending on the severity and location of the infection. In some cases, hospitalization may be necessary for more severe infections. It is important to note that some strains of Staphylococcus aureus have developed resistance to certain antibiotics, making them more difficult to treat.

Folic acid antagonists are a class of medications that work by inhibiting the action of folic acid or its metabolic pathways. These drugs are commonly used in the treatment of various types of cancer and certain other conditions, such as rheumatoid arthritis. They include drugs such as methotrexate, pemetrexed, and trimetrexate.

Folic acid is a type of B vitamin that is essential for the production of DNA and RNA, the genetic material found in cells. Folic acid antagonists work by interfering with the enzyme responsible for converting folic acid into its active form, tetrahydrofolate. This interference prevents the formation of new DNA and RNA, which is necessary for cell division and growth. As a result, these drugs can inhibit the proliferation of rapidly dividing cells, such as cancer cells.

It's important to note that folic acid antagonists can also affect normal, non-cancerous cells in the body, particularly those that divide quickly, such as cells in the bone marrow and digestive tract. This can lead to side effects such as anemia, mouth sores, and diarrhea. Therefore, these drugs must be used carefully and under the close supervision of a healthcare provider.

'Escherichia coli' (E. coli) is a type of gram-negative, facultatively anaerobic, rod-shaped bacterium that commonly inhabits the intestinal tract of humans and warm-blooded animals. It is a member of the family Enterobacteriaceae and one of the most well-studied prokaryotic model organisms in molecular biology.

While most E. coli strains are harmless and even beneficial to their hosts, some serotypes can cause various forms of gastrointestinal and extraintestinal illnesses in humans and animals. These pathogenic strains possess virulence factors that enable them to colonize and damage host tissues, leading to diseases such as diarrhea, urinary tract infections, pneumonia, and sepsis.

E. coli is a versatile organism with remarkable genetic diversity, which allows it to adapt to various environmental niches. It can be found in water, soil, food, and various man-made environments, making it an essential indicator of fecal contamination and a common cause of foodborne illnesses. The study of E. coli has contributed significantly to our understanding of fundamental biological processes, including DNA replication, gene regulation, and protein synthesis.

Methicillin-Resistant Staphylococcus aureus (MRSA) is a type of bacteria that is resistant to many antibiotics, including methicillin and other related antibiotics such as oxacillin, penicillin, and amoxicillin. This bacterium can cause a range of infections, from skin infections to more severe and potentially life-threatening conditions such as pneumonia, bloodstream infections, and surgical site infections.

MRSA is often associated with healthcare settings, where it can spread through contaminated surfaces, equipment, and direct contact with an infected person or carrier. However, community-associated MRSA (CA-MRSA) has also emerged as a significant public health concern, causing infections outside of healthcare facilities, such as in schools, gyms, and other community settings.

It's important to note that while MRSA is resistant to certain antibiotics, there are still some treatment options available for MRSA infections, including vancomycin, linezolid, daptomycin, and others. However, the emergence of MRSA strains with reduced susceptibility to these antibiotics has become a growing concern, highlighting the importance of infection control measures and the development of new antimicrobial agents.

Cross infection, also known as cross-contamination, is the transmission of infectious agents or diseases between patients in a healthcare setting. This can occur through various means such as contaminated equipment, surfaces, hands of healthcare workers, or the air. It is an important concern in medical settings and measures are taken to prevent its occurrence, including proper hand hygiene, use of personal protective equipment (PPE), environmental cleaning and disinfection, and safe injection practices.

Sulfadiazine is an antibacterial drug, specifically a sulfonamide. It is chemically described as 4-amino-N-(2-pyrimidinyl)benzenesulfonamide. Sulfadiazine works by inhibiting the bacterial synthesis of dihydrofolic acid, which is essential for bacterial growth and reproduction.

It is used to treat a wide range of infections caused by susceptible bacteria, including urinary tract infections, respiratory infections, and certain types of meningitis. Sulfadiazine is often combined with other antibiotics, such as trimethoprim, to increase its effectiveness against certain bacteria.

Like all sulfonamides, sulfadiazine can cause side effects, including skin rashes, allergic reactions, and stomach upset. It should be used with caution in people who are allergic to sulfa drugs or have kidney or liver disease. Additionally, it is important to note that the use of sulfonamides during pregnancy, especially during the third trimester, should be avoided due to the risk of kernicterus in the newborn.

Sulfisoxazole is an antibacterial drug, specifically a sulfonamide. It is defined as a synthetic, short-acting, bacteriostatic antibiotic that inhibits the growth of certain bacteria by interfering with their ability to synthesize folic acid, an essential component for their survival. Sulfisoxazole is used to treat various infections caused by susceptible bacteria, including respiratory tract infections, urinary tract infections, and skin infections.

It's important to note that the use of sulfonamides like sulfisoxazole has declined over time due to the emergence of bacterial resistance and the availability of alternative antibiotics with better safety profiles. Additionally, adverse reactions such as rashes, allergies, and blood disorders have been associated with their use, so they should be prescribed with caution and only when necessary.

Tetrahydrofolate dehydrogenase (EC 1.5.1.20) is an enzyme involved in folate metabolism. The enzyme catalyzes the oxidation of tetrahydrofolate (THF) to dihydrofolate (DHF), while simultaneously reducing NADP+ to NADPH.

The reaction can be summarized as follows:

THF + NADP+ -> DHF + NADPH + H+

This enzyme plays a crucial role in the synthesis of purines and thymidylate, which are essential components of DNA and RNA. Therefore, any defects or deficiencies in tetrahydrofolate dehydrogenase can lead to various medical conditions, including megaloblastic anemia and neural tube defects during fetal development.

Staphylococcus aureus is a type of gram-positive, round (coccal) bacterium that is commonly found on the skin and mucous membranes of warm-blooded animals and humans. It is a facultative anaerobe, which means it can grow in the presence or absence of oxygen.

Staphylococcus aureus is known to cause a wide range of infections, from mild skin infections such as pimples, impetigo, and furuncles (boils) to more severe and potentially life-threatening infections such as pneumonia, endocarditis, osteomyelitis, and sepsis. It can also cause food poisoning and toxic shock syndrome.

The bacterium is often resistant to multiple antibiotics, including methicillin, which has led to the emergence of methicillin-resistant Staphylococcus aureus (MRSA) strains that are difficult to treat. Proper hand hygiene and infection control practices are critical in preventing the spread of Staphylococcus aureus and MRSA.

Serotyping is a laboratory technique used to classify microorganisms, such as bacteria and viruses, based on the specific antigens or proteins present on their surface. It involves treating the microorganism with different types of antibodies and observing which ones bind to its surface. Each distinct set of antigens corresponds to a specific serotype, allowing for precise identification and characterization of the microorganism. This technique is particularly useful in epidemiology, vaccine development, and infection control.

Microbial drug resistance is a significant medical issue that refers to the ability of microorganisms (such as bacteria, viruses, fungi, or parasites) to withstand or survive exposure to drugs or medications designed to kill them or limit their growth. This phenomenon has become a major global health concern, particularly in the context of bacterial infections, where it is also known as antibiotic resistance.

Drug resistance arises due to genetic changes in microorganisms that enable them to modify or bypass the effects of antimicrobial agents. These genetic alterations can be caused by mutations or the acquisition of resistance genes through horizontal gene transfer. The resistant microbes then replicate and multiply, forming populations that are increasingly difficult to eradicate with conventional treatments.

The consequences of drug-resistant infections include increased morbidity, mortality, healthcare costs, and the potential for widespread outbreaks. Factors contributing to the emergence and spread of microbial drug resistance include the overuse or misuse of antimicrobials, poor infection control practices, and inadequate surveillance systems.

To address this challenge, it is crucial to promote prudent antibiotic use, strengthen infection prevention and control measures, develop new antimicrobial agents, and invest in research to better understand the mechanisms underlying drug resistance.

A drug combination refers to the use of two or more drugs in combination for the treatment of a single medical condition or disease. The rationale behind using drug combinations is to achieve a therapeutic effect that is superior to that obtained with any single agent alone, through various mechanisms such as:

* Complementary modes of action: When different drugs target different aspects of the disease process, their combined effects may be greater than either drug used alone.
* Synergistic interactions: In some cases, the combination of two or more drugs can result in a greater-than-additive effect, where the total response is greater than the sum of the individual responses to each drug.
* Antagonism of adverse effects: Sometimes, the use of one drug can mitigate the side effects of another, allowing for higher doses or longer durations of therapy.

Examples of drug combinations include:

* Highly active antiretroviral therapy (HAART) for HIV infection, which typically involves a combination of three or more antiretroviral drugs to suppress viral replication and prevent the development of drug resistance.
* Chemotherapy regimens for cancer treatment, where combinations of cytotoxic agents are used to target different stages of the cell cycle and increase the likelihood of tumor cell death.
* Fixed-dose combination products, such as those used in the treatment of hypertension or type 2 diabetes, which combine two or more active ingredients into a single formulation for ease of administration and improved adherence to therapy.

However, it's important to note that drug combinations can also increase the risk of adverse effects, drug-drug interactions, and medication errors. Therefore, careful consideration should be given to the selection of appropriate drugs, dosing regimens, and monitoring parameters when using drug combinations in clinical practice.

Drug hypersensitivity is an abnormal immune response to a medication or its metabolites. It is a type of adverse drug reaction that occurs in susceptible individuals, characterized by the activation of the immune system leading to inflammation and tissue damage. This reaction can range from mild symptoms such as skin rashes, hives, and itching to more severe reactions like anaphylaxis, which can be life-threatening.

Drug hypersensitivity reactions can be classified into two main types: immediate (or IgE-mediated) and delayed (or non-IgE-mediated). Immediate reactions occur within minutes to a few hours after taking the medication and are mediated by the release of histamine and other inflammatory mediators from mast cells and basophils. Delayed reactions, on the other hand, can take several days to develop and are caused by T-cell activation and subsequent cytokine release.

Common drugs that can cause hypersensitivity reactions include antibiotics (such as penicillins and sulfonamides), nonsteroidal anti-inflammatory drugs (NSAIDs), monoclonal antibodies, and chemotherapeutic agents. It is important to note that previous exposure to a medication does not always guarantee the development of hypersensitivity reactions, as they can also occur after the first administration in some cases.

The diagnosis of drug hypersensitivity involves a thorough medical history, physical examination, and sometimes skin or laboratory tests. Treatment typically includes avoiding the offending medication and managing symptoms with antihistamines, corticosteroids, or other medications as needed. In severe cases, emergency medical care may be required to treat anaphylaxis or other life-threatening reactions.

Prevalence, in medical terms, refers to the total number of people in a given population who have a particular disease or condition at a specific point in time, or over a specified period. It is typically expressed as a percentage or a ratio of the number of cases to the size of the population. Prevalence differs from incidence, which measures the number of new cases that develop during a certain period.

A "Drug Administration Schedule" refers to the plan for when and how a medication should be given to a patient. It includes details such as the dose, frequency (how often it should be taken), route (how it should be administered, such as orally, intravenously, etc.), and duration (how long it should be taken) of the medication. This schedule is often created and prescribed by healthcare professionals, such as doctors or pharmacists, to ensure that the medication is taken safely and effectively. It may also include instructions for missed doses or changes in the dosage.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

"Tropheryma" is a genus of bacteria that includes the species "Tropheryma whipplei," which is the causative agent of Whipple's disease, a rare systemic infection that primarily affects the small intestine. The bacteria are gram-positive, rod-shaped, and have a unique ability to survive and replicate within human host cells, contributing to their pathogenicity. Infection typically occurs through the ingestion of contaminated food or water, and symptoms can include diarrhea, abdominal pain, weight loss, and various other systemic manifestations.

In the context of medical laboratory reporting, "R factors" refer to a set of values that describe the resistance of certain bacteria to different antibiotics. These factors are typically reported as R1, R2, R3, and so on, where each R factor corresponds to a specific antibiotic or class of antibiotics.

An R factor value of "1" indicates susceptibility to the corresponding antibiotic, while an R factor value of "R" (or "R-", depending on the laboratory's reporting practices) indicates resistance. An intermediate category may also be reported as "I" or "I-", indicating that the bacterium is intermediately sensitive to the antibiotic in question.

It's important to note that R factors are just one piece of information used to guide clinical decision-making around antibiotic therapy, and should be interpreted in conjunction with other factors such as the patient's clinical presentation, the severity of their infection, and any relevant guidelines or recommendations from infectious disease specialists.

4-Aminobenzoic acid, also known as PABA or para-aminobenzoic acid, is an organic compound that is a type of aromatic amino carboxylic acid. It is a white, crystalline powder that is slightly soluble in water and more soluble in alcohol.

4-Aminobenzoic acid is not an essential amino acid for humans, but it is a component of the vitamin folic acid and is found in various foods such as meat, whole grains, and molasses. It has been used as a topical sunscreen due to its ability to absorb ultraviolet (UV) radiation, although its effectiveness as a sunscreen ingredient has been called into question in recent years.

In addition to its use in sunscreens, 4-aminobenzoic acid has been studied for its potential health benefits, including its possible role in protecting against UV-induced skin damage and its potential anti-inflammatory and analgesic effects. However, more research is needed to confirm these potential benefits and to determine the safety and effectiveness of 4-aminobenzoic acid as a dietary supplement or topical treatment.

"Shigella sonnei" is a medically recognized term that refers to a specific species of bacteria that can cause human illness. It's one of the four main species in the genus Shigella, and it's responsible for a significant portion of shigellosis cases worldwide.

Shigella sonnei is a gram-negative, facultative anaerobic, non-spore forming, rod-shaped bacterium that can be transmitted through the fecal-oral route, often via contaminated food or water. Once ingested, it can invade and infect the epithelial cells of the colon, leading to inflammation and diarrhea, which can range from mild to severe.

The infection caused by Shigella sonnei is known as shigellosis, and its symptoms may include abdominal cramps, fever, nausea, vomiting, and watery or bloody diarrhea. In some cases, it can lead to more serious complications such as dehydration, seizures, or hemolytic uremic syndrome (HUS), a type of kidney failure.

It's worth noting that Shigella sonnei is particularly concerning because it has developed resistance to multiple antibiotics, making treatment more challenging in some cases. Proper hygiene practices, such as handwashing and safe food handling, are crucial in preventing the spread of this bacterium.

Drug synergism is a pharmacological concept that refers to the interaction between two or more drugs, where the combined effect of the drugs is greater than the sum of their individual effects. This means that when these drugs are administered together, they produce an enhanced therapeutic response compared to when they are given separately.

Drug synergism can occur through various mechanisms, such as:

1. Pharmacodynamic synergism - When two or more drugs interact with the same target site in the body and enhance each other's effects.
2. Pharmacokinetic synergism - When one drug affects the metabolism, absorption, distribution, or excretion of another drug, leading to an increased concentration of the second drug in the body and enhanced therapeutic effect.
3. Physiochemical synergism - When two drugs interact physically, such as when one drug enhances the solubility or permeability of another drug, leading to improved absorption and bioavailability.

It is important to note that while drug synergism can result in enhanced therapeutic effects, it can also increase the risk of adverse reactions and toxicity. Therefore, healthcare providers must carefully consider the potential benefits and risks when prescribing combinations of drugs with known or potential synergistic effects.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Shigella is a genus of Gram-negative, facultatively anaerobic, rod-shaped bacteria that are primarily responsible for causing shigellosis, also known as bacillary dysentery. These pathogens are highly infectious and can cause severe gastrointestinal illness in humans through the consumption of contaminated food or water, or direct contact with an infected person's feces.

There are four main species of Shigella: S. dysenteriae, S. flexneri, S. boydii, and S. sonnei. Each species has distinct serotypes that differ in their epidemiology, clinical presentation, and antibiotic susceptibility patterns. The severity of shigellosis can range from mild diarrhea to severe dysentery with abdominal cramps, fever, and tenesmus (the strong, frequent urge to defecate). In some cases, Shigella infections may lead to complications such as bacteremia, seizures, or hemolytic uremic syndrome.

Preventive measures include maintaining good personal hygiene, proper food handling and preparation, access to clean water, and adequate sanitation facilities. Antibiotic treatment is generally recommended for severe cases of shigellosis, but the emergence of antibiotic-resistant strains has become a growing concern in recent years.

Genetic conjugation is a type of genetic transfer that occurs between bacterial cells. It involves the process of one bacterium (the donor) transferring a piece of its DNA to another bacterium (the recipient) through direct contact or via a bridge-like connection called a pilus. This transferred DNA may contain genes that provide the recipient cell with new traits, such as antibiotic resistance or virulence factors, which can make the bacteria more harmful or difficult to treat. Genetic conjugation is an important mechanism for the spread of antibiotic resistance and other traits among bacterial populations.

Nocardia infections are caused by Nocardia species, a type of gram-positive, aerobic, filamentous bacteria that can be found in soil, dust, and decaying vegetation. These infections primarily affect the lungs (pulmonary nocardiosis) when the bacteria are inhaled but can also spread to other parts of the body, causing disseminated nocardiosis. People with weakened immune systems, such as those with HIV/AIDS, organ transplants, or long-term steroid use, are at a higher risk of developing Nocardia infections. Symptoms vary depending on the site of infection and may include cough, chest pain, shortness of breath, skin abscesses, brain abscesses, or joint inflammation. Diagnosis typically involves microbiological culture and identification of the bacteria from clinical samples, while treatment usually consists of long-term antibiotic therapy, often involving multiple drugs.

Dihydropteroate synthase is a bacterial enzyme that plays a crucial role in the synthesis of folate, an essential nutrient for many organisms, including bacteria. The enzyme catalyzes the reaction between pteridine and para-aminobenzoic acid (pABA) to form dihydropteroate, which is then converted into folate.

Inhibition of this enzyme by drugs such as sulfonamides has been a successful strategy for developing antibiotics that target bacterial folate synthesis while sparing the host's metabolism. This makes dihydropteroate synthase an important target in the development of antimicrobial therapies.

Whipple disease is a rare, systemic disorder caused by the bacterium Tropheryma whipplei. The condition primarily affects the gastrointestinal (GI) tract, leading to malabsorption and various digestive symptoms. The bacteria are ingested and then invade the small intestine's lining, where they disrupt nutrient absorption and cause widespread inflammation.

The classic symptoms of Whipple disease include diarrhea, weight loss, abdominal pain, and arthralgia or joint pain. Other possible manifestations may involve the cardiovascular system, central nervous system (CNS), lungs, kidneys, eyes, skin, and endocrine system.

The diagnosis of Whipple disease typically involves a combination of clinical symptoms, radiologic findings, and laboratory tests. The gold standard for diagnosing Whipple disease is the detection of Tropheryma whipplei in biopsy samples taken from the small intestine. This can be done through various methods such as polymerase chain reaction (PCR), immunohistochemistry, or electron microscopy.

Untreated Whipple disease can lead to severe complications and even be fatal. However, with appropriate antibiotic therapy, the prognosis is generally good. Long-term antibiotic treatment is typically required to ensure complete eradication of the bacteria and prevent relapses.

Sulfamethoxypyridazine is an antimicrobial agent, specifically a sulfonamide. It is defined as a synthetic antibacterial drug that contains a sulfanilamide moiety (a chemical compound with the formula RSO2NH2, where R is a generic term for any organic radical) combined with a pyridazine ring.

This medication works by inhibiting the growth of bacteria by preventing the synthesis of essential bacterial enzymes. It's primarily used to treat various infections caused by susceptible bacteria, such as urinary tract infections, middle ear infections, and certain respiratory infections.

As with all medications, it can have side effects, including gastrointestinal disturbances, skin rashes, and blood disorders. It's essential to use this medication under the supervision of a healthcare provider, as they can monitor for any potential adverse reactions and ensure the most appropriate use.

Tetracycline is a broad-spectrum antibiotic, which is used to treat various bacterial infections. It works by preventing the growth and multiplication of bacteria. It is a part of the tetracycline class of antibiotics, which also includes doxycycline, minocycline, and others.

Tetracycline is effective against a wide range of gram-positive and gram-negative bacteria, as well as some atypical organisms such as rickettsia, chlamydia, mycoplasma, and spirochetes. It is commonly used to treat respiratory infections, skin infections, urinary tract infections, sexually transmitted diseases, and other bacterial infections.

Tetracycline is available in various forms, including tablets, capsules, and liquid solutions. It should be taken orally with a full glass of water, and it is recommended to take it on an empty stomach, at least one hour before or two hours after meals. The drug can cause tooth discoloration in children under the age of 8, so it is generally not recommended for use in this population.

Like all antibiotics, tetracycline should be used only to treat bacterial infections and not viral infections, such as the common cold or flu. Overuse or misuse of antibiotics can lead to antibiotic resistance, which makes it harder to treat infections in the future.

Ampicillin is a penicillin-type antibiotic used to treat a wide range of bacterial infections. It works by interfering with the ability of bacteria to form cell walls, which are essential for their survival. This causes the bacterial cells to become unstable and eventually die.

The medical definition of Ampicillin is:

"A semi-synthetic penicillin antibiotic, derived from the Penicillium mold. It is used to treat a variety of infections caused by susceptible gram-positive and gram-negative bacteria. Ampicillin is effective against both aerobic and anaerobic organisms. It is commonly used to treat respiratory tract infections, urinary tract infections, meningitis, and endocarditis."

It's important to note that Ampicillin is not effective against infections caused by methicillin-resistant Staphylococcus aureus (MRSA) or other bacteria that have developed resistance to penicillins. Additionally, overuse of antibiotics like Ampicillin can lead to the development of antibiotic resistance, which is a significant public health concern.

Rifampin is an antibiotic medication that belongs to the class of drugs known as rifamycins. It works by inhibiting bacterial DNA-dependent RNA polymerase, thereby preventing bacterial growth and multiplication. Rifampin is used to treat a variety of infections caused by bacteria, including tuberculosis, Haemophilus influenzae, Neisseria meningitidis, and Legionella pneumophila. It is also used to prevent meningococcal disease in people who have been exposed to the bacteria.

Rifampin is available in various forms, including tablets, capsules, and injectable solutions. The medication is usually taken two to four times a day, depending on the type and severity of the infection being treated. Rifampin may be given alone or in combination with other antibiotics.

It is important to note that rifampin can interact with several other medications, including oral contraceptives, anticoagulants, and anti-seizure drugs, among others. Therefore, it is essential to inform your healthcare provider about all the medications you are taking before starting treatment with rifampin.

Rifampin may cause side effects such as nausea, vomiting, diarrhea, dizziness, headache, and changes in the color of urine, tears, sweat, and saliva to a reddish-orange color. These side effects are usually mild and go away on their own. However, if they persist or become bothersome, it is important to consult your healthcare provider.

In summary, rifampin is an antibiotic medication used to treat various bacterial infections and prevent meningococcal disease. It works by inhibiting bacterial DNA-dependent RNA polymerase, preventing bacterial growth and multiplication. Rifampin may interact with several other medications, and it can cause side effects such as nausea, vomiting, diarrhea, dizziness, headache, and changes in the color of body fluids.

Salmonella is a genus of rod-shaped, Gram-negative bacteria that are facultative anaerobes and are motile due to peritrichous flagella. They are non-spore forming and often have a single polar flagellum when grown in certain conditions. Salmonella species are important pathogens in humans and other animals, causing foodborne illnesses known as salmonellosis.

Salmonella can be found in the intestinal tracts of humans, birds, reptiles, and mammals. They can contaminate various foods, including meat, poultry, eggs, dairy products, and fresh produce. The bacteria can survive and multiply in a wide range of temperatures and environments, making them challenging to control completely.

Salmonella infection typically leads to gastroenteritis, characterized by symptoms such as diarrhea, abdominal cramps, fever, and vomiting. In some cases, the infection may spread beyond the intestines, leading to more severe complications like bacteremia (bacterial infection of the blood) or focal infections in various organs.

There are two main species of Salmonella: S. enterica and S. bongori. S. enterica is further divided into six subspecies and numerous serovars, with over 2,500 distinct serotypes identified to date. Some well-known Salmonella serovars include S. Typhi (causes typhoid fever), S. Paratyphi A, B, and C (cause paratyphoid fever), and S. Enteritidis and S. Typhimurium (common causes of foodborne salmonellosis).

"Pneumocystis" is a genus of fungi that are commonly found in the lungs of many mammals, including humans. The most well-known and studied species within this genus is "Pneumocystis jirovecii," which was previously known as "Pneumocystis carinii." This organism can cause a serious lung infection known as Pneumocystis pneumonia (PCP) in individuals with weakened immune systems, such as those with HIV/AIDS or who are undergoing immunosuppressive therapy.

It's worth noting that while "Pneumocystis" was once classified as a protozoan, it is now considered to be a fungus based on its genetic and biochemical characteristics.

Sulfonamides are a group of synthetic antibacterial drugs that contain the sulfonamide group (SO2NH2) in their chemical structure. They are bacteriostatic agents, meaning they inhibit bacterial growth rather than killing them outright. Sulfonamides work by preventing the bacteria from synthesizing folic acid, which is essential for their survival.

The first sulfonamide drug was introduced in the 1930s and since then, many different sulfonamides have been developed with varying chemical structures and pharmacological properties. They are used to treat a wide range of bacterial infections, including urinary tract infections, respiratory tract infections, skin and soft tissue infections, and ear infections.

Some common sulfonamide drugs include sulfisoxazole, sulfamethoxazole, and trimethoprim-sulfamethoxazole (a combination of a sulfonamide and another antibiotic called trimethoprim). While sulfonamides are generally safe and effective when used as directed, they can cause side effects such as rash, nausea, and allergic reactions. It is important to follow the prescribing physician's instructions carefully and to report any unusual symptoms or side effects promptly.

Megaloblasts are large, structurally abnormal immature red blood cells that appear in the bone marrow due to disorders in DNA synthesis, most commonly caused by deficiencies in folate or vitamin B12. They are characterized by an increased size, an oval or lobulated nucleus with condensed chromatin, and a cytoplasm filled with RNA and ribosomes. Megaloblasts can be found in megaloblastic anemias such as pernicious anemia and folate deficiency anemia. The presence of megaloblasts in the bone marrow is indicative of impaired maturation of red blood cells, which can lead to various hematological abnormalities.

Bacterial DNA refers to the genetic material found in bacteria. It is composed of a double-stranded helix containing four nucleotide bases - adenine (A), thymine (T), guanine (G), and cytosine (C) - that are linked together by phosphodiester bonds. The sequence of these bases in the DNA molecule carries the genetic information necessary for the growth, development, and reproduction of bacteria.

Bacterial DNA is circular in most bacterial species, although some have linear chromosomes. In addition to the main chromosome, many bacteria also contain small circular pieces of DNA called plasmids that can carry additional genes and provide resistance to antibiotics or other environmental stressors.

Unlike eukaryotic cells, which have their DNA enclosed within a nucleus, bacterial DNA is present in the cytoplasm of the cell, where it is in direct contact with the cell's metabolic machinery. This allows for rapid gene expression and regulation in response to changing environmental conditions.

Nocardia is a genus of aerobic, gram-positive, filamentous bacteria that can be found in soil, water, and decaying vegetation. It is known to cause various infectious diseases in humans and animals, known as nocardiosis. The infection often enters the body through inhalation, skin wounds, or surgical procedures. Nocardia species are opportunistic pathogens, meaning they mainly cause disease in individuals with weakened immune systems, such as those with HIV/AIDS, organ transplants, or cancer. The infection can affect various organs, including the lungs, brain, skin, and eyes, leading to symptoms like cough, fever, chest pain, weight loss, and skin abscesses. Proper diagnosis and treatment with antibiotics are crucial for managing nocardiosis.

Nalidixic acid is an antimicrobial agent, specifically a synthetic quinolone derivative. It is primarily used for the treatment of urinary tract infections caused by susceptible strains of gram-negative bacteria, such as Escherichia coli, Proteus mirabilis, and Klebsiella pneumoniae.

Nalidixic acid works by inhibiting bacterial DNA gyrase, an enzyme necessary for DNA replication. This leads to the prevention of DNA synthesis and ultimately results in bacterial cell death. However, its use has become limited due to the emergence of resistance and the availability of more effective antimicrobials.

It is essential to note that nalidixic acid is not typically used as a first-line treatment for urinary tract infections or any other type of infection. It should only be used when other antibiotics are not suitable due to resistance, allergies, or other factors. Additionally, the drug's potential side effects, such as gastrointestinal disturbances, headaches, and dizziness, may limit its use in some patients.

"Salmonella enterica" is a gram-negative, facultatively anaerobic bacterium that belongs to the family Enterobacteriaceae. It is a common cause of foodborne illnesses worldwide, often resulting in gastroenteritis, which is characterized by symptoms such as diarrhea, abdominal cramps, fever, and vomiting.

"Salmonella enterica" is further divided into several serovars or subspecies, with some of the most common ones causing human illness being Typhimurium and Enteritidis. These bacteria are typically transmitted to humans through contaminated food or water sources, such as raw or undercooked meat, poultry, eggs, and dairy products.

Once ingested, "Salmonella enterica" can colonize the gastrointestinal tract and release endotoxins that cause inflammation and damage to the intestinal lining. In some cases, the bacteria can spread to other parts of the body, leading to more severe and potentially life-threatening infections, particularly in individuals with weakened immune systems.

Preventing "Salmonella enterica" infections involves proper food handling and preparation practices, such as washing hands and surfaces thoroughly, cooking meats and eggs to appropriate temperatures, and avoiding cross-contamination between raw and cooked foods.

"Vibrio cholerae O1" is a specific serogroup of the bacterium Vibrio cholerae that is responsible for causing cholera, a diarrheal disease. The "O1" designation refers to the lipopolysaccharide (O) antigen present on the surface of the bacterial cell wall, which is used in the serological classification of Vibrio cholerae. This serogroup is further divided into two biotypes: classical and El Tor. The El Tor biotype has been responsible for the seventh pandemic of cholera that began in the late 1960s and continues to cause outbreaks in many parts of the world today.

The Vibrio cholerae O1 bacterium produces a potent enterotoxin called cholera toxin, which causes profuse watery diarrhea leading to rapid dehydration and electrolyte imbalance if left untreated. The infection is usually acquired through the ingestion of contaminated food or water. Preventive measures include improving access to safe drinking water, proper sanitation, and good hygiene practices.

Atovaquone is an antiprotozoal medication used for the treatment and prevention of certain parasitic infections. It works by inhibiting the mitochondria of the parasites, disrupting their energy production and ultimately leading to their death. Atovaquone is available as a oral suspension or coated tablets and is often prescribed for conditions such as Pneumocystis pneumonia (PCP), Toxoplasma gondii encephalitis, and babesiosis. It is also used for the prevention of PCP in people with weakened immune systems due to HIV/AIDS or other causes.

The medical definition of Atovaquone can be stated as:

"Atovaquone is an antiprotozoal medication (synthetic hydroxynaphthoquinone) that exhibits activity against a variety of protozoa, including Plasmodium falciparum (the parasite responsible for malaria), Pneumocystis jirovecii (the causative agent of PCP), Toxoplasma gondii, and Babesia microti. It is used primarily for the treatment and prevention of PCP in individuals with compromised immune systems, as well as for the treatment of babesiosis and toxoplasmosis."

Bacillary dysentery is a type of dysentery caused by the bacterium Shigella. It is characterized by the inflammation of the intestines, particularly the colon, resulting in diarrhea that may contain blood and mucus. The infection is typically spread through contaminated food or water, or close contact with an infected person. Symptoms usually appear within 1-4 days after exposure and can include abdominal cramps, fever, nausea, vomiting, and tenesmus (the strong, frequent urge to have a bowel movement). In severe cases, bacillary dysentery can lead to dehydration, electrolyte imbalance, and other complications. Treatment typically involves antibiotics to kill the bacteria, as well as fluid replacement to prevent dehydration.

Enterobacteriaceae are a large family of gram-negative bacteria that are commonly found in the human gut and surrounding environment. Infections caused by Enterobacteriaceae can occur when these bacteria enter parts of the body where they are not normally present, such as the bloodstream, urinary tract, or abdominal cavity.

Enterobacteriaceae infections can cause a range of symptoms depending on the site of infection. For example:

* Urinary tract infections (UTIs) caused by Enterobacteriaceae may cause symptoms such as frequent urination, pain or burning during urination, and lower abdominal pain.
* Bloodstream infections (bacteremia) caused by Enterobacteriaceae can cause fever, chills, and sepsis, a potentially life-threatening condition characterized by a whole-body inflammatory response to infection.
* Pneumonia caused by Enterobacteriaceae may cause cough, chest pain, and difficulty breathing.
* Intra-abdominal infections (such as appendicitis or diverticulitis) caused by Enterobacteriaceae can cause abdominal pain, fever, and changes in bowel habits.

Enterobacteriaceae infections are typically treated with antibiotics, but the increasing prevalence of antibiotic-resistant strains of these bacteria has made treatment more challenging in recent years. Preventing the spread of Enterobacteriaceae in healthcare settings and promoting good hygiene practices can help reduce the risk of infection.

Feces are the solid or semisolid remains of food that could not be digested or absorbed in the small intestine, along with bacteria and other waste products. After being stored in the colon, feces are eliminated from the body through the rectum and anus during defecation. Feces can vary in color, consistency, and odor depending on a person's diet, health status, and other factors.

Pulsed-field gel electrophoresis (PFGE) is a type of electrophoresis technique used in molecular biology to separate DNA molecules based on their size and conformation. In this method, the electric field is applied in varying directions, which allows for the separation of large DNA fragments that are difficult to separate using traditional gel electrophoresis methods.

The DNA sample is prepared by embedding it in a semi-solid matrix, such as agarose or polyacrylamide, and then subjected to an electric field that periodically changes direction. This causes the DNA molecules to reorient themselves in response to the changing electric field, which results in the separation of the DNA fragments based on their size and shape.

PFGE is a powerful tool for molecular biology research and has many applications, including the identification and characterization of bacterial pathogens, the analysis of genomic DNA, and the study of gene organization and regulation. It is also used in forensic science to analyze DNA evidence in criminal investigations.

A hapten is a small molecule that can elicit an immune response only when it is attached to a larger carrier protein. On its own, a hapten is too small to be recognized by the immune system as a foreign substance. However, when it binds to a carrier protein, it creates a new antigenic site that can be detected by the immune system. This process is known as haptenization.

Haptens are important in the study of immunology and allergies because they can cause an allergic response when they bind to proteins in the body. For example, certain chemicals found in cosmetics, drugs, or industrial products can act as haptens and trigger an allergic reaction when they come into contact with the skin or mucous membranes. The resulting immune response can cause symptoms such as rash, itching, or inflammation.

Haptens can also be used in the development of vaccines and diagnostic tests, where they are attached to carrier proteins to stimulate an immune response and produce specific antibodies that can be measured or used for therapy.

Cholera is an infectious disease caused by the bacterium Vibrio cholerae, which is usually transmitted through contaminated food or water. The main symptoms of cholera are profuse watery diarrhea, vomiting, and dehydration, which can lead to electrolyte imbalances, shock, and even death if left untreated. Cholera remains a significant public health concern in many parts of the world, particularly in areas with poor sanitation and hygiene. The disease is preventable through proper food handling, safe water supplies, and improved sanitation, as well as vaccination for those at high risk.

A Salmonella infection in animals refers to the presence and multiplication of Salmonella enterica bacteria in non-human animals, causing an infectious disease known as salmonellosis. Animals can become infected through direct contact with other infected animals or their feces, consuming contaminated food or water, or vertical transmission (from mother to offspring). Clinical signs vary among species but may include diarrhea, fever, vomiting, weight loss, and sepsis. In some cases, animals can be asymptomatic carriers, shedding the bacteria in their feces and acting as a source of infection for other animals and humans. Regular monitoring, biosecurity measures, and appropriate sanitation practices are crucial to prevent and control Salmonella infections in animals.

Bacterial infections are caused by the invasion and multiplication of bacteria in or on tissues of the body. These infections can range from mild, like a common cold, to severe, such as pneumonia, meningitis, or sepsis. The symptoms of a bacterial infection depend on the type of bacteria invading the body and the area of the body that is affected.

Bacteria are single-celled microorganisms that can live in many different environments, including in the human body. While some bacteria are beneficial to humans and help with digestion or protect against harmful pathogens, others can cause illness and disease. When bacteria invade the body, they can release toxins and other harmful substances that damage tissues and trigger an immune response.

Bacterial infections can be treated with antibiotics, which work by killing or inhibiting the growth of bacteria. However, it is important to note that misuse or overuse of antibiotics can lead to antibiotic resistance, making treatment more difficult. It is also essential to complete the full course of antibiotics as prescribed, even if symptoms improve, to ensure that all bacteria are eliminated and reduce the risk of recurrence or development of antibiotic resistance.

Culture media is a substance that is used to support the growth of microorganisms or cells in an artificial environment, such as a petri dish or test tube. It typically contains nutrients and other factors that are necessary for the growth and survival of the organisms being cultured. There are many different types of culture media, each with its own specific formulation and intended use. Some common examples include blood agar, which is used to culture bacteria; Sabouraud dextrose agar, which is used to culture fungi; and Eagle's minimum essential medium, which is used to culture animal cells.

A plasmid is a small, circular, double-stranded DNA molecule that is separate from the chromosomal DNA of a bacterium or other organism. Plasmids are typically not essential for the survival of the organism, but they can confer beneficial traits such as antibiotic resistance or the ability to degrade certain types of pollutants.

Plasmids are capable of replicating independently of the chromosomal DNA and can be transferred between bacteria through a process called conjugation. They often contain genes that provide resistance to antibiotics, heavy metals, and other environmental stressors. Plasmids have also been engineered for use in molecular biology as cloning vectors, allowing scientists to replicate and manipulate specific DNA sequences.

Plasmids are important tools in genetic engineering and biotechnology because they can be easily manipulated and transferred between organisms. They have been used to produce vaccines, diagnostic tests, and genetically modified organisms (GMOs) for various applications, including agriculture, medicine, and industry.

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Regardless, trimethoprim and sulfamethoxazole in combination has been used as an antibacterial agent for decades. Pyrimethamine ... However, resistance to trimethoprim and other drugs aimed at DHFR can arise due to a variety of mechanisms, limiting the ... BaDHFRs resistance to trimethoprim analogs is due to these two residues (F96 and Y102), which also confer improved kinetics ... Trimethoprim, an antibiotic, inhibits bacterial DHFR while methotrexate, a chemotherapy agent, inhibits mammalian DHFR. However ...
Categories: Trimethoprim-Sulfamethoxazole Combination Image Types: Photo, Illustrations, Video, Color, Black&White, ...
The recommended treatment is a combination of two antibiotics, trimethoprim-sulfamethoxazole, also known as Bactrim*, Septra*, ...
Other drugs tried in combination with rifampin include trimethoprim-sulfamethoxazole, minocycline, and fusidic acid. One study ... PO= orally; IV= intravenously; IM= intramuscularly; forte tablet = trimethoprim 160 mg plus sulfamethoxazole 800 mg; MRSA = ... PO= orally; IV= intravenously; IM= intramuscularly; forte tablet = trimethoprim 160 mg plus sulfamethoxazole 800 mg; MRSA = ... 101, 102] Data regarding the combination of linezolid with rifampin are lacking. The use of rifampin may be a concern in ...
antibiotic combination drugs such as trimethoprim-sulfamethoxazole (Septra, Bactrim) and erythromycin-sulfisoxazole (Eryzole, ...
Bactrim® (as a combination product containing Sulfamethoxazole, Trimethoprim)see Co-trimoxazole. *Bactrim® DS (as a combination ... Trimethoprim)see Co-trimoxazole. *Bactrim® Injection (as a combination product containing Sulfamethoxazole, Trimethoprim)see Co ... Brovex CB® (as a combination product containing Brompheniramine, Codeine)see Codeine. *Brovex D® (as a combination product ... Brontex® (as a combination product containing Codeine, Guaifenesin)see Codeine. *Brontuss DX® (as a combination product ...
CNS disease responds to a combination of rifampin and trimethoprim/sulfamethoxazole but may need prolonged therapy. The latter ... Macrolide antibiotics, such as erythromycin and azithromycin, and trimethoprim/sulfamethoxazole are also effective. ... Disease manifestations that are unusual or that do not occur naturally in a given geographic area, or combinations of unusual ... At least 1.5-2 years of therapy are required, usually with a combination of doxycycline and a fluoroquinolone, or doxycycline ...
A combination of doxycycline and trimethoprim/sulfamethoxazole for 21 days is the recommended first-line PEP regimen for RB51 ...
Antibiotics, such as the sulfa drug co-trimoxazole (a trimethoprim and sulfamethoxazole combination); anti-seizure medications ...
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Susan Gardlik , A Novel Fosfomycin-Trimethoprim-Sulfamethoxazole Combination Exhibits Marked In Vitro Antibacterial Synergy ... Theresa Hartsell , In-vitro Antibacterial Activity of a Fosfomycin-Trimethoprim-Sulfamethoxazole Combination Against a ... John Pace , A Novel Fosfomycin-Trimethoprim-Sulfamethoxazole Combination Exhibits Marked In Vitro Antibacterial Synergy Against ... Nicola Farrington , Murine Pharmacodynamics of Oral Avibactam Pro-Drug in Combination With Ceftibuten.. Poster #013 ...
The recommended treatment for infection with cyclospora is a combination of two antibiotics, trimethoprim-sulfamethoxazole, ... although to a lesser degree than trimethoprim-sulfamethoxazole. See your health care provider to discuss alternative treatment ...
... a combination of trimethoprim/sulfamethoxazole or a quinolone with clindamycin or metronidazole (Flagyl) can be used. A recent ... Children: 8 to 12 mg per kg per day (trimethoprim component) orally in 2 divided doses or IV in 4 divided doses ...
... trimethoprim-sulfamethoxazole or penicillin and gentamicin in combination) may be chosen empirically until results are received ... The filly was empirically treated with trimethoprim-sulfamethoxazole (30 mg/kg [13.6 mg/lb], PO, q 12 h) and cephapirin sodiumb ...
Sulfamethoxazole and trimethoprim is a combination antibiotic used to treat ear infections, urinary tract infections, ... You should not use this medicine if you are allergic to sulfamethoxazole or trimethoprim, or if you have:. May cause birth ... Sulfamethoxazole and trimethoprim is given in a vein. Be sure you understand how to properly mix this medicine with a liquid ( ... Sulfamethoxazole and trimethoprim could make you sunburn more easily. Avoid sunlight or tanning beds. Wear protective clothing ...
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The most commonly used antibiotics were rifampin, doxycycline and trimethoprim-sulfamethoxazole, in various combinations for at ... rifampicin and trimethoprim-sulfamethoxazole or doxycycline, streptomycin, trimethoprim-sulfamethoxazole and ceftriaxone. ... Antimicrobial therapy consisted of a combination of 3 to 4 agents used for treatment of brucellosis. The therapeutic regimens ...
Our patient was successfully treated with a combination of imipenem and trimethoprim-sulfamethoxazole, followed by monotherapy ... followed by 9 months of monotherapy with trimethoprim-sulfamethoxazole. Conclusion: Treatment of nocardiosis remains ... Our patient was successfully treated with a combination of imipenem and trimethoprim-sulfamethoxazole (15 mg kg−1 day−1) for 3 ... Our patient was successfully treated with a combination of imipenem and trimethoprim-sulfamethoxazole (15 mg kg−1 day−1) for 3 ...
A combination of doxycycline and trimethoprim/sulfamethoxazole for 21 days is the recommended first-line PEP regimen for RB51 ...
Trimethoprim-Sulfamethoxazole. A drug-drug interaction study evaluated the effect of the use of dapsone gel, 5% in combination ... Combination of ACZONE Gel, 7.5%, with trimethoprim/sulfamethoxazole (TMP/SMX) may increase the likelihood of hemolysis in ... trimethoprim-sulfamethoxazole (TMP/SMX). During co-administration, systemic levels of TMP and SMX were essentially unchanged, ...
Antibacterial combinations*Sulfonamides*Topical sulfonamides used in the treatment of dermatological diseases*Urinary anti- ... J01EE01 - Sulfamethoxazole and Trimethoprim. Pharmaceutical companies: manufacturers, researchers, developers, local ...
Bactrim (sulfamethoxazole and trimethoprim) is a combination of two antibiotics (a sulfa drug and a folic acid inhibitor) and ... Sulfamethoxazole / trimethoprim (Bactrim, Sulfatrim), a sulfa combination drug that can be taken in liquid or pill form for ... sulfonamide antibiotics, including sulfamethoxazole-trimethoprim (Bactrim, Septra) and erythromycin-sulfisoxazole (Eryzole, ... TMP-SMX has been the standard therapy for UTIs; patients with a sulfa allergy can take trimethoprim alone and achieve a similar ...
Sulfamethoxazole Drug Combination Trimethoprim Medicine & Life Sciences 91% * CD4 Lymphocyte Count Medicine & Life Sciences 83% ... Dive into the research topics of The complex relationship between CD4 count, HIV viral load, trimethoprim-sulfamethoxazole ... T1 - The complex relationship between CD4 count, HIV viral load, trimethoprim-sulfamethoxazole prophylaxis, and skin-and-soft- ... The complex relationship between CD4 count, HIV viral load, trimethoprim-sulfamethoxazole prophylaxis, and skin-and-soft-tissue ...
  • Treatment of experimental endocarditis due to methicillin-susceptible or methicillin-resistant Staphylococcus aureus with trimethoprim-sulfamethoxazole and antibiotics that inhibit cell wall synthesis. (nih.gov)
  • Treatment success rates for empiric therapy were compared among commonly prescribed antibiotics in our clinic: cephalexin, trimethoprim-sulfamethoxazole, and clindamycin. (nih.gov)
  • Antibiotics with activity against community-associated MRSA, such as trimethoprim-sulfamethoxazole and clindamycin, are preferred empiric therapy for outpatients with cellulitis in the community-associated MRSA-prevalent setting. (nih.gov)
  • Clinicians have begun to use alternative antibiotics, including trimethoprim-sulfamethoxazole (TMP-SMX) and clindamycin, as treatment options in outpatient settings because of their favorable in vitro activity, high oral bioavailability, and excellent tissue penetration. (jabfm.org)
  • The antibiotic medicine Bactrim is a combination of two different antibiotics. (thetopmedstore.com)
  • Sulfamethoxazole and trimethoprim are both antibiotics that treat different types of infection caused by bacteria. (thetopmedstore.com)
  • In patients with severe or widely spread lesions, systemic treatment is indicated , but long-term treatment with systemic antibiotics (eg, doxycycline, minocycline, clindamycin, trimethoprim-sulfamethoxazole, erythromycin in combination with metronidazole) often results in poor outcomes. (medscape.com)
  • Generic Bactrim Pills Generic Bactrim contains a combination of the antibiotics sulfamethoxazole and trimethoprim. (pde-5.com)
  • Trisul tablets 480mg contain cotrimoxazole, a combination of two antibiotics trimethoprim and sulfamethoxazole that block two consecutive steps in the biosynthetic pathway needed for bacterial DNA and protein synthesis. (inhousepharmacy.vu)
  • To reduce the development of drug-resistant bacteria and maintain the effectiveness of sulfamethoxazole and trimethoprim tablets and other antibacterial drugs, sulfamethoxazole and trimethoprim tablets should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria. (nih.gov)
  • It is followed by another antibiotic (such as trimethoprim - sulfamethoxazole ) taken by mouth for up to 1 year. (nih.gov)
  • Trimethoprim-sulfamethoxazole is a synthetic combination antibiotic. (medscape.com)
  • Sulfamethoxazole and trimethoprim combination is an antibiotic. (pharmatech-iq.com)
  • Trisul tablets 480mg are a combination antibiotic used to treat a variety of infections caused by susceptible bacteria in various parts of the body, when a single antibiotic has not eliminated the infection. (inhousepharmacy.vu)
  • The in vitro susceptibilities of 16 independent, geographically distinct clinical isolates of methicillin-resistant Staphylococcus aureus to trimethoprim (TMP) in combination with sulfamethoxazole (SMX) were evaluated. (nih.gov)
  • 100%), and 90% of isolates tested against trimethoprim-sulfamethoxazole (TMP-SMX) (117/ 130) were susceptible. (elsevierpure.com)
  • Trimethoprim-sulfamethoxazole (TMP-SMX) and clindamycin are often used as first-line treatment options, but clinical data are lacking. (jabfm.org)
  • Although methicillin-resistant S. aureus strains appear to be universally resistant to SMX, the combination TMP-SMX was found to be synergistic in vitro (in combination, the MICs of both drugs decreased 6- to 25-fold) as well as in vivo (5- to 6-fold reduction in TMP at 50% effective doses). (nih.gov)
  • In vitro synergy between sulfamethoxazole and trimethoprim on strains of Staphylococcus aureus sensitive and resistant to methicillin]. (nih.gov)
  • Trimethoprim is metabolized in vitro to 11 different metabolites, of which, five are glutathione adducts and six are oxidative metabolites, including the major metabolites, 1- and 3-oxides and the 3- and 4-hydroxy derivatives. (nih.gov)
  • In vitro studies suggest that trimethoprim is a substrate of P-glycoprotein, OCT1 and OCT2, and that sulfamethoxazole is not a substrate of P-glycoprotein. (nih.gov)
  • An evaluation of hyperkalemia and serum creatinine elevation associated with different dosage levels of outpatient trimethoprim-sulfamethoxazole with and without concomitant medications. (medscape.com)
  • BACKGROUND: Adverse events associated with high-dose trimethoprim-sulfamethoxazole (TMP-SMX) for outpatient infections, particularly those likely caused by community-acquired methicillin-resistant Staphylococcus aureus, have not been adequately characterized. (medscape.com)
  • Trimethoprim works by blocking the tetrahydrofolic acid production from dihydrofolic acid. (thetopmedstore.com)
  • Trimethoprim in Trisul tablets 480mg inhibits a specific bacterial enzyme called dihydrofolate reductase (DHFR) that converts dihydrofolic acid to tetrahydrofolic acid. (inhousepharmacy.vu)
  • Sulfamethoxazole and trimethoprim is rapidly absorbed following oral administration. (nih.gov)
  • Trimethoprim comes as a tablet to take by mouth. (nih.gov)
  • Bactrim is an antibacterial combination of trimethoprim and sulfamethoxazole that is used for the treatment of certain infections caused by bacteria. (khariddari.ru)
  • Trimethoprim-sulfamethoxazole (TMP-SMX) is one of the most widely drugs on earth. (elsevierpure.com)
  • Trimethoprim eliminates bacteria that cause urinary tract infections. (nih.gov)
  • Comparison of trimethoprim in combination with sulfadiazine or sulfamethoxazole in the treatment of urinary tract infections. (jpgmonline.com)
  • Virgin coconut oil protects against liver damage in albino rats challenged with the anti-folate combination, trimethoprim-sulfamethoxazole. (coconutoil.com)
  • These combined actions of trimethoprim and sulfamethoxazole block bacterial folate biosynthesis, needed for making nucleic acids and proteins, preventing replication of the bacteria by bacteriostasis, which limits the growth of the bacteria and stops the spread of infection. (inhousepharmacy.vu)
  • Sulfamethoxazole and trimethoprim is a synthetic antibacterial combination product available in DS (double strength) tablets, each containing 800 mg sulfamethoxazole and 160 mg trimethoprim for oral administration. (nih.gov)
  • Sulfamethoxazole and trimethoprim oral suspension is a synthetic antibacterial combination product available in a suspension for oral administration, with each teaspoonful (5 mL) containing 200 mg sulfamethoxazole and 40 mg trimethoprim. (drugs.com)
  • Both sulfamethoxazole and trimethoprim and the combination of sulfamethoxazole and trimethoprim and ketoconazole substantially reduced the overall incidence of infection consequent to a marked decrease in bacterial infection. (nih.gov)
  • Thirty percent of the total sulfonamide is excreted as free sulfamethoxazole, with the remaining as N 4 -acetylated metabolite. (nih.gov)
  • Sulfamethoxazole in Trisul tablets 480mg competes with para-aminobenzoic acid (PABA) which the bacterial cells use to make an important metabolite dihydrofolic acid. (inhousepharmacy.vu)
  • About 1-4 months treatment with trimethoprim-sulfamethoxazole and metronidazole, two cases were healed with hyperpigmented scar and two cases were improved but one case was not responded. (koreamed.org)
  • Urine concentrations of both sulfamethoxazole and trimethoprim are considerably higher than are the concentrations in the blood. (nih.gov)
  • Given that obesity is now a global "pandemic" it is vital that we evaluate the effect of obesity on trimethoprim-sulfamethoxazole concentrations. (elsevierpure.com)
  • The toxicity of combinations of AZT (200 or 400 mg/kg), TMP/SMX (1,000, 2,000, or 3,000 mg/kg), and folinic acid (10 mg/kg) was evaluated in Swiss (CD-1 ® ) mice treated by oral gavage. (nih.gov)
  • One of the components, Sulfamethoxazole holds back bacterial synthesis of dihydrofolic acid by competing with para-aminobenzoic acid. (thetopmedstore.com)
  • Treatment of the patient who is more ill or the patient with CF often requires intravenous anti- Pseudomonas species coverage with an aminoglycoside, most often in combination with an antipseudomonal synthetic penicillin or cephalosporin. (medscape.com)
  • The need for antimicrobials in the treatment of subacute sinusitis was evaluated in 96 afebrile children who were prescribed antimicrobial (amoxicillin, amoxicillin clavulanate potassium, or trimethoprim-sulfamethoxazole) or no antimicrobial medication in addition to a decongestant and saline nasal spray for 3 weeks. (nih.gov)
  • Treatment of acute falciparum malaria with sulfalene and trimethoprim. (ajtmh.org)
  • Trimethoprim-sulfamethoxazole treatment was unsuccessful. (medscape.com)
  • A combination of doxycycline and trimethoprim/sulfamethoxazole for 21 days is the recommended first-line PEP regimen for RB51 exposure. (cdc.gov)
  • It is composed of a combination of two ingredients Sulfamethoxazole and Trimethoprim. (thetopmedstore.com)
  • in tablets, each containing 400 mg sulfamethoxazole and 80 mg trimethoprim for oral administration. (nih.gov)
  • What is sulfamethoxazole trimethoprim 800 160 mg used for?HOW SUPPLIED SULFAMETHOXAZOLE AND TRIMETHOPRIM Tablets USP, 400 mg/80 mg are white to off-white circular, beveled edge uncoated tablets, debossed with "H 48" on one side and deep break line on the other side. (adamantas.it)
  • trimethoprim does not influence the protein binding of sulfamethoxazole. (nih.gov)
  • In a comparative study of infection prophylaxis, patients with acute leukemia receiving remission induction therapy were assigned either no prophylaxis, sulfamethoxazole and trimethoprim, ketoconazole, or the combination of sulfamethoxazole and trimethoprim and ketoconazole. (nih.gov)
  • Trimethoprim/sulfamethoxazole plus ketoconazole prophylaxis in acute leukemia. (nih.gov)
  • Colistin and trimethoprim-sulfamethoxazole for the prevention of infection in patients with acute non-lymphocytic leukaemia. (nih.gov)
  • P. falciparum cross-resistance between trimethoprim and pyrimethamine. (ajtmh.org)
  • IncN plasmids conferred resistance to trimethoprim-sulfamethoxazole, and IncA/C plasmids conferred resistance to gentamicin. (fujita-hu.ac.jp)
  • This antibiotic's medication is combination of Sulfamethoxazole and Trimethoprim. (thetopmedstore.com)
  • The most commonly prescribed medicine for UTI is Bactrim, which is a combination of (sulfamethoxazole/trimethoprim). (exactlyhowlong.com)
  • Sulfamethoxazole is metabolized in humans to at least 5 metabolites: the N 4 -acetyl-, N 4 -hydroxy-, 5-methylhydroxy-, N 4 -acetyl-5-methylhydroxy- sulfamethoxazole metabolites, and an N-glucuronide conjugate. (nih.gov)
  • Trimethoprim-sulfamethoxazole (TMP-SMX) is a combination frequently used to treat urinary tract and respiratory infections. (tataaig.com)
  • trimethoprim (80mg) and sulfamethoxazole (400mg) that are used in combination to treat a range of bacterial infections. (inhousepharmacy.vu)
  • Detectable amounts of sulfamethoxazole and trimethoprim are present in the blood 24 hours after drug administration. (nih.gov)
  • During administration of 800 mg sulfamethoxazole and 160 mg trimethoprim b.i.d., the mean steady-state plasma concentration of trimethoprim was 1.72 mcg/mL. (nih.gov)
  • During administration of 800 mg sulfamethoxazole and 160 mg trimethoprim b.i.d., the mean steady-state plasma concentration of trimethoprim was 1.72 μg/mL. (drugs.com)
  • The free forms of sulfamethoxazole and trimethoprim are considered to be the therapeutically active forms. (nih.gov)
  • This combination of active components works by blocking the formation of enzymes. (thetopmedstore.com)
  • Tip: Search for the imprint first, then refine by color and/or shape if you have too many results.See full list on rxlist.com Pill with imprint IP 272 is White, Oval and has been identified as Sulfamethoxazole and trimethoprim DS 800 mg / 160 mg. (adamantas.it)
  • The steady-state mean plasma levels of free and total sulfamethoxazole were 57.4 mcg/mL and 68 mcg/mL, respectively. (nih.gov)
  • The steady-state mean plasma levels of free and total sulfamethoxazole were 57.4 μg/mL and 68.0 μg/mL, respectively. (drugs.com)
  • A simulation conducted with data from a pharmacokinetic study in 153 infants and children demonstrated that mean steady state AUC and maximum plasma concentration of trimethoprim and sulfamethoxazole would be comparable between pediatric patients 2 months to 18 years receiving 8/40 (trimethoprim/ sulfamethoxazole) mg/kg/day divided every 12 hours and adult patients receiving 320/1600 (trimethoprim/ sulfamethoxazole) mg/day. (nih.gov)

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