TY - JOUR. T1 - Randomized, open-label trial of azithromycin plus ethambutol vs. clarithromycin plus ethambutol as therapy for Mycobacterium avium complex bacteremia in patients with human immunodeficiency virus infection. AU - Ward, Thomas T.. AU - Rimland, David. AU - Kauffman, Carol. AU - Huycke, Mark. AU - Evans, Thomas G.. AU - Heifets, Leonid. N1 - Funding Information: Received 8 January 1998; revised 15 July 1998. This work was presented in part at the 34th annual meeting of the Infectious Diseases Society of America held in New Orleans on 18-20 September 1996. Grant support: This work was supported by Abbott Laboratories and Pfizer Central Research. * Members of the Veterans Affairs HIV Research Consortium who contributed to the study are listed at the end of the text. Reprints or correspondence: Dr. T. T. Ward, Infectious Disease Section (3P-1D), Veterans Affairs Medical Center, 3710 U.S. Veterans Road, Portland, Oregon 97201.. PY - 1998/11. Y1 - 1998/11. N2 - Disseminated Mycobacterium ...
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Ethambutol (EMB) is routinely used as an anti-mycobacterial agent, especially in the treatment of tuberculosis. However, EMB can cause vision impairment, ethambutol-induced optic neuropathy (EON), in 1%-5% of patients [1]. Some patients have suffered irreversible vision loss [2,3]. It has been suggested that the cause of EON might be associated with disturbance of the optic nerve that is induced by EMB via an excitotoxicity pathway [4-9]. However, the toxic effects of EMB on retinal cells were also highlighted in recent studies [10-13]. For example, one clinical study that used multifocal electroretinography (mfERG) to examine EON patients suggested that the visual dysfunction might be entirely attributable to toxicity of the retina rather than optic nerve [11]. Another study demonstrated an obvious retinal abnormality in EON patients, including retinal pigment epithelial change, macular edema, and flame-shaped hemorrhages consistent with abnormal ERG findings [13]. Moreover, it was reported ...
Ethambutol (EMB) is an antibiotic used to treat infection by Mycobacterium species, particularly Mycobacterium tuberculosis and non- tubercular infections like M. avium complex and M. kansasii. EMB in combination with other medications is a commonly prescribed regimen for tuberculosis. Unfortunately, one serious and vision threatening side effect of EMB is ethambutol-induced optic neuropathy (EON). [1] Less common side effects of EMB include peripheral neuropathy, cutaneous reactions, thrombocytopenia, and hepatitis. [2] This eyewiki chapter is focused on EON.
Ethambutol (EMB) is an antibiotic used to treat infection by Mycobacterium species, particularly Mycobacterium tuberculosis and non- tubercular infections like M. avium complex and M. kansasii. EMB in combination with other medications is a commonly prescribed regimen for tuberculosis. Unfortunately, one serious and vision threatening side effect of EMB is ethambutol-induced optic neuropathy (EON). [1] Less common side effects of EMB include peripheral neuropathy, cutaneous reactions, thrombocytopenia, and hepatitis. [2] This eyewiki chapter is focused on EON.
PRIMARY: To assess the tolerability of the combination regimen of clarithromycin plus ethambutol with or without clofazimine in patients with disseminated Mycobacterium avium Complex (dMAC).. SECONDARY: To determine the proportion of patients achieving a sterile blood culture along with the time required to achieve it. To determine the duration of bacteriological response, defined as length of time that blood cultures remain sterile. ...
BioAssay record AID 540903 submitted by ChEMBL: Antibacterial activity against HYG cassette-negative EMB-resistant Mycobacterium tuberculosis Rv44 harboring embB M306I mutant gene by modified conventional agar proportion method.
The arabinosyltransferases are the target of the drug ethambutol, which is used to inhibit the proliferation of Mycobacterium tuberculosis. Resistance to ethambutol can occur when the emb proteins, which encode the arabinosyltransferases, are overexpressed.. ...
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We performed spoligotyping on 114 strains of the Mycobacterium tuberculosis (Mtb) complex that had been isolated from patients in Minas Gerais Health Units
ConclusionResistance to first-line TB drugs is higher in extra-pulmonary TB isolates than pulmonary isolates. Nearly one-fourth of all M. tuberculosis clinical strains were resistant to the antibiotics tested in mono-resistant or multi-resistant manners. Women had greater resistance to TB drug ethambutol as compared to men. Meanwhile, extra-pulmonary TB specimens, specifically that from tissu...
Semantic Scholar extracted view of [The effects of antituberculous drugs on the catalase-activities of sensitive and resistant strains of human type tubercle bacilli]. by Yoshio Nakano
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Background: With few exceptions, existing tuberculosis drugs were developed many years ago and resistance profiles have emerged. This has created a need for
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Recommendations have been issued for AIDS patients with disseminated MAC to be treated with at least two antimycobacterial agents and for every regimen to include a macrolide (clarithromycin or azithromycin). However, the optimal treatment for disseminated MAC remains unknown.. Patients are randomized to receive clarithromycin at one of two doses plus ethambutol and either rifabutin or clofazimine. Patients are followed at 1, 2, and 4 months and every 4 months thereafter for a minimum of 1.5 years to a common closing date. ...
Early detection of resistance to second-line anti-tuberculosis drugs is important for the management of multidrug-resistant (MDR)-TB. The Genotype® MTBDRsl VERSION 2.0 (VER 2.0) line probe assay has been redesigned for molecular detection of resistance-conferring mutations of fluoroquinolones (FLQ) (gyrA and gyrB genes) and second-line injectable drugs (SLID) (rrs and eis genes). The study evaluated the diagnostic performance of MTBDRsl VER 2.0 for the detection of second-line drug resistance compared with phenotypic drug susceptibility testing (DST), using the Bactec™ MGIT 960 system on Mycobacterium tuberculosis complex isolates from South Africa. A total of 268 repository isolates collected between 2012 and 2014, with rifampicin -mono-resistant (RR) or MDR based on DST were selected. MTBDRsl VER 2.0 testing was performed on these isolates and results analysed. The MTBDRsl VER 2.0 sensitivity and specificity indices for culture isolates were; FLQ 100% (95% CI, 95.8-100%) ; 98.9% (95% CI, ...
J Glob Antimicrob Resist. 2021 Mar 28:S2213-7165(21)00081-3. doi: 10.1016/j.jgar.2021.03.015. Online ahead of print.. ABSTRACT. OBJECTIVES: New antituberculosis agents active on drug-resistant and nonreplicating tubercle bacilli remain an unmet medical obligation. We, therefore, evaluated a previously identified hit 2-(((2-hydroxyphenyl)amino) methylene)-5,5-dimethylcyclohexane-1,3-dione (PAMCHD) against a panel of clinical Mycobacterium tuberculosis isolates including multidrug-resistant (MDR) strains and against nonreplicating drug-tolerant persisters of M. tuberculosis H37Rv.. METHODS: potential against drug-resistant isolates of M.tuberculosis was investigated by broth dilution assay. CFU enumeration was done to determine the activity of PAMCHD against five kinds of dormant bacilli.. RESULTS: No significant difference in MICs of PAMCHD was observed against M .tuberculosis H37Rv (2.5-5 µg/mL) and eight drug-susceptible strains (1.25-5 µg/mL) as well as drug-resistant strains including six ...
To estimate the prevalence of extensively drug-resistant tuberculosis (XDR TB) in China, we retrospectively analyzed drug-resistance profiles of 989 clinical Mycobacterium tuberculosis isolates. We found 319 (32.3%) isolates resistant to ≥1 first-line drugs; 107 (10.8%) isolates were multidrug resistant, of which 20 (18.7%) were XDR. XDR TB is of major concern in China ...
Purpose: : The purpose of this study was to investigate various visual function tests for early detection of ethambutol induced ocular toxicity. Methods: : A prospective study was conducted on 20 eyes of 10 patients under ethambutol treatment. Visual acuity, visual field, color vision, dilated fundus examination, contrast sensitivity, optical coherence tomography (OCT), and pattern-visual evoked potential (VEP) were assessed. Examinations were conducted prior to therapy and regularly each month through a 5 month period after the initial treatment. VEP assessments were carried out every other month. The mean values for each parameter from each month were compared to baseline examinations to determine differences; where a p-value of , 0.05 was considered significantly different. It was determined that changes in values for each parameter greater than 2 standard deviations (SD) from mean values at baseline were considered ocular toxicity-induced changes for each individual eye. Results: : Visual ...
Buy Etapiam Online! Etapiam is an antimycobacterial agent that is most commonly used in combination with other drugs in the treatment of tuberculosis. It is also used as part of a combination regimen in the therapy of Mycobacterium avium complex infections in patients with or without concomitant infection with HIV.
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Rifampicin Central is a medicine available in a number of countries worldwide. A list of US medications equivalent to Rifampicin Central is available on the Drugs.com website.
3550 NIEMANN ET AL. J. CLIN. MICROBIOL. 5. Cohen, T., and M. Murray. 2004. Modeling epidemics of multidrug-resistant 23. Mokrousov, I., T. Otten, B. Vyshnevskiy, and O. Narvskaya. 2002. Detection Mycobacterium tuberculosis of heterogeneous !tness. Nat. Med. 10:1117- of embB306 mutations in ethambutol-susceptible clinical isolates of Myco- 1121. bacterium tuberculosis from Northwestern Russia: implications for genotypic 6. Comas, I., S. Homolka, S. Niemann, and S. Gagneux. 2009. Genotyping of resistance testing. J. Clin. Microbiol. 40:3810-3813. genetically monomorphic bacteria: DNA sequencing in mycobacterium tu- 24. Mokrousov, I., T. Otten, T. Zozio, E. Turkin, V. Nazemtseva, A. Sheremet, B. berculosis highlights the limitations of current methodologies. PLoS One Vishnevsky, O. Narvskaya, and N. Rastogi. 2009. At Baltic crossroads: a 4:e7815. molecular snapshot of Mycobacterium tuberculosis population diversity in 7. Cox, H. S., S. Kalon, S. Allamuratova, V. Sizaire, Z. N. Tigay, S. Rusch- ...
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Corynebacterium glutamicum is used for the large-scale production of L-glutamate, but the efflux of this amino acid is poorly understood. This study shows that addition of ethambutol (EMB) to growing cultures of C. glutamicum causes L-glutamate efflux at rates of up to 15 nmol min(-1) (mg dry wt)(-1), whereas in the absence of EMB, no efflux occurs. EMB is used for the treatment of Mycobacterium tuberculosis, and at a molecular level it targets a series of arabinosyltransferases (EmbCAB). The single arabinosyltransferase-encoding emb gene of C. glutamicum was placed under the control of a Tet repressor (TetR). Experiments with this strain, as well as with an emb-overexpressing strain, coupled with biochemical analyses showed that: (i) emb expression was correlated with L-glutamate efflux, (ii) emb overexpression increased EMB resistance, (iii) EMB caused less arabinan deposition in cell wall arabinogalactan, and (iv) EMB caused a reduced content of cell-wall-bound mycolic acids. Thus EMB ...
Treatment of experimental murine Mycobacterium avium (MAC) infection with interleukin-12 (IL-12) significantly decreased MAC organisms in tissue but resulted in toxicity. Because IL-12-related toxicity was seen only in infected mice, IL-12 was combined with clarithromycin in an attempt to decrease bacterial burden. Clarithromycin (200 mg/kg/day) was administered alone to M. avium-infected mice for 1 week, and from week 2, IL-12 (20 microg/kg twice per week) was added to the regimen for 4 weeks. Treatment with IL-12 resulted in 60% mortality, compared with 40% mortality in untreated control mice and 20% when IL-12 was given with clarithromycin (P , .05). Clarithromycin plus IL-12 resulted in increased activity compared with either clarithromycin or IL-12 alone in reducing the number of bacteria in spleen and blood. Although potentially toxic, IL-12 is an effective immunotherapy for MAC infection, and combination with clarithromycin reduces IL-12 toxicity.. ...
Only the injected form of rifampin is available in a 600-mg strength. This brief eMedTV segment lists all the other forms and strengths of this drug. This article also discusses what rifampin is used for and how your dosage is determined.
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Mycobacterium avium Complex Infection answers are found in the Washington Manual of Medical Therapeutics powered by Unbound Medicine. Available for iPhone, iPad, Android, and Web.
does anyone have a mycobacterium avium complex infection?? Mine is in my lung and I have been on tuberculosis drugs for about 2 years.
Ethambutol (EMB) is an important component of multidrug treatment regimens for Mycobacterium avium complex lung disease. Ocular toxicity is the most important potential EMB toxicity, especially in the elderly population with M. avium complex lung disease. Two hundred twenty-nine patients with M. avi …
Antimycobacterial Drugs and Pharmacokinetics Conference scheduled on March 25-26, 2021 in March 2021 in Tokyo is for the researchers, scientists, scholars, engineers, academic, scientific and university practitioners to present research activities that might want to attend events, meetings, seminars, congresses, workshops, summit, and symposiums.
Background : Practice guidelines recommending Mycobacterium avium complex MAC prophylaxis for patients with HIV disease were based on clinical trials in which individuals did not receive protease inhibitors. Objective : To estimate the cost-effectiveness of strategies for MAC prophylaxis in patients whose treatment regimen includes protease...
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BioAssay record AID 562238 submitted by ChEMBL: Antimycobacterial activity against Mycobacterium smegmatis assessed as growth inhibition in mid-logarithmic phase by spectrophotometry.
Radiopaedia.org is a collaborative effort and anyone can contribute. Every revision counts. Learn more about contributing.. Each article also undergoes a sophisticated editorial process to ensure the high quality of Radiopaedia.org. Through open contributions by many different medical professionals, editorial oversight from our excellent editorial and expert review boards, and continual moderation, we can continue to provide the best, free radiology resource online. ...
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PubMedID: 26077251 | Population Modeling and Simulation Study of the Pharmacokinetics and Antituberculosis Pharmacodynamics of Isoniazid in Lungs. | Antimicrobial agents and chemotherapy | 9/1/2015
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Epidemiological contact tracing complemented with genotyping of clinical Mycobacterium tuberculosis isolates is important for understanding disease transmission. In Sweden, tuberculosis (TB) is mostly reported in migrant and homeless where epidemiologic contact tracing could pose a problem. This study compared epidemiologic linking with genotyping in a low burden country. Mycobacterium tuberculosis isolates (n = 93) collected at Scania University Hospital in Southern Sweden were analysed with the standard genotyping method mycobacterial interspersed repetitive units-variable number tandem repeats (MIRU-VNTR) and the results were compared with whole genome sequencing (WGS). Using a maximum of twelve single nucleotide polymorphisms (SNPs) as the upper threshold of genomic relatedness noted among hosts, we identified 18 clusters with WGS comprising 52 patients with overall pairwise genetic maximum distances ranging from zero to nine SNPs. MIRU-VNTR and WGS clustered the same isolates, although the ...
TY - JOUR. T1 - Aspergillus precipitating antibody in patients with Mycobacterium avium complex lung disease. T2 - A cross-sectional study. AU - Suzuki, Shoji. AU - Asakura, Takanori. AU - Namkoong, Ho. AU - Okamori, Satoshi. AU - Yagi, Kazuma. AU - Kamata, Hirofumi. AU - Uwamino, Yoshifumi. AU - Funatsu, Yohei. AU - Nakano, Yasushi. AU - Nishimura, Tomoyasu. AU - Ishii, Makoto. AU - Ebihara, Tamotsu. AU - Betsuyaku, Tomoko. AU - Hasegawa, Naoki. PY - 2018/5. Y1 - 2018/5. N2 - Rationale: Little is known about the role of Aspergillus precipitating antibody (APAb) in patients with Mycobacterium avium complex lung disease (MAC-LD). Objectives: We investigated the clinical characteristics of patients with MAC-LD positive for APAb. Methods: We conducted a cross-sectional study targeting patients with MAC-LD. APAb was checked in all participants. Clinical variables included laboratory data, pulmonary function, high-resolution computed tomography findings, and health-related quality of life. Results: ...
IN VITRO STUDY OF URSOLIC ACID COMBINATION FIRST-LINE ANTITUBERCULOSIS DRUGS AGAINST DRUG-SENSITIVE AND DRUG-RESISTANT STRAINS OF Mycobacterium tuberculosis
MAC Infection (Mycobacterium Avium Complex) Clinical Research Trial Listings in Immunology Pulmonary/Respiratory Diseases Hepatology (Liver, Pancreatic, Gall Bladder) Infections and Infectious Diseases on CenterWatch
Bibliography link: Eremeeva V.A., Eliseeva E.V., Maneeva E.S. Goncharova R.K. Analysis of the use of antituberculosis drugs in hospital // Pharmacoeconomics: theory and practice. - 2018. - Vol.6, №1. P.48 DOI: https://doi.org/10.30809/phe.1.2018.14 ...
216 smear/culture-positive RTP were identified, of which 75% were male and 18% were HIV positive. DST was available in 47 (21.8%) of RTP. MDR was identified in 19.1% of those with available DST, with streptomycin resistance seen in 21.3% and ethambutol resistance in 25.5%. Resistance was highest to isoniazid (48.9% in cultured retreatment patients, but 88.9% resistance seen the failed group). 86.3% of RTP were treated with the unmodified category 2. Mean length of therapy, regardless of treatment outcome was 6.9 months. Treatment success was achieved in 58.8% of RTP overall, with 6.5% failure and 14.8% all-cause mortality prior to the end of the prescribed treatment course. Relapse was documented in 10.9% of patients. The treatment success rate was 60.2%, 58.1% and 56.0% among RTP with relapse, initial treatment failure and defaulters, respectively ...
A genomic analysis of more than 5,000 clinical Mycobacterium tuberculosis strains from around the world sheds light on early signs of antibiotic resistance and suggests potential strategies to slow its progression.
Buy Amovin Online! Amovin is available as both a generic and brand-name drug. Generic drugs usually cost less than the brand-name version. Amovin is a prescription drug. Amovin may be used in combination with other antibiotics when its used to treat mycobacterium avium complex infection.
Via The Economic Times: Government to provide free tuberculosis drugs at all chemist shops and corporate hospitals. Excerpt: NEW DELHI: In a move to curb multi-drug resistant tuberculosis cases caused mostly because of irregular medication, the government has decided that...
The TB-ARC project is a massive international collaboration, bringing together researchers and data from several continents from across the globe. In an effort to identify the full complement of naturally occurring mutations responsible for drug resistance in clinical Mycobacterium tuberculosis, we sequenced over 1,800 geographically and phenotypically diverse isolates that
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A tuberculosis drug could be the basis for a class of broad-spectrum drugs that act against various bacteria, fungal infections and parasites.
Herin Mawarti, Mukhamad Rajin, Zulfikar Asumta Abstract Background: The present study was undertaken to investigate the hepatoprotective effect of Aloe vera against side effect of antituberculosis drug. Material and methods: Twenty-five rats will be divided into five groups, namely the control group (without any treatment), the group of rats treated with anti-tuberculosis drugs, and a [...]. ...
Buy Zithromax Online! Generic Zithromax is a high-class medication which is taken in treatment and termination of serious bacterial diseases such as STD (sexually transmitted disease), respiratory infections (bronchitis, lungs, throat or ears infections, pneumonia), skin infections. Generic Zithromax successfully wards off and terminate bacteria caused mycobacterium avium complex (MAC) infections in people having HIV. Children can take Generic Zithromax. Generic Zithromax works by controling, ward off and terminate bacteria.
From BioPortfolio: SummaryGujarat Themis Biosyn Ltd GTBL is a medicinal products company that develops, manufactures, and supplies antituberculosis drug. The company offers produc...
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Many studies have investigated the pharmacokinetics of anti-tuberculosis drugs in patients infected with tuberculosis. However, little is known about the pharmacokinetics of the drugs that are used in the treatment of ...
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