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  • 1
    ISSN: 1437-7780
    Keywords: endogenous infection ; burn ; bacterial translocation ; Pseudomonas aeruginosa
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The significance of intestinalPseudomonas aeruginosa as a pathogen of post-burn infection in mice was established. Mice with and withoutP. aeruginosa intestinal colonization were scorched with a deep dermal burn by ethanol flame on the shaven back, involving approximately 25% of the total body surface area. Eight hours later,P. aeruginosa of a serotype similar to that previously administered (per os) was detected in the burn site, liver, and spleen ofP. aeruginosa-treated, but not the control, animals. Within three post-burn days, 33.3% of theP. aeruginosa-treated, burned mice died of infection-derived sepsis, whereas none of the control mice died. In addition, when the orally nonabsorbable antibiotics, polymyxin B (12 mg/kg) and vancomycin (30 mg/kg), were administered by intragastric injection toP. aeruginosa-treated mice immediately after burn exposure, the mortality rate significantly decreased to 16.1±6.1% compared with 35.0±5.0% in similarly colonized, burned mice not given these oral antibiotics (P〈0.05). These findings suggest thatP. aeruginosa colonized in the intestinal tract is noxious and can be fatal as a pathogen of post-burn infection. Furthermore, our report suggests that selective digestive decontamination (decontamination of endogenous pathogens in the intestinal tract) is essential in preventing post-burn infection associated with bacterial translocation.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1437-7780
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We investigated the influences of carrageenan, generally known to be a selective cytotoxic agent for macrophages, on the antibacterial host-defense systems such as the chemotactic responses to heat-killed bacteria or lipopolysaccharide in the pleural cavity and interleukin-1 production by pleural macrophages. Twenty-four hours after intraperitoneal injection of 200 mg/kg of carrageenan, there were no significant differences in the total and differential cell counts in lavaged fluid from the pleural cavity in carrageenan-pretreated and control mice. After intrapleural injection of heat-killedKlebsiella pneumoniae DT-S or lipopolysaccharide of this strain, significantly greater amounts of leukocytes, predominantly neutrophils, accumulated at 24 hrs in the pleural cavity of carrageenan-pretreated mice compared with control mice (P〈0.05). Pleural macrophages obtained from carrageenan-pretreated mice produced more interleukin-1 in response to heat-killedK. pneumoniae DT-S or lipopolysaccharide than the control. Pretreatment with carrageenan significantly prolonged survival of mice against intrapleural challenge withK. pneumoniae DT-S. All 13 control mice died within 48 of inoculation with 9.2×106 organisms per mouse, whereas 11 of 13 carrageenan-pretreated mice survived (P〈0.001). These results indicate that carrageenan pretreatment enhances the chemotactic responses to bacterial lipopolysaccharide in the pleural cavity and interleukin-1 production by pleural macrophages. In some experimental conditions, this polysaccharide may act as a macrophage priming agent, instead of macrophage blocker.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1437-7780
    Keywords: Streptococcus pneumoniae ; Penicillin-resistant ; CBA/J mice ; pneumonia ; β-lactams
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We compared the therapeutic efficacies of penicillin G (PCG), cefotaxime (CTX), and imipenem/cilastatin (IPM/CS) against penicillin-resistantStreptococcus pneumoniae pneumonia in CBA/J mice. In pneumonia induced by strain TUH39 (PCG MIC; 0.063 μg/mL), eight 2.5 mg/kg doses of PCG administered at 1.5 hour intervals beginning 36 hours after infection reduced the number of bacteria in the lungs below the limit of detection. In contrast, a similar regimen failed to lower the number of organisms following infection with strain TUM741 (PCG MIC; 1 μg/mL); however, PCG doses of 8 × 10 and 8 × 40 mg/kg reduced bacterial numbers in a dose-dependent manner. CTX (MIC; 0.5 μg/mL) and IPM/CS (MIC; 0.125 μg/mL) at 6 × 40 mg/kg were more effective than PCG at the same dose against strain TUM741 pneumonia; these antibiotics eradicated bacteria in lungs of 2 out of 5 and 5 out of 5 mice, respectively. In accord with the pulmonary clearance results, survival of mice treated with PCG (6 × 40 and 6 × 160 mg/kg), CTX (6 × 40 mg/kg) and IPM/CS (6 × 40 mg/kg) were 30%, 80%, 40% and 100%, respectively. Pharmacokinetic analysis in lungs revealed that IPM/CS was superior to CTX and PCG in several parameters. These results demonstrate therapeutic responses to CTX, IPM/CS and high-dose PCG in a CBA/J mouse model of penicillin-resistant pneumococcal pneumonia. Results with IPM/CS were particularly favorable, suggesting this antibiotic combination as a potential first-line treatment for penicillin-resistantS. pneumoniae pneumonia.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1437-7780
    Keywords: DU6859a ; injectable drug ; antibacterial activity ; efficacy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract DU6859a was evaluated for its in vitro and in vivo antibacterial activities in comparison with those of imipenem, meropenem, cefpirome, vancomycin, gentamicin, ciprofloxacin and levofloxacin. DU6859a had activity comparable to that of imipenem against methicillin-susceptible staphylococci and penicillin-susceptible and-resistantStreptococcus pneumoniae, with MICs at which 90% of strains tested are inhibited (MIC90)≤0.063μg/mL. Against methicillin-resistant staphylococci and enterococci, DU6859a was as active as vancomycin and more active than other drugs tested, with MIC90s ranging from 1 to 4 μg/mL. DU6859a was as active as ciprofloxacin and more active than other drugs tested against imipenem-resistantPseudomonas aeruginosa. Differences in activity between DU6859a and reference drugs against ciprofloxacin-resistant and gentamicin-resistantP. aeruginosa were particularly striking. The in vivo efficacy of subcutaneous injections of DU6859a against experimental septicemia, respiratory and pyelonephritic infections caused by gram-positive and-negative bacteria, including methicillin-resistantStaphylococcus aureus and imipenem-resistantP. aeruginosa, reflected its potent in vitro activity.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1437-7780
    Keywords: Key wordsP. aeruginosa ; Macrolides ; Protein synthesis ; Virulence ; Stress responses
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Recently we have reported that sub-minimum inhibitory concentrations (MICs) of macrolide antibiotics, such as erythromycin, clarithromycin, and azithromycin, induce loss of viability of Pseudomonas aeruginosa with longer incubation periods. In the present study we examined the effects of sub-MICs of macrolide antibiotics on protein synthesis and the expression of heat shock proteins (Gro-EL) in P. aeruginosa and the association of these factors with the viability of P. aeruginosa. In seven strains of P. aeruginosa clinical isolates, inhibition of protein synthesis was generally observed in bacteria grown on agar with sub-MIC azithromycin (8 μg/ml) at 24 h, and this was followed by loss of viability after an additional 24-h incubation. The inhibition of protein synthesis was shown in bacteria treated with sub-MICs of erythromycin and clarithromycin, but not with sub-MICs of other antibiotics examined (josamycin, tobramycin, ofloxacin, clindamycin, and ceftazidime) even at relatively high sub-MICs. In the heat shock condition (45°C), strong expression of the heat shock protein Gro-EL was induced in bacteria grown on antibiotic-free medium, whereas there was a delay of such a response in bacteria exposed to 4 μg/ml of azithromycin. Reflecting these results, an abrupt reduction of viability in azithromycin-treated bacteria was observed within 3 h in the heat shock condition. Western blot analysis, using specific antibody for Gro-EL, demonstrated that erythromycin, clarithromycin, and azithromycin, at concentrations of 0.5–2 μg/ml, inhibited the expression of lower-molecular weight Gro-EL bands in the constitutive state. These results indicated that macrolides, at concentrations far below the MICs, suppressed protein synthesis in P. aeruginosa, an effect which may be associated with the inhibition of P. aeruginosa virulence and its loss of viability with longer incubation. Moreover, it is likely that the macrolides may sensitize bacteria to stresses, as these antibiotics induced alterations in a major stress protein, Gro-EL, in constitutive and inducible states.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Journal of infection and chemotherapy 2 (1996), S. 240-246 
    ISSN: 1437-7780
    Keywords: burn ; sepsis ; motility ; Pseudomonas aeruginosa
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We investigated the relationship between bacterial motility and the lethal endogenous sepsis after burn in mice orally challenged withPseudomonas aeruginosa, by using motility mutants. The mortality rates of postburn endogenous sepsis in mice orally challenged with low-motility mutants (strains B16–40 and B16–46) were 12% and 7.7%, respectively. By contrast, the mortality rates in mice who had been fed a high-motility mutant (B16–52) or the parentalP. aeruginosa B16 (a high-motility strain) were 36% and 33%, respectively. Significant differences were found for mortality rates in groups fed the high-motility or lowmotility strains. A multiple regression analysis examining the effect of motility, number of cecalP. aeruginosa cells, and production of exotoxin A and total protease on the murine mortality rates associated with the 3 motility mutants and the parental strain showed a linear relationship between murine mortality and bacterial motility. In addition, when human monoclonal antibody specific for type-b flagella proteins ofP. aeruginosa was intravenously administrated to mice orally challenged withP. aeruginosa B16, the mortality rate significantly decreased to 5.6%, compared with 33% in similar mice given intravenous saline. These results suggest that the occurrence of the lethal endogenous sepsis after burn in mice was closely related to the motility of theP. aeruginosa colonized in their intestinal tract, and that motility is an important virulence factor in endogenousP. aeruginosa sepsis after burn injury.
    Type of Medium: Electronic Resource
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