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1.
Microbiol Resour Announc ; 11(12): e0099122, 2022 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-36383002

RESUMO

Here, we report the complete genome sequence of Streptomyces albus strain INA 01303, which was isolated from the Salt Lake Tambukan (Russia). The genome consists of a linear 6,840,896-nucleotide chromosome. This strain is predicted to produce a range of novel secondary metabolites with antibiotic activity.

2.
Mol Biol (Mosk) ; 55(1): 164-176, 2021.
Artigo em Russo | MEDLINE | ID: mdl-33566035

RESUMO

Resistance developed to the majority of drugs used to treat infectious diseases warrants the design of new compounds effective against drug-resistant strains of pathogens. Recently, several groups of modified nucleosides have been synthesized and showed significant antibacterial activity in vitro, but their further studies were difficult to undertake because of their low solubility in aqueous solutions. Nevertheless, new compounds, well soluble in water-organic solutions, were synthesized and found to be more effective in inhibiting the growth of Gram-positive bacteria and mycobacteria. The water-soluble forms of modified nucleosides under study were assumed to be their depot forms. To check the assumption, the compounds were tested for hydrolysis in various media and their molecular docking was performed into the active center of the putative target, Mycobacterium tuberculosis flavin-dependent thymidylate synthase ThyX. Computer modelling showed that the water-soluble analogs do not act as ThyX inhibitors, supporting the assumption of their depot nature. The compounds were resistant to chemical hydrolysis but were hydrolyzed when incubated with porcine liver carboxylesterase, human serum, or Staphylococcus aureus 209P. The results demonstrate that the compounds are most likely depot forms of modified nucleosides.


Assuntos
Mycobacterium tuberculosis , Nucleosídeos , Animais , Antibacterianos/farmacologia , Glicóis , Humanos , Testes de Sensibilidade Microbiana , Simulação de Acoplamento Molecular , Nucleosídeos/farmacologia , Fosfatos , Suínos
3.
Acta Naturae ; 12(3): 34-45, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33173595

RESUMO

The spread of antibiotic resistance among pathogens represents a threat to human health around the world. In 2017, the World Health Organization published a list of 12 top-priority antibiotic-resistant pathogenic bacteria for which new effective antibiotics or new ways of treating the infections caused by them are needed. This review focuses on Acinetobacter baumannii, one of these top-priority pathogens. The pathogenic bacterium A. baumannii is one of the most frequently encountered infectious agents in the world; its clinically significant features include resistance to UV light, drying, disinfectants, and antibiotics. This review looks at the various attempts that have been made to tackle the problem of drug resistance relating to A. baumannii variants without the use of antibiotics. The potential of bacteriophages and antimicrobial peptides in the treatment of infections caused by A. baumannii in both planktonic and biofilm form is assessed. Such topics as research into the development of vaccines based on the outer membrane proteins of A. baumannii and the use of silver nanoparticles, as well as photodynamic and chelate therapy, are also covered.

4.
Mikrobiol Z ; 78(2): 61-73, 2016.
Artigo em Russo | MEDLINE | ID: mdl-30141597

RESUMO

Aim: Determination of the taxonomic status of the soil streptomycete Streptomyces sp. 100 and study of its antagonistic properties against phytopathogenic and opportunistic human microorganisms. Methods: For the identification of the strain a set of conventional methods morphological and cultural, physiological and biochemical characteristics of the producer, as well as molecular genetic analysis of 16S rRNA gene were used. Streptomycete was cultivated on agar nutrient and liquid soy medium until the stationary phase of growth. The antagonistic activity of the strain was studied by agar diffusion method. Results: The study of morphological and cultural properties showed that Streptomyces sp. 100 formed the colonies with irregular edges protruding from the depressed center, straight sporophores were short, gathered in whorls; spores were oval, smooth shell dispute. Growing on agar medium (pH 6.8-7.4, temperature 28 °C, microaerophilic conditions) this strain formed mycelium of various colors: the air white, white-yellow, white-brown or substrate tan, cream and yellow, creamy carmine, yellow-brown. A soluble pigment was yellow and yellow-brown, while melanoid pigment was not detected. The morphological, cultural, physiological, biochemical and molecular genetic characteristics of the soil streptomycete let to identify it as Streptomyces netropsis (Finlay et al., 1951) IMV Ac-5025 (UCM Ac-2186) that is an active antagonist IMV Ac-5025 against plant pathogens. Growing on a surface of agaric nutrient media it inhibits phytopathogenic bacteria (Xanthomonas axonopodis pv. glycines 8609, Pseudomonas savastanoi pv. glycinea 8571, P. syringae pv. coronafaciens 9030) and fungi (Alternaria alternata 16814, Fusarium оxysporum 54201) zone of growth inhibition were 20 - 32 mm and 16 - 30 mm respectively. The supernatant of culture medium and the ethanol extract of biomass inhibited the growth of pathogenic bacteria and fungi. The most sensitive to action of a supernatant of cultural liquid were P. syringae pv. atrofaciens 7886 and Clavibacter michiganensis ssp. michiganensis 102, growth inhibition zones - 42 and 30 mm respectively. It should be noted that in the majority of cases the supernatant of cultural liquid suppressed growth of phytopathogenic bacteria in comparison with biomass extract more actively. At the same time only biomass extract inhibited the growth of P. syringae pv. coronafaciens 9060, P. corrugatа 9070, X. anoxopodis pv. glycines 9075, X. anoxopodis pv. glycines 8609 and Pantoea agglomerans 8490. Tolerant to metabolites of S. netropsis IMV Ac-5025 were P. syringae pv. atrofaciens 8291 and X. visicatoriae 7790. The extract of biomass S. netropsis IMV Ac-5025 inhibited growth of all studied strains of phytopathogenic fungi (A. alternata 16814, A. culmorum 00790, F. оxysporum 54201, F. tricinetum 00795, F. oxysporum n.33, Cladosporium herbarum 16863, Cochliobolus spicifas 16860, Nigrospora oryzae 16864). The supernatant of the cultural liquid also showed the oppressing action on fungi, except for Cladosporium herbarum 16863 and Cochliobolus spicifas 16860. The strain was almost ineffective against opportunistic human microorganisms (Escherichia coli ATCC 25922, Bacillus pumilus NCTC 8241, Staphylococcus aureus FDA 209P et al.). Conclusions: The lack of action of Streptomyces netropsis IMV Ac-5025 on the opportunistic human microorganisms and the active antagonism of phytopathogens, both, define potential its application for plant protection.


Assuntos
Antibiose , Microbiologia do Solo , Streptomyces/fisiologia , Fusarium , Pseudomonas , RNA Ribossômico 16S/genética , Solo , Streptomyces/genética
5.
Antibiot Khimioter ; 61(9-10): 3-7, 2016.
Artigo em Inglês, Russo | MEDLINE | ID: mdl-29539244

RESUMO

Probiotic strain Bacillus subtilis 534 is the base of sporobacterin, a pharmaceutical. In submerged culture it showed antibiotic activity against many of gram-positive and gram-negative bacteria and fungi. The spectrum of the antimicrobial activity of the culture fluid depended on the.cultivation time and aeration intensity. It was shown that component No. 1 of the antibiotic complex was effective against clinical isolates of Acinetobacter baumannii: 20 out of 24 isolates were susceptible to component No. 1, including 15 strains out of 16 panresistant isolates.

6.
Antibiot Khimioter ; 61(11-12): 9-15, 2016.
Artigo em Inglês, Russo | MEDLINE | ID: mdl-29558055

RESUMO

Different phosphocholine-cardiolipin-2'-deoxyuridine inclusion complexes were developed, that allowed to compose a water-soluble form of nucleoside analogues with previously defined antituberculosis activity. It was found that the resulting liposomes effectively penetrated to the cells. The increase of cytotoxicity was undoubtedly indicative of accumulation of the nucleoside in the cell culture. The result proved the ability of the liposomes for delivery of the low-soluble compounds to the cells for further investigation of their efficacy. It was shown that treatment of the bacterial cells with the llposomes of the modified nucleosides did not affect the bacterial growth.


Assuntos
Antituberculosos , Cardiolipinas , Nucleotídeos de Desoxiuracil , Mycobacterium smegmatis/crescimento & desenvolvimento , Mycobacterium tuberculosis/crescimento & desenvolvimento , Fosforilcolina , Antituberculosos/síntese química , Antituberculosos/química , Antituberculosos/farmacologia , Cardiolipinas/química , Cardiolipinas/farmacologia , Nucleotídeos de Desoxiuracil/síntese química , Nucleotídeos de Desoxiuracil/química , Nucleotídeos de Desoxiuracil/farmacologia , Lipossomos , Fosforilcolina/química , Fosforilcolina/farmacologia
7.
Antibiot Khimioter ; 60(11-12): 23-8, 2015.
Artigo em Russo | MEDLINE | ID: mdl-27141643

RESUMO

The fungal strain INA 01108 producing antibiotic substances with broad spectrum of antibacterial activity was isolated from the natural environment. By the morphological characteristics and DNA analysis it was shown to belong to Ascomycetes of Sordariomycetes. In submerged culture the strain produced at least four antibiotics. The major component of them was identified as eremophilane-type sesquiterpene eremoxylarin A. Eremoxylarin A is effective in vitro against grampositive bacteria, including methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin group glycopeptide antibiotics resistant Leuconostoc mesenteroides VKPM B-4177. The efficacy and toxicity of eremoxylarin A was determined on a murine staphylococcal sepsis model. The dose of 6.25 mg/kg provided 100% recovery and survival of the animals, while the dose of 3.12 mg/kg was close to the ED50. The chemical structure of eremoxylarin A allows to modify the antibiotic and such studies may be relevant to design a less toxic derivative without loss of the valuable antimicrobial properties.


Assuntos
Antibacterianos/uso terapêutico , Ascomicetos/crescimento & desenvolvimento , Leuconostoc/efeitos dos fármacos , Staphylococcus aureus Resistente à Meticilina/efeitos dos fármacos , Sepse/tratamento farmacológico , Sesquiterpenos/uso terapêutico , Infecções Estafilocócicas/tratamento farmacológico , Animais , Antibacterianos/isolamento & purificação , Antibacterianos/toxicidade , Ascomicetos/metabolismo , Ascomicetos/ultraestrutura , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Farmacorresistência Bacteriana/efeitos dos fármacos , Camundongos , Testes de Sensibilidade Microbiana , Sesquiterpenos Policíclicos , Sepse/microbiologia , Sesquiterpenos/isolamento & purificação , Sesquiterpenos/toxicidade , Infecções Estafilocócicas/microbiologia
8.
Mikrobiologiia ; 83(4): 445-50, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25844455

RESUMO

Two Bacillus subtilis strains isolated from the fruiting body of a basidiomycete fungus Pholiota squarrosa exhibited a broad range of antibacterial activity, including those against methicillin-resistant Staphylococcus aureus INA 00761 (MRSA) and Leuconostoc mes6nteroides VKPM B-4177 resistant to glycopep-> tide antibiotics, as well as antifungal activity. The strains were identified as belonging to the "B. subtilis" com- plex based on their morphological and physiological characteristics, as well as by sequencing of the 16S rRNA gene fragments. Both strains (INA 01085 and INA 01086) produced insignificant amounts of polyene antibiotics (hexaen and pentaen, respectively). Strain INA 01086 produced also a cyclic polypeptide antibiotic containing Asp, Gly, Leu, Pro, Tyr, Thr, Trp, and Phe, while the antibiotic of strain INA 01085 contained, apart from these, two unidentified nonproteinaceous amino acids. Both polypeptide antibiotics were new compounds efficient against gram-positive bacteria and able to override the natural bacterial antibiotic resistance.


Assuntos
Antibacterianos , Antifúngicos , Bacillus subtilis/metabolismo , Leuconostoc/crescimento & desenvolvimento , Staphylococcus aureus Resistente à Meticilina/crescimento & desenvolvimento , Pholiota/crescimento & desenvolvimento , Antibacterianos/biossíntese , Antibacterianos/química , Antibacterianos/farmacologia , Antifúngicos/química , Antifúngicos/metabolismo , Antifúngicos/farmacologia , Bacillus subtilis/química
11.
Nanotechnology ; 19(35): 355707, 2008 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-21828861

RESUMO

Silver nanoparticles stabilized by a well-known antibacterial surfactant benzyldimethyl[3-(myristoylamino)propyl]ammonium chloride (Myramistin(®)) were produced for the first time by borohydride reduction of silver chloride sol in water. Stable aqueous dispersions of silver nanoparticles without evident precipitation for several months could be obtained. In vitro bactericidal tests showed that Myramistin(®) capped silver NPs exhibited notable activity against six different microorganisms-gram-positive and gram-negative bacteria, yeasts and fungi. The activity was up to 20 times higher (against E. coli) compared to Myramistin(®) at the same concentrations and on average 2 times higher if compared with citrate-stabilized NPs.

12.
Antibiot Khimioter ; 48(3): 11-6, 2003.
Artigo em Russo | MEDLINE | ID: mdl-12914115

RESUMO

It was shown the stimulating role of A-factor on soil prokaryotes growth. Soil sample culturing on agar medium, containing A-factor, resulted in the colony forming units (CFU) increasing in comparison with culturing on the medium without this regulator. Gram-negative bacteria were the reason of CFU increasing; previously the effect of A-factor on bacteria of this group was not shown. Gram-negative rod bacterial strain No. 35 was isolated and shown that CFU number was approximately twice increased at A-factor concentration in agar medium 2 and 7 mcg/ml; high A-factor concentration up to 28 mcg/ml was not effective. Isolated strain No. 35 is the producer of antibiotic, effective against gram-positive bacteria.


Assuntos
4-Butirolactona/análogos & derivados , 4-Butirolactona/metabolismo , Antibacterianos/biossíntese , Ecossistema , Bactérias Gram-Negativas/isolamento & purificação , Substâncias de Crescimento/metabolismo , Microbiologia do Solo , 4-Butirolactona/farmacologia , Contagem de Colônia Microbiana , Meios de Cultura , Bactérias Gram-Negativas/metabolismo , Bactérias Gram-Positivas/crescimento & desenvolvimento , Substâncias de Crescimento/farmacologia
13.
Antibiot Khimioter ; 48(1): 18-22, 2003.
Artigo em Russo | MEDLINE | ID: mdl-12741318

RESUMO

Cultural conditions for growth and fruit body formation were elaborated to four strains of Laetiporus sulphureus isolated from nature. All strains demonstrated antimicrobial activity against a wide spectrum of gram-positive and gram-negative bacteria during agar and submerged cultivation including methicillin-resistant strain of Staphylococcus aureus (MRSA) and glycopeptide-resistant strain of Leuconostoc mesenteroides. Antifungal activity was not found. The level of antimicrobial activity during submerged cultivation reached maximum after seven days of growth on specific medium with soybean meal and corn liquid; the next four weeks its increasing was not so manifested. Antimicrobial activity correlated with orange pigment secretion and cultural liquid acidification to pH 2.0-2.8 that indicates on acid nature of synthesized products.


Assuntos
Antibacterianos/biossíntese , Basidiomycota/metabolismo , Antibacterianos/farmacologia , Basidiomycota/crescimento & desenvolvimento , Meios de Cultura , Farmacorresistência Bacteriana , Glicopeptídeos , Concentração de Íons de Hidrogênio , Leuconostoc/efeitos dos fármacos , Meticilina/farmacologia , Testes de Sensibilidade Microbiana , Penicilinas/farmacologia , Glycine max , Staphylococcus aureus/efeitos dos fármacos , Fatores de Tempo , Zea mays
14.
Mikrobiologiia ; 72(6): 766-9, 2003.
Artigo em Russo | MEDLINE | ID: mdl-14768542

RESUMO

A study of 28 nocardia-like, asporogenous, and oligosporous spontaneous morphological variants belonging to 23 species of streptomycetes revealed five strains producing regulators of the A-factor group. Streptomyces griseus 1439, which forms aerial mycelium and spores only in the presence of exogenous A-factor was used as the test strain. Among the 28 spontaneous variants, three new A-factor-dependent strains were revealed, which represented the species Streptomyces griseus, S. citreofluorescens, and S. viridovulgaris subsp. albomarinus. These weakly differentiated variants id not produce A-factor and behaved as its recipients, responding by changes in their morphological characteristics at a concentration of this regulator in the medium of 0.01 microgram/ml and higher. The original collection strains in whose populations the variants were selected produced substances of the A-factor group. The A-factor-dependent variants differed in the level of the regulator required for maximal expression of the morphological characteristics were shown: it was necessary to introduce the A-factor at a concentration of 1 microgram/ml for S. citreofluorescens and S. viridovulgaris subsp. albomarinus and at 10 micrograms/ml for S. griseus.


Assuntos
4-Butirolactona/análogos & derivados , 4-Butirolactona/farmacologia , Substâncias de Crescimento/farmacologia , Streptomycetaceae/efeitos dos fármacos , Streptomycetaceae/crescimento & desenvolvimento , 4-Butirolactona/síntese química , 4-Butirolactona/metabolismo , Relação Dose-Resposta a Droga , Substâncias de Crescimento/metabolismo , Especificidade da Espécie , Streptomycetaceae/metabolismo
15.
Mikrobiologiia ; 72(6): 770-4, 2003.
Artigo em Russo | MEDLINE | ID: mdl-14768543

RESUMO

Spore germination in streptomycetes was shown to be stimulated by exogenously added A-factor. Agar medium either containing or not containing A-factor was inoculated with spore suspensions of three strains differing in their ability to produce regulators of the A-factor group: Streptomyces griseus 773, which produces A-factor and two its lower homologs, S. coelicolor A3(2), which forms six AcL-factors (A-factor analogues), and S. avermitilis JCM5070, which fails to form regulators of this group. The count of the grown colonies showed that exogenous A-factor stimulated spore germination in strains that were themselves able to synthesize regulators of the A-factor group. In S. griseus 773, the number of germinated spores increased by 67% on average after the addition A-factor to the medium in an amount 10 micrograms/ml. In strain S. coelicolor A3 (2), the number of germinated spores increased by 75% after the addition of 1 microgram/ml of A-factor. During germination of the S. avermitilis JCM5070 spores, no changes in the CFU number was observed after the addition of A-factor.


Assuntos
4-Butirolactona/análogos & derivados , 4-Butirolactona/fisiologia , Streptomycetaceae/crescimento & desenvolvimento , 4-Butirolactona/farmacologia , Relação Dose-Resposta a Droga , Especificidade da Espécie , Esporos Bacterianos/efeitos dos fármacos , Esporos Bacterianos/crescimento & desenvolvimento , Streptomycetaceae/efeitos dos fármacos , Streptomycetaceae/metabolismo
17.
Antibiot Khimioter ; 44(10): 20-1, 1999.
Artigo em Russo | MEDLINE | ID: mdl-10635417

RESUMO

The data on a comparative study of ofloxacin arthrotoxicity in pediatric and adult patients are presented. The tolerability of ofloxacin used in various doses and treatment terms (acute and cumulative effects) was investigated in children. The impact of the patient pubertal age, sex, ofloxacin concentrations (Cmax above 4 micrograms/ml) and arthrological diseases (in adult patients) on the risk of the quinolone arthropathy was evaluated. Good tolerability of the various ofloxacin dosing regimens in both the adult and pediatric patients was shown.


Assuntos
Anti-Infecciosos/efeitos adversos , Ofloxacino/efeitos adversos , Adolescente , Anti-Infecciosos/administração & dosagem , Criança , Pré-Escolar , Feminino , Humanos , Articulações/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Ofloxacino/administração & dosagem , Fatores de Risco , Segurança , Fatores de Tempo
19.
Antibiot Khimioter ; 43(10): 19-23, 1998.
Artigo em Russo | MEDLINE | ID: mdl-9825105

RESUMO

Examination of 60 elderly outpatients with lower respiratory tract infections (LRTI) revealed that 73 per cent of the patients isolated the pathogen associations and only 27 per cent isolated the monocultures. Grampositive cocci including Streptococcus pneumoniae were isolated from 70 per cent of the patients, Haemophilus influenzae and H.parainfluenzae were isolated from 20 per cent of the patients and Acinetobacter spp., Citrobacter spp., Enterobacter spp., Proteus spp. and Pseudomonas aeruginsa were isolated from 10 per cent of the patients. The patients were treated with ciprofloxacin, cefaclor or amoxycillin/clavulanic acid. Ciprofloxacin proved to be the most efficient agent. The regimens of the ofloxacin use in a dose of 400 mg orally once a day or in a dose of 200 mg intravenously twice a day for 2-4 days followed by the oral use for 6-8 days in the treatment of 24 patients with LRTI hospitalized into a therapeutic unit were compared. it was shown (pharmacokinetically as well) that the regiment with the drug use in the single dose was more efficient. Lomefloxacin was suggested to be the most advantageous drug in the treatment of elderly patients with LRTI because of its easy use, practically no dependence of the pharmacokinetics on the patient age and almost no nephrotoxic action.


Assuntos
Fluoroquinolonas , Infecções Respiratórias/tratamento farmacológico , Idoso , Combinação Amoxicilina e Clavulanato de Potássio/administração & dosagem , Combinação Amoxicilina e Clavulanato de Potássio/farmacologia , Combinação Amoxicilina e Clavulanato de Potássio/uso terapêutico , Anti-Infecciosos/administração & dosagem , Anti-Infecciosos/farmacologia , Anti-Infecciosos/uso terapêutico , Cefaclor/administração & dosagem , Cefaclor/farmacologia , Cefaclor/uso terapêutico , Cefalosporinas/administração & dosagem , Cefalosporinas/farmacologia , Cefalosporinas/uso terapêutico , Ciprofloxacina/administração & dosagem , Ciprofloxacina/farmacologia , Ciprofloxacina/uso terapêutico , Quimioterapia Combinada/administração & dosagem , Quimioterapia Combinada/farmacologia , Quimioterapia Combinada/uso terapêutico , Feminino , Humanos , Masculino , Quinolonas/administração & dosagem , Quinolonas/farmacologia , Quinolonas/uso terapêutico , Infecções Respiratórias/microbiologia
20.
Antibiot Khimioter ; 42(12): 19-24, 1997.
Artigo em Russo | MEDLINE | ID: mdl-9480649

RESUMO

Sixty outpatients at the age of 65 to 75 years with exacerbated chronic bronchitis were treated with antibiotics: amoxycillin/clavulanic acid (20 patients), cefaclor (20 patients) and ciprofloxacin (20 patients). The treatment course in all the cases was 5 days. Bacteriological tests of the sputum specimens and estimation of the isolate antibiotic susceptibility by the disk diffusion method were applied to all the patients before and after the treatment. 73 per cent of the patients had mixed infection. The microflora mainly included various species of streptococci highly susceptible to the drugs (54 per cent) as well as highly susceptible strains of pneumococci and hemophilic bacilli (33 and 17 per cent respectively). Atypical microflora was detected in 10 per cent of the cases. Pseudomonas aeruginosa strains were isolated in 2 cases. Acinetobacter sp. slightly susceptible only to ciprofloxacin was isolated in 1 case. Citrobacter sp. slightly susceptible to cefaclor and moderately susceptible to ciprofloxacin was detected in 1 case. Enterobacter sp. moderately susceptible only to ciprofloxacin was isolated in 1 case. A positive factor was moderate susceptibility of Proteus mirabilis to all the three drugs. In 24 patients (the average age of 54.7 years) the pharmacokinetics of ofloxacin administered under 2 different regimens was studied. The drug was used in a single dose of 400 mg once a day (group 1) or in a dose of 200 mg twice a day (group II) followed by estimation of the drug concentration in the blood and sputum. The pathogen eradication was stated in 61.5 and 72.7 per cent of the patients in groups I and II, respectively. By the results of the treatment with the use of the above mentioned antibiotics in the elderly patients fluoroquinolones should be considered preferable from the clinical and pharmacoeconomic viewpoints.


Assuntos
Idoso , Combinação Amoxicilina e Clavulanato de Potássio/uso terapêutico , Antibacterianos/uso terapêutico , Anti-Infecciosos/uso terapêutico , Bronquite/tratamento farmacológico , Cefaclor/uso terapêutico , Cefalosporinas/uso terapêutico , Ciprofloxacina/uso terapêutico , Quimioterapia Combinada/uso terapêutico , Anti-Infecciosos/farmacocinética , Área Sob a Curva , Bronquite/economia , Bronquite/microbiologia , Doença Crônica , Análise Custo-Benefício , Humanos , Testes de Sensibilidade Microbiana , Pessoa de Meia-Idade , Ofloxacino/farmacocinética , Ofloxacino/uso terapêutico , Penicilinas/uso terapêutico
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