RESUMO
A sensitive and rapid ultra-performance liquid chromatography coupled with -tandem mass spectrometry (UPLC-MS/MS) method was developed and validated to determine ceftibuten (CTB) and sulbactam (SUL) in human plasma. An ACQUITY UPLC HSS T3 C18 (2.1 × 100 mm), 1.8 µm column with gradient elution of water (0.1% formic acid) and acetonitrile was used for separation at a flow rate of 0.2 mL/min. This method involves a simple sample preparation with acetonitrile. The calibration curves of CTB and SUL in plasma showed good linearity over the concentration range of 0.50-25 µg/mL and with a correlation coefficient (r2) >0.99. This method was validated in terms of selectivity, linearity, precision, accuracy and stability. High precision was obtained with coefficients of variation <15%. Excellent recovery in the range of 90-104% was achieved for CTB and SUL was 86-110%. The method has the potential utility to support pharmacometric modeling in clinical practice and biopharmaceutic studies.
Assuntos
Sulbactam , Espectrometria de Massas em Tandem , Espectrometria de Massas em Tandem/métodos , Humanos , Sulbactam/sangue , Sulbactam/farmacocinética , Cromatografia Líquida de Alta Pressão/métodos , Reprodutibilidade dos Testes , Modelos Lineares , Cefalosporinas/sangue , Cefalosporinas/química , Cefalosporinas/farmacocinética , Limite de Detecção , Estabilidade de Medicamentos , Sensibilidade e EspecificidadeRESUMO
The objective of the studies reported in this research communication was to investigate the use of whey contaminated with antibiotics such as cephalosporins, quinolones and tetracyclines as a nutrient medium for the growth of Kluyveromyces marxianus with particular attention to the effect of thermal treatment used to overcome the inhibitory effects of antibiotic concentrations close to the Maximum Residue Limits. The heat treatments at 120 °C for 40 min, 120 °C for 83 min, and 120 °C for 91 min caused total inactivation of cephalosporins, tetracyclines and quinolone residues in whey respectively.
Assuntos
Antibacterianos/química , Antibacterianos/farmacologia , Microbiologia de Alimentos/métodos , Temperatura Alta , Kluyveromyces/crescimento & desenvolvimento , Soro do Leite/química , Cefalosporinas/análise , Cefalosporinas/química , Meios de Cultura/química , Estabilidade de Medicamentos , Fermentação , Contaminação de Alimentos/prevenção & controle , Kluyveromyces/efeitos dos fármacos , Kluyveromyces/metabolismo , Lactose/metabolismo , Quinolonas/análise , Quinolonas/química , Tetraciclinas/análise , Tetraciclinas/químicaRESUMO
Agar diffusion method has been used to evaluate antimicrobial activity since the discovery of penicillin. Nevertheless, little progress has occurred in reducing the time required to determine growth inhibition zones. The aim of this work was to develop, optimize and validate rapid microbiological methods (RMMs) for cephalosporin antibiotics using triphenyltetrazolium chloride (TTC) to reduce the incubation time of the assays. Through a factorial design in which the inoculum suspension, incubation time, and percentage of the TTC solution were varied, it was possible to validate the RMMs for cefazolin, cefuroxime, ceftriaxone, and cefepime. The validated conditions employed 5â¯mL of MHA medium inoculated with 2% of Staphylococcus aureus suspension, incubation time of 5â¯h and 30â¯min at 37⯱â¯1⯰C and the addition of 0.3% TTC solution in 1% agar, cefazolin and cefuroxime in concentrations from 15 to 60⯵gâ¯mL-1, ceftriaxone and cefepime in concentrations from 20 to 80⯵gâ¯mL-1. The methods were selective, linear (for standard and sample curves, respectively), accurate, precise, robust and rugged. The results found by the RMMs were statistically similar to those found by conventional microbiological methods, but the advantages of the former decreased the incubation time from 22â¯h to 5â¯h and 30â¯min. Therefore, RMMs can be used in the evaluation and quantification of cephalosporin antibiotics, ensuring their quality, safety, and therapeutic efficacy.
Assuntos
Antibacterianos/farmacologia , Cefalosporinas/farmacologia , Staphylococcus aureus/efeitos dos fármacos , Sais de Tetrazólio/farmacologia , Ágar/química , Antibacterianos/química , Cefalosporinas/química , Difusão , Relação Dose-Resposta a Droga , Testes de Sensibilidade Microbiana , Relação Estrutura-Atividade , Sais de Tetrazólio/químicaRESUMO
OBJECTIVES: The objective of this study was to characterise the mechanisms underlying quinolone and oxyimino-cephalosporin resistance in a Citrobacter freundii clinical isolate obtained from the ICU in a university hospital in Uruguay. METHODS: Citrobacter freundii strain CF638 was isolated from a urine culture. Identification was performed using a VITEK®2 system, and antimicrobial susceptibility was established by MIC determination and disk diffusion assay. Resistance genes and mobile genetic elements were identified by PCR and sequencing. Plasmid transfer was assessed by conjugation and the plasmid size was estimated by S1-PFGE. Plasmid incompatibility (Inc) group and toxin-antitoxin systems were sought by PCR. RESULTS: Strain CF638 showed a multidrug-resistant profile, including resistance to carbapenems and quinolones. Transconjugant TcCF638, harbouring an ca. 200-kb IncA/C plasmid, also showed resistance to all ß-lactams (except aztreonam) and diminished susceptibility to ciprofloxacin. PCR was positive for blaNDM-1 and qnrVC in CF638 and TcCF638. Two different class 1 integrons were detected (In127 and In907). In127 featured the genetic array aadA2-ltr2. Conversely, complex In907 featured two variable regions (VRs); VR-1 consisted of aadB-blaOXA-10-aadA1cc, whereas VR-2 featured a qnrVC6 gene 108bp downstream from ISCR1 and 45bp upstream from qacEΔ1. Expression of qnrVC6 was due to a putative promoter region, detected using the Neural Network Promoter Prediction program. CONCLUSION: To the best of our knowledge, this constitutes the first report of qnrVC within a complex class 1 integron, as well as the first report of the occurrence of such a gene in an NDM-1-producing enterobacterial clinical isolate.
Assuntos
Antibacterianos/farmacologia , Citrobacter freundii/efeitos dos fármacos , Citrobacter freundii/genética , Farmacorresistência Bacteriana Múltipla/genética , beta-Lactamases/genética , Carbapenêmicos/farmacologia , Cefalosporinas/química , Cefalosporinas/farmacologia , Citrobacter freundii/enzimologia , Infecções por Enterobacteriaceae/microbiologia , Infecções por Enterobacteriaceae/urina , Humanos , Integrons/genética , Testes de Sensibilidade Microbiana , Pessoa de Meia-Idade , Plasmídeos , Quinolonas/farmacologia , UruguaiRESUMO
Molecularly imprinted polymers (MIPs) were synthesized for the determination of cephalosporins (cephazolin, ceftazidime, cefotaxime, ceftriaxone, cefepime and cephalexin) by ultra-high performance liquid chromatography with diode-array detection (UHPLC-DAD). After optimization, MIPs were synthesized using cephazolin as the template, methacrylic acid as the functional monomer, triethylenglycol dimethacrylate as the crosslinker, acetonitrile/dimethylsulfoxide as porogens and benzoyl peroxide as the radical initiator. Not only this is a novel route of MIP synthesis for cephalosporins, but also this choice of analytes is unique. Chromatographic separation was performed in a C8 column using a binary gradient with trifluoroacetic acid 0.1% in water and acetonitrile. Linearity was assessed up to 100 µg mL-1 and linear correlation coefficients (r) were all higher than 0.99, limits of detection were within the range of 3-12 ng mL-1, and recoveries from 86 to 102% were obtained for concentrations between 0.05 and 1.0 µg mL-1.
Assuntos
Cefalosporinas/análise , Cefalosporinas/química , Cromatografia Líquida de Alta Pressão/métodos , Impressão Molecular/métodos , Estabilidade de Medicamentos , Limite de Detecção , Modelos Lineares , Polímeros/química , Reprodutibilidade dos TestesRESUMO
Metallo-beta-lactamases (MBLs) are broad-spectrum, Zn(II)-dependent lactamases able to confer resistance to virtually every ß-lactam antibiotic currently available. The large diversity of active-site structures and metal content among MBLs from different sources has limited the design of a pan-MBL inhibitor. GOB-18 is a divergent MBL from subclass B3 that is expressed by the opportunistic Gram-negative pathogen Elizabethkingia meningoseptica This MBL is atypical, since several residues conserved in B3 enzymes (such as a metal ligand His) are substituted in GOB enzymes. Here, we report the crystal structure of the periplasmic di-Zn(II) form of GOB-18. This enzyme displays a unique active-site structure, with residue Gln116 coordinating the Zn1 ion through its terminal amide moiety, replacing a ubiquitous His residue. This situation contrasts with that of B2 MBLs, where an equivalent His116Asn substitution leads to a di-Zn(II) inactive species. Instead, both the mono- and di-Zn(II) forms of GOB-18 are active against penicillins, cephalosporins, and carbapenems. In silico docking and molecular dynamics simulations indicate that residue Met221 is not involved in substrate binding, in contrast to Ser221, which otherwise is conserved in most B3 enzymes. These distinctive features are conserved in recently reported GOB orthologues in environmental bacteria. These findings provide valuable information for inhibitor design and also posit that GOB enzymes have alternative functions.
Assuntos
Farmacorresistência Bacteriana Múltipla , Flavobacteriaceae/enzimologia , Glutamina/química , Histidina/química , Zinco/química , beta-Lactamases/química , Antibacterianos/química , Antibacterianos/metabolismo , Carbapenêmicos/química , Carbapenêmicos/metabolismo , Domínio Catalítico , Cátions Bivalentes , Cefalosporinas/química , Cefalosporinas/metabolismo , Clonagem Molecular , Cristalografia por Raios X , Escherichia coli/genética , Escherichia coli/metabolismo , Flavobacteriaceae/química , Expressão Gênica , Glutamina/metabolismo , Histidina/metabolismo , Cinética , Simulação de Acoplamento Molecular , Simulação de Dinâmica Molecular , Penicilinas/química , Penicilinas/metabolismo , Periplasma/química , Periplasma/enzimologia , Ligação Proteica , Conformação Proteica em alfa-Hélice , Conformação Proteica em Folha beta , Domínios Proteicos , Estrutura Terciária de Proteína , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Especificidade por Substrato , beta-Lactamases/genética , beta-Lactamases/metabolismoRESUMO
This study describes the development and validation procedures for scope extension of a method for the determination of ß-lactam antibiotic residues (ampicillin, amoxicillin, penicillin G, penicillin V, oxacillin, cloxacillin, dicloxacillin, nafcillin, ceftiofur, cefquinome, cefoperazone, cephapirine, cefalexin and cephalonium) in bovine milk. Sample preparation was performed by liquid-liquid extraction (LLE) followed by two clean-up steps, including low temperature purification (LTP) and a solid phase dispersion clean-up. Extracts were analysed using a liquid chromatography-electrospray-tandem mass spectrometry system (LC-ESI-MS/MS). Chromatographic separation was performed in a C18 column, using methanol and water (both with 0.1% of formic acid) as mobile phase. Method validation was performed according to the criteria of Commission Decision 2002/657/EC. Main validation parameters such as linearity, limit of detection, decision limit (CCα), detection capability (CCß), accuracy, and repeatability were determined and were shown to be adequate. The method was applied to real samples (more than 250) and two milk samples had levels above maximum residues limits (MRLs) for cloxacillin - CLX and cefapirin - CFAP.
Assuntos
Antibacterianos/isolamento & purificação , Cefalosporinas/isolamento & purificação , Resíduos de Drogas/isolamento & purificação , Leite/química , Penicilinas/isolamento & purificação , Animais , Antibacterianos/química , Cefalosporinas/química , Cromatografia Líquida , Resíduos de Drogas/química , Contaminação de Alimentos/análise , Formiatos , Humanos , Limite de Detecção , Extração Líquido-Líquido , Metanol , Penicilinas/química , Reprodutibilidade dos Testes , Solventes , Espectrometria de Massas por Ionização por Electrospray , ÁguaRESUMO
BACKGROUND: Advances in nanostructure materials are leading to novel strategies for drug delivery and targeting, contrast media for magnetic resonance imaging (MRI), agents for hyperthermia and nanocarriers. Superparamagnetic iron oxide nanoparticles (SPIONs) are useful for all of these applications, and in drug-release systems, SPIONs allow for the localization, direction and concentration of drugs, providing a broad range of therapeutic applications. In this work, we developed and characterized polymeric nanoparticles based on poly (3-hydroxybutyric acid-co-hydroxyvaleric acid) (PHBV) functionalized with SPIONs and/or the antibiotic ceftiofur. These nanoparticles can be used in multiple biomedical applications, and the hybrid SPION-ceftiofur nanoparticles (PHBV/SPION/CEF) can serve as a multifunctional platform for the diagnosis and treatment of cancer and its associated bacterial infections. RESULTS: Morphological examination using transmission electron microscopy (TEM) showed nanoparticles with a spherical shape and a core-shell structure. The particle size was evaluated using dynamic light scattering (DLS), which revealed a diameter of 243.0 ± 17 nm. The efficiency of encapsulation (45.5 ± 0.6% w/v) of these polymeric nanoparticles was high, and their components were evaluated using spectroscopy. UV-VIS, FTIR and DSC showed that all of the nanoparticles contained the desired components, and these compounds interacted to form a nanocomposite. Using the agar diffusion method and live/dead bacterial viability assays, we demonstrated that these nanoparticles have antimicrobial properties against Escherichia coli, and they retain their magnetic properties as measured using a vibrating sample magnetometer (VSM). Cytotoxicity was assessed in HepG2 cells using live/dead viability assays and MTS, and these assays showed low cytotoxicity with IC50 > 10 mg/mL nanoparticles. CONCLUSIONS: Our results indicate that hybrid and multifunctional PHBV/SPION/CEF nanoparticles are suitable as a superparamagnetic drug delivery system that can guide, concentrate and site-specifically release drugs with antibacterial activity.
Assuntos
Antibacterianos/farmacologia , Cefalosporinas/química , Compostos Férricos/química , Nanopartículas de Magnetita/administração & dosagem , Nanopartículas de Magnetita/química , Antibacterianos/administração & dosagem , Cefalosporinas/farmacologia , Sistemas de Liberação de Medicamentos/métodos , Escherichia coli/efeitos dos fármacos , Células Hep G2/efeitos dos fármacos , Humanos , Concentração Inibidora 50 , Microscopia Eletrônica de Transmissão , Tamanho da Partícula , Poliésteres/química , Polímeros , Espectrofotometria Ultravioleta , Espectroscopia de Infravermelho com Transformada de FourierRESUMO
PER-2 belongs to a small (7 members to date) group of extended-spectrum ß-lactamases. It has 88% amino acid identity with PER-1 and both display high catalytic efficiencies toward most ß-lactams. In this study, we determined the X-ray structure of PER-2 at 2.20 Å and evaluated the possible role of several residues in the structure and activity toward ß-lactams and mechanism-based inhibitors. PER-2 is defined by the presence of a singular trans bond between residues 166 to 167, which generates an inverted Ω loop, an expanded fold of this domain that results in a wide active site cavity that allows for efficient hydrolysis of antibiotics like the oxyimino-cephalosporins, and a series of exclusive interactions between residues not frequently involved in the stabilization of the active site in other class A ß-lactamases. PER ß-lactamases might be included within a cluster of evolutionarily related enzymes harboring the conserved residues Asp136 and Asn179. Other signature residues that define these enzymes seem to be Gln69, Arg220, Thr237, and probably Arg/Lys240A ("A" indicates an insertion according to Ambler's scheme for residue numbering in PER ß-lactamases), with structurally important roles in the stabilization of the active site and proper orientation of catalytic water molecules, among others. We propose, supported by simulated models of PER-2 in combination with different ß-lactams, the presence of a hydrogen-bond network connecting Ser70-Gln69-water-Thr237-Arg220 that might be important for the proper activity and inhibition of the enzyme. Therefore, we expect that mutations occurring in these positions will have impacts on the overall hydrolytic behavior.
Assuntos
Cristalografia por Raios X/métodos , Inibidores de beta-Lactamases/metabolismo , beta-Lactamases/química , beta-Lactamases/metabolismo , beta-Lactamas/metabolismo , Sequência de Aminoácidos , Cefalosporinas/química , Cefalosporinas/metabolismo , Dados de Sequência Molecular , Ligação Proteica , Estrutura Secundária de Proteína , Homologia de Sequência de AminoácidosRESUMO
Semi-synthetic ß-lactamic antibiotics are the most used anti-bacteria agents, produced in hundreds tons/year scale. It may be assumed that this situation will even increase during the next years, with new ß-lactamic antibiotics under development. They are usually produced by the hydrolysis of natural antibiotics (penicillin G or cephalosporin C) and the further amidation of natural or modified antibiotic nuclei with different carboxylic acyl donor chains. Due to the contaminant reagents used in conventional chemical route, as well as the high energetic consumption, biocatalytic approaches have been studied for both steps in the production of these very interesting medicaments during the last decades. Recent successes in some of these methodologies may produce some significant advances in the antibiotics industry. In fact, the hydrolysis of penicillin G to produce 6-APA catalyzed by penicillin G acylase is one of the most successful historical examples of the enzymatic biocatalysis, and much effort has been devoted to find enzymatic routes to hydrolyze cephalosporin C. Initially this could be accomplished in a quite complex system, using a two enzyme system (D-amino acid oxidase plus glutaryl acylase), but very recently an efficient cephalosporin acylase has been designed by genetic tools. Other strategies, including metabolic engineering to produce other antibiotic nuclei, have been also reported. Regarding the amidation step, much effort has been devoted to the improvement of penicillin acylases for these reactions since 1960. New reaction strategies, continuous product extraction or new penicillin acylases with better properties have proven to be the key to have competitive biocatalytic processes. In this review, a critical discussion of these very interesting advances in the application of enzymes for the industrial synthesis of semi-synthetic antibiotics will be presented.
Assuntos
Antibacterianos/química , Cefalosporinas/química , Penicilina Amidase/metabolismo , Penicilina G/química , Antibacterianos/biossíntese , Antibacterianos/síntese química , Cefalosporinas/biossíntese , Cefalosporinas/síntese química , D-Aminoácido Oxidase/metabolismo , Fermentação , Hidrólise , Penicilina G/síntese química , Penicilina G/metabolismo , TermodinâmicaRESUMO
The intramolecular rates of degradation of alpha-aminophenyl cephalosporins were determined with and without hexadecyltrimethylammonium bromide (CTAB). Micellar-derived spectral shifts were used to measure the bind of the ionic forms as well as to determine the effect of CTAB on the apparent dissociation constant of the antibiotics. The rate of the degradation of cephalexin (Cp), cefadroxil (Cf), and cephradine (Cph), increased with surfactant concentration reaching a plateau at high surfactant concentrations. In the plateau region, the rate constant was salt sensitive decreasing with NaBr concentrations. These effects were quantitatively analyzed within the framework of the pseudo-phase model with explicit considerations of ion exchange. All the experimental results were fitted to this model. The intramolecular degradation of Cf, Cp and Cph was catalyzed by 96-, 59-, and 29-fold, respectively. A working hypothesis to rationalize these effects was suggested. The obtained results demonstrate that the quantitative analysis can be used to assess, predict and control the effects of surfactants on the drug stability.
Assuntos
Cefalosporinas/química , Micelas , Aminas/química , Cátions , Cefalexina/química , Cetrimônio , Compostos de Cetrimônio/química , Concentração de Íons de Hidrogênio , Cinética , Espectrofotometria UltravioletaRESUMO
A series of 3-[(2,5-dihydro-6-hydroxy-2-methyl)-5-oxo-cis-triazin-3-yl]-thiomethyl-cefalosporins with various 3-phenyl-2-propenoyl substituted groups at the 7beta-position were synthesized, structurally characterized and evaluated for antibacterial activity in vitro. To prepare these derivatives by the Vilsmeier's reagent method, it was necessary to carefully control the reaction conditions in order to avoid the formation of the biologically inactive alpha epimer. The NMR studies showed that the 3-phenyl-2-propenoyl moiety has little effect on chemical shifts of cephem nucleus protons and carbon atoms. Some of these cephalosporin derivatives showed good in vitro activity against methicillin sensible strains of Staphylococcus aureus (MSSA) and coagulase negative Staphylococcus (MSCoNS). Particularly effective were the compounds carrying a 3-(2'-chlorophenyl)-2-propenoyl or 2-methyl-3-phenyl-2-propenoyl moiety at 7beta-position, both with an antibacterial potency close to cefazoline and higher than cefuroxime. All the synthesized cephalosporins were inactive against methicillin resistant strains of Staphylococcus aureus (MRSA) and coagulase negative Staphylococcus (MRCoNS).
Assuntos
Antibacterianos/síntese química , Antibacterianos/farmacologia , Cefalosporinas/síntese química , Cefalosporinas/farmacologia , Antibacterianos/química , Bactérias/efeitos dos fármacos , Cefalosporinas/química , Espectroscopia de Ressonância Magnética , Testes de Sensibilidade MicrobianaRESUMO
We report the synthesis and total NMR characterization of 5-thia-1-azabicyclo-[4.2.0]oct-2-ene-2-carboxylic acid-3-[[[(4''-nitrophenoxy)carbonyl]oxy]-methyl]-8-oxo-7-[(2-thienyloxoacetyl)amino]-diphenylmethyl ester-5-dioxide (5), a new cephalosporin derivative. This compound can be used as the carrier of a wide range of drugs containing an amino group. The preparation of the intermediate product, 5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylic acid-3-[methyl 4-(6-methoxyquinolin-8-ylamino)pentylcarbamate]-8-oxo-7-[(2-thienyloxoacetyl)amino]-diphenylmethyl ester-5-dioxide (6), as well as the synthesis of the antimalarial primaquine prodrug 5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylic acid-3-[methyl 4-(6-methoxyquinolin-8-ylamino)pentylcarbamate]-8-oxo-7-[(2-thienyloxoacetyl)amino]- 5-dioxide (7) are also described, together with their total (1)H- and (13)C-NMR assignments.
Assuntos
Cefalosporinas/síntese química , Cefalosporinas/uso terapêutico , Cefalosporinas/química , Isomerismo , Espectroscopia de Ressonância Magnética , Primaquina/síntese química , Primaquina/química , Pró-Fármacos/síntese química , Pró-Fármacos/químicaRESUMO
(13)C NMR spectroscopic data for 25 cephalosporin derivatives were assigned by combination of one- and two-dimensional experiments. The effect of the substitution at C-3, C-7 and C-4 acid group positions on the chemical shifts of the cephem nucleus is discussed.
Assuntos
Cefalosporinas/química , Espectroscopia de Ressonância Magnética/métodos , Isótopos de Carbono , Espectroscopia de Ressonância Magnética/normas , Estrutura Molecular , Padrões de Referência , Sensibilidade e EspecificidadeRESUMO
OBJECTIVE: To present a practical approach to the diagnosis and management of allergy to beta-lactam antibiotics. SOURCES: Allergy journals indexed in MEDLINE and LILACS, as well as seminal studies and texts. SUMMARY OF THE FINDINGS: Allergy to penicillin is commonly reported. In many cases, this results in the decision not to use this drug. About 10% of drug allergy reports are confirmed. The clinical manifestations due to allergic reaction to penicillin vary widely, with emphasis on skin disorders. Gell & Coombs' four hypersensitivity mechanisms are involved in allergic reactions. Penicillin is degraded to a major (95%) and minor determinants (5%). Immediate IgE-mediated reactions causing anaphylaxis are associated with minor determinants in 95% of the cases. Hypersensitivity to these products can be assessed using cutaneous tests performed with major and minor determinants, thus avoiding anaphylactic shock in allergic individuals. The present article underscores the basic body of knowledge on allergy to penicillin, providing support for a more accurate diagnosis of this event and for the choice of management in cases of suspected beta-lactam allergy. CONCLUSIONS: The incorrect diagnosis of penicillin allergy frequently leads to the exclusion of this drug as a therapeutic option. A better recognition of these situations will enable the use of penicillin and reduce the risks associated with hypersensitivity.
Assuntos
Antibacterianos/efeitos adversos , Cefalosporinas/efeitos adversos , Hipersensibilidade a Drogas/diagnóstico , Hipersensibilidade Imediata/induzido quimicamente , Penicilinas/efeitos adversos , Antibacterianos/química , Antibacterianos/imunologia , Cefalosporinas/química , Cefalosporinas/imunologia , Criança , Humanos , Penicilinas/química , Penicilinas/imunologia , Sensibilidade e Especificidade , Testes Cutâneos , Fatores de TempoRESUMO
OBJETIVO: Apresentar uma abordagem prática ao diagnóstico e conduta na alergia a antibióticos beta-lactâmicos. FONTES DOS DADOS: Periódicos da área de alergia indexados nas bases MEDLINE e LILACS, além de estudos e textos clássicos que tratam do tema. SíNTESE DOS DADOS: A alergia à penicilina é relatada com freqüência, em muitos casos resultando na exclusão desse medicamento do arsenal terapêutico. Cerca de 10 por cento dos relatos de alergia a drogas são confirmados. As manifestações clínicas decorrentes da reação alérgica à penicilina são bastante amplas, destacando-se os quadros cutâneos. Os quatro mecanismos de hipersensibilidade de Gell & Coombs estão envolvidos nas reações alérgicas. A penicilina é degradada em determinante maior (95 por cento dos produtos) e em determinantes menores (5 por cento dos produtos). As reações imediatas, mediadas por IgE, e que determinam quadros de anafilaxia, estão relacionadas aos determinantes menores em 95 por cento dos casos. A hipersensibilidade a esses produtos pode ser avaliada através de testes cutâneos realizados com os determinantes maior e menores, permitindo, assim, evitar o choque anafilático em indivíduos alérgicos. O texto ressalta conhecimentos básicos sobre a alergia à penicilina, propiciando um diagnóstico mais adequado desse evento e a conduta em casos de suspeita de alergia a beta-lactâmicos. CONCLUSÃO: O diagnóstico de alergia à penicilina tem sido feito de forma inadequada, resultando em sua exclusão do arsenal terapêutico. O melhor reconhecimento dessas condições permitirá o uso da penicilina com diminuição dos riscos decorrentes da hipersensibilidade.
OBJECTIVE: To present a practical approach to the diagnosis and management of allergy to beta-lactam antibiotics. SOURCES: Allergy journals indexed in MEDLINE and LILACS, as well as seminal studies and texts. SUMMARY OF THE FINDINGS: Allergy to penicillin is commonly reported. In many cases, this results in the decision not to use this drug. About 10 percent of drug allergy reports are confirmed. The clinical manifestations due to allergic reaction to penicillin vary widely, with emphasis on skin disorders. Gell & Coombs' four hypersensitivity mechanisms are involved in allergic reactions. Penicillin is degraded to a major (95 percent) and minor determinants (5 percent). Immediate IgE-mediated reactions causing anaphylaxis are associated with minor determinants in 95 percent of the cases. Hypersensitivity to these products can be assessed using cutaneous tests performed with major and minor determinants, thus avoiding anaphylactic shock in allergic individuals. The present article underscores the basic body of knowledge on allergy to penicillin, providing support for a more accurate diagnosis of this event and for the choice of management in cases of suspected beta-lactam allergy. CONCLUSIONS: The incorrect diagnosis of penicillin allergy frequently leads to the exclusion of this drug as a therapeutic option. A better recognition of these situations will enable the use of penicillin and reduce the risks associated with hypersensitivity.
Assuntos
Humanos , Criança , Antibacterianos/efeitos adversos , Cefalosporinas/efeitos adversos , Hipersensibilidade a Drogas/diagnóstico , Hipersensibilidade Imediata/induzido quimicamente , Penicilinas/efeitos adversos , Antibacterianos/química , Antibacterianos/imunologia , Cefalosporinas/química , Cefalosporinas/imunologia , Penicilinas/química , Penicilinas/imunologia , Sensibilidade e Especificidade , Testes Cutâneos , Fatores de TempoRESUMO
Microsample deproteinization of bovine milk was carried out on-line using a series of restricted access medium (RAM) bovine serum albumin (BSA) columns: C8, C18, phenyl, and cyano. The four different columns prepared showed a high percentage of protein exclusion using water as the mobile phase and provided an appropriate retention profile for a series of five cephalosporin antibiotics (cefoperazone, cephacetril, cephalexin, cephapirin, and ceftiofur). Chromatographic conditions such as washing time, buffer pH, and type and percentage of organic modifier were fully evaluated with respect to the protein elution profile and retention of the antibiotic by RAM column. One of these columns was chosen to develop and validate a method for the determination of cefoperazone in bovine milk. The system used in this work was composed of a RAM-BSA phenyl column coupled to a C18 analytical column. The standard curve was linear over the range 0.100-2.50 microg/mL. The limits of quantification and detection were 0.100 and 0.050 microg/mL, respectively. The developed method showed high intermediate precision (CV of 2.37-2.63%) and accuracy (90.7-94.3%) with adequate sensitivity for drug monitoring in bovine milk samples.
Assuntos
Antibacterianos/análise , Cefalosporinas/análise , Cromatografia Líquida de Alta Pressão/métodos , Leite/química , Animais , Bovinos , Cefalosporinas/química , Concentração de Íons de HidrogênioRESUMO
Large parts of the central highlands of Mexico are heavily eroded and the success of a planned reforestation program will greatly improve when the organic matter and nutrient content of the soil increases prior to the planting of the trees. This study investigated how the application of biosolids from a pharmaceutical company producing cephalosporines or third generation antibiotics could be used as a soil amendment and affect dynamics of C, P and N in soil. A sandy clay loam soil was sampled, amended with 24 g of dry biosolids kg(-1) dry soil or approximately 32 x 10(3) kg ha(-1) for the 0-10 cm layer, and incubated aerobically while production of carbon dioxide (CO(2)), dynamics of ammonium (NH(4)(+)),nitrite (NO(2)(-)), nitrate (NO(3)(-)), sodium bicarbonate (NaHCO(3)) extractable phosphorus (PO(4)(3-)), and microbial biomass carbon (C) were monitored. Results showed that the biosolid with pH 12, organic C content 162 g kg(-1), total N 21 g kg(-1), was of excellent quality considering its heavy metal content (USEPA) and a class "B" (USEPA) biosolid considering the amount of pathogens. No cephalosporines could be detected in the biosolid. Addition of biosolid to soil increased production of CO(2) 1.4 times and added >60 mg NH(4)(+) kg(-1). The application of biosolids did not significantly increase the concentration of NO(2)(-) which remained <2 mg N kg(-1) soil, but the concentration of NO(3)(-) did increase with 175 mg N kg(-1) soil. The microbial biomass C did not change when sewage biosolids was added and concentrations of extractable PO(4)(3-) only increased temporarily. Washing the biosolids reduced concentrations of NH(4)(+) and NO(3)(-), but also reduced pathogens and concentrations of chloride (Cl(-)), which might pose a treat to humans and the environment, respectively. Although the biosolid added valuable nutrients to the soil and did not inhibit C and N mineralization, further investigation into possible long-term environmental effects on soil processes and plant growth is necessary before this biosolid can be used in the field.
Assuntos
Antibacterianos/química , Carbono/análise , Cefalosporinas/química , Nitrogênio/análise , Fósforo/análise , Microbiologia do Solo , Solo/análise , Agricultura/métodos , Indústria Farmacêutica/métodos , Fertilizantes/análise , Fertilizantes/microbiologia , Resíduos Industriais/prevenção & controle , Projetos PilotoRESUMO
The (1)H and (13)C spectroscopic data for 7beta-(cinnamoyl-substituted)amino-3-acetoxymethyl-cephalosporins were fully assigned by a combination of one- and two-dimensional experiments. Substitution on the aromatic ring and on the double-bond alpha-position of the cinnamoyl moiety has little influence on the spectroscopic properties of the 7beta-aminocephalosporanic acid parent moiety.
Assuntos
Isótopos de Carbono , Cefalosporinas/química , Cefalosporinas/normas , Espectroscopia de Ressonância Magnética/métodos , Espectroscopia de Ressonância Magnética/normas , Prótons , Valores de Referência , Cefalosporinas/análise , Cefalosporinas/classificação , ItáliaRESUMO
Twenty 3-acetoxymethyl cephalosporin derivatives, with various cinnamoyl (3-phenyl-2-propenoyl) substituted groups at the 7beta-position, were synthesized and evaluated for antibacterial activity in vitro. Some of these cephalosporin derivatives showed good selective activity against Gram-positive bacteria. Although substitution on the aromatic ring of cinnamoyl moiety generally reduced antimicrobial activity against Staphylococcus sp. and Enterococcus sp., a hydroxy group at the para position, and particularly ortho, para di-chloro substitution, improved the activity against methicillin resistant strains of Staphylococcus aureus (MRSA). Substitution on the double bond alpha position of the cinnamoyl moiety also affected the antimicrobial activity. A cyano group attached to this position increased activity against both negative coagulase Staphylococcus and Enterococcus sp. and extended the antibacterial spectrum towards Gram-negative bacteria.