• Title/Summary/Keyword: broad-spectrum resistance

Search Result 75, Processing Time 0.078 seconds

Prescription of antibiotics after tooth extraction in adults: a nationwide study in Korea

  • Choi, Yoon-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.46 no.1
    • /
    • pp.49-57
    • /
    • 2020
  • Objectives: This study aimed to understand the nationwide patterns of antibiotic prescription after tooth extraction in adult patients. Materials and Methods: This study analyzed dental records from the National Health Insurance Service-National Sample Cohort (NHIS-NSC) database on 503,725 tooth extractions performed in adults (≥19 years) during 2011-2015. Patient sex, age, household income, systemic disease (diabetes mellitus and hypertension), type of dental institution, region of dental institution, year of prescription, and type of tooth extraction procedure were considered. The antibiotic prescription rate and broad-spectrum antibiotic prescription frequency were analyzed using chi-squared tests. Factors affecting the prescription of broad-spectrum antibiotics were evaluated using multivariate logistic regression analysis. Results: The rate of antibiotic prescription after tooth extraction was 81.85%. Penicillin was most commonly prescribed (45.25%), followed by penicillin with beta-lactamase inhibitors (18.76%), metronidazole (12.29%), and second- to fourth-generation cephalosporins (11.52%). The proportion of broad-spectrum antibiotics used among all prescribed antibiotics was 45.88%. Conclusion: The findings of this study demonstrate that the rate of antibiotic prescription after tooth extraction is higher in Korea than in other countries. Furthermore, broad-spectrum antibiotics are used more frequently, which may indicate unnecessary drug prescription, an important contributor to antibiotic resistance.

Inheritance of Anthracnose Resistance in a New Genetic Resource, Capsicum baccatum PI594137

  • Kim, Sang-Hoon;Yoon, Jae-Bok;Park, Hyo-Guen
    • Journal of Crop Science and Biotechnology
    • /
    • v.11 no.1
    • /
    • pp.13-16
    • /
    • 2008
  • Pepper fruit anthracnose caused by Colletotrichum species is an economically important disease that causes serious yield loss and quality deterioration in many Asian countries including South Korea and Taiwan. Recently, Capsicum baccatum PI594137 was found to exhibit broad-spectrum resistance to Colletotrichum acutatum. The inheritance of anthracnose resistance to C. acutatum was analyzed in an intraspecific population derived from a cross between C. baccatum Golden-aji and PI594137. Detached mature green fruits were inoculated using the microinjection method. The disease response was evaluated as the disease incidence and the overall lesion diameter at 7 days after inoculation(DAI). The segregation ratios of resistance and susceptibility to C. acutatum in the $F_2$ and $BC_s$ populations significantly fit a 3:1 Mendelian model. This result indicates that the resistance of PI594137 to C. acutatum is controlled by a single dominant gene.

  • PDF

Effective Antibacterial Action of Tat (47-58) by Increased Uptake into Bacterial Cells in the Presence of Trypsin

  • Jung, Hyun-Jun;Jeong, Kyu-Shik;Lee, Dong-Gun
    • Journal of Microbiology and Biotechnology
    • /
    • v.18 no.5
    • /
    • pp.990-996
    • /
    • 2008
  • In a previous study, we found an antifungal effect on human pathogenic fungi by the cell-penetrating peptide Tat (47-58) derived from HIV-1. Tat (47-58) immediately entered into the fungal nucleus and affected some physiological changes on the intracellular condition. In this study, Tat (47-58) showed a broad spectrum of antibacterial activity against pathogenic bacteria including bacterial clinical isolates. To improve resistance against proteases for use in vivo, we synthesized an analog of Tat (47-58) by substituting the L-amino acid for the D-amino acid. The D-enantiomer of Tat (47-58) also exhibited a broad spectrum of antibacterial activity at almost the same level of L-Tat (47-58) concentration. Unlike L-Tat (47-58), D-Tat (47-58) showed a significant proteolytic resistance against all proteases tested and antimicrobial activities in the presence of trypsin. Moreover, D-Tat (47-58) inhibited MRSA infection in human HeLa cells whereas L-Tat (47-58) partially allowed MRSA infection, and the results were due to the proteolytic resistance of D-Tat (47-58).

Quality Assessment of Outpatient Antibiotic Consumptions in Korea Compared with Other Countries (항생제 사용의 질 지표를 이용한 국내 외래 항생제 사용현황의 국제 비교)

  • Park, Sylvia;Chae, Su-Mi
    • YAKHAK HOEJI
    • /
    • v.58 no.3
    • /
    • pp.200-207
    • /
    • 2014
  • This study aimed to assess the quality of outpatient antibiotic consumption in Korea compared with other countries. We used the National Health Insurance claims data for outpatient services in March, June, September, and December in 2012 and calculated nine indicator values based on the 12 European Surveillance of Antimicrobial Consumption (ESAC) drug-specific quality indicators. Indicator values in this study reflect the yearly use of antibiotic expressed in defined daily doses for 1,000 inhabitants per day (DID) and the use of main subclasses of antibiotics expressed in DID and as percentage of the total antibiotic use. Korea showed lower quality in the consumption of total antibiotics (J01), especially in the use of Cephalosporins (J01D) expressed in DID. Korea also showed low quality with regard to the use of narrow/broad spectrum antibiotics. The percentage of the use of narrow-spectrum Penicillins (J01CE) was lowest in Korea. The quality on the use of the third- and fourth-generation cephalosporin (J01(DD+DE)) was the fourth lowest among 26 countries. High rates of antibiotic resistance and payment system based on fee-for-service might have influenced on the high consumption of the broad spectrum antibiotics in Korea. It needs to further investigate the use of broad-spectrum antibiotics to identify the target of strategies promoting quality use of antibiotics in Korea.

Antibiotic resistance in Neisseria gonorrhoeae: broad-spectrum drug target identification using subtractive genomics

  • Umairah Natasya Mohd Omeershffudin;Suresh Kumar
    • Genomics & Informatics
    • /
    • v.21 no.1
    • /
    • pp.5.1-5.13
    • /
    • 2023
  • Neisseria gonorrhoeae is a Gram-negative aerobic diplococcus bacterium that primarily causes sexually transmitted infections through direct human sexual contact. It is a major public health threat due to its impact on reproductive health, the widespread presence of antimicrobial resistance, and the lack of a vaccine. In this study, we used a bioinformatics approach and performed subtractive genomic methods to identify potential drug targets against the core proteome of N. gonorrhoeae (12 strains). In total, 12,300 protein sequences were retrieved, and paralogous proteins were removed using CD-HIT. The remaining sequences were analyzed for non-homology against the human proteome and gut microbiota, and screened for broad-spectrum analysis, druggability, and anti-target analysis. The proteins were also characterized for unique interactions between the host and pathogen through metabolic pathway analysis. Based on the subtractive genomic approach and subcellular localization, we identified one cytoplasmic protein, 2Fe-2S iron-sulfur cluster binding domain-containing protein (NGFG RS03485), as a potential drug target. This protein could be further exploited for drug development to create new medications and therapeutic agents for the treatment of N. gonorrhoeae infections.

Removal of a synthetic broad-spectrum antimicrobial agent, triclosan, in wastewater treatment systems: A short review

  • Lee, Do Gyun
    • Environmental Engineering Research
    • /
    • v.20 no.2
    • /
    • pp.111-120
    • /
    • 2015
  • Contaminants of emerging concern (CECs) including endocrine disrupting compounds (EDCs) and pharmaceuticals and personal care product chemicals (PPCPs) have recently received more attention because of their occurrence in water bodies and harmful impacts on human health and aquatic organisms. Triclosan is widely used as a synthetic broad-spectrum antimicrobial agent due to its antimicrobial efficacy. However, triclosan detected in aquatic environment has been recently considered as one of CECs, because of the potential for endocrine disruption, the formation of toxic by-products and the development of cross-resistance to antibiotics in aquatic environment. This comprehensive review focuses on the regulations, toxicology, fate and transport, occurrence and removal efficiency of triclosan. Overall, this review aims to provide better understanding of triclosan and insight into application of biological treatment process as an efficient method for triclosan removal.

Random Amplified Polymorphic DNA Analysis for Typing Extended-Spectrum-β-Lactamase of Klebsiella pneumoniae

  • Yang, Byoung-Seon
    • Korean Journal of Clinical Laboratory Science
    • /
    • v.37 no.3
    • /
    • pp.149-154
    • /
    • 2005
  • Fifty-one extended-spectrum-${\beta}$-lactamase(ESBL) producing Klebsiella pneumoniae strains were isolated from national university hospitals. All K. pneumoniae strains showed resistance to broad-spectrum antibiotic and most of them presented resistance to amikacin, gentamicin and ciprofloxacin. The results of amplified polymorphic DNA (RAPD) pattern for randomly isolated fifty-one strains were as follows; both twenty-one strains from Chungnam National University hospital and ten strains from Chungbuk National University hospital showed RAPD type Ia and Ib. However, twenty strains isolated from Gyeongsang National University hospital belonged to RAPD type IIa and IIb. All isolates were divided into four molecular types and showed high level of genetic diversity. These results suggested that RAPD analysis provided a rapid and simple method for analysing genotypes of ESBL.

  • PDF

Reaction of Korean Rice Varieties to New Bacterial Blight Race, K3a (우리나라 벼 주요 품종들의 흰잎마름병 변이균 레이스 K3a에 대한 반응)

  • Shin Mun-Sik;Noh Tae-Hwan;Kim Ki-Young;Shin Seo-Ho;Ko Jae-Kweon;Lee Jae-Kil
    • KOREAN JOURNAL OF CROP SCIENCE
    • /
    • v.50 no.3
    • /
    • pp.151-155
    • /
    • 2005
  • This study was carried out to get information for diversifying of resistant genes to bacterial blight (BB) in Japonica cultivar breeding programs. TWo hundred nine rice varieties were tested for qualitive resistance to four races of BB; HB9101 isolate for race K1, HB9102 isolate for race K2, HB9103 isolate for race K3, and HB01001 isolate for race K3a. Two hundred nine rice varieties were divided into five groups according to their race reaction. Fourteen Tongil-type varieties and ninetyseven Japonica varieties showed susceptible reaction to four races; Kl, K2, K3 and K3a. Thirteen Tongil-type varieties and thirty-one Japonica varieties were resistant to only one race; K1. Nine Tongil-type varieties and one Japonica variety were resistant to two races; K1 and K2. One Tongil-type variety and twenty-eight Japonica varieties were resistant to the three races; K1, K2, and K3. Fourteen Tongil-type varieties and one Japonica variety were resistant to four races; K1, K2, K3, and K3a. A number of Tongil-type varieties showed broad spectrum resistance to four races, while a number of Japonica varieties showed broad spectrum resistance to three races; K1, K2, and K3.