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Biomedical subjects

D A Bremner

Publications and source records attributed to D A Bremner.

At least 37 records · Page 2Linked to original sources

Treatment of complicated urinary tract infections with the long acting cephalosporin, ceftriaxone.

Ceftriaxone, a new broad spectrum cephalosporin with a long biological half-life has been used on a single intravenous daily dosage regimen over a five day period to treat complicated urinary tract infection. Bacteriological analysis of urine up to six weeks after such treatment, indicated that ceftriaxone was successful in 13 out of 15 cases treated compared with two out of 15 cases treated with cefuroxime given three times daily over the five day treatment period.

Adult↗

Ceftriaxone - a new broad-spectrum semisynthetic cephalosporin. In vitro activity against gram-negative bacilli sensitive and resistant to gentamicin.

Ceftriaxone (Rocephin 13-9904) was tested against 409 isolates of gram-negative bacilli. No difference was found in the susceptibility of the 262 gentamicin-sensitive or 147 gentamicin-resistant isolates to ceftriaxone. Comparison with other third-generation cephalosporins showed that ceftriaxone was as active as or more active than lamoxactam, cefoperazone, cefotaxime and ceftazidime against Escherichia coli, Proteus mirabilis, Proteus sp., Klebsiella. Ceftriaxone was not as active as ceftazidime against Pseudomonas aeruginosa, but was more active than lamoxactam, cefoperazone and cefotaxime.

Bacteria↗

Susceptibility of clinical strains of bacteria to cefoxitin.

The susceptibility of 3044 bacterial strains isolated from patients at Auckland Hospital were tested by the disc diffusion of cefoxitin, cephalothin and ampicillin. 86.5 percent of these strains were sensitive to cefoxitin, 71.3 percent sensitive to cephalothin and 41.6 percent ot ampicillin. A significant difference between cefoxitin and cephalothin was observed with E. coli, Klebsiella, Enterobacter and Proteus species. S. epidermidis alone showed significantly less strains susceptible to cefoxitin than cephalothin.

Ampicillin↗

The value of smears in the diagnosis of gonorrhoea in the female.

Of 332 consecutive patients attending the female venereal disease clinic, Auckland Hospital, 74 patients had gonorrhoea confirmed by culture, but gram stained slides were positive in only 36 of these patients. Five other patients had positive gram stained smears but were culture negative. The study showed the value of gram stained smear in the rapid diagnosis of gonorrhoea in the female.

Bacteriological Techniques↗

Characterization of plasmids from antibiotic-resistant Shigella isolates by agarose gell electrophoresis.

Gel electrophoresis of DNA from 95 clinical isolates of Shigella sonnei and Shigella flexneri resistant to antibiotics revealed a heterogeneous plasmid population. Most of the plasmids were smaller than 6 megadaltons (Mdal). Six S. sonnei isolates with the most common antibiotic resistance pattern were characterized. They had two plasmids in common: one was a self-transmissible Fi+ plasmid of 46 Mdal encoding resistance to streptomycin and sulphafurazole. In addition, several cryptic plasmids ranging in size from 1.0 to 24.5 Mdal were present. Mobilization of the 5.5 Mdal SuSm plasmid and a 1.0 Mdal cryptic plasmid was demonstrated with all six S. sonnei isolates during conjugation. This mobilization was mediated by the 46 Mdal self-transmissible Fi+ R plasmid and also by a 24.5 Mdal Fi- plasmid carrying no known drug resistance determinants.

Anti-Bacterial Agents↗

Transfer of plasmid-mediated antibiotic resistance in strains of Pseudomonas aeruginosa isolated in Auckland.

Of 422 clinical strains of Pseudomonas aeruginosa, 23 (5.5%) were resistant to gentamicin; 19 were also resistant to tobramycin and sisomycin, and one was resistant to tobramycin, sisomycin and amikacin. Of the gentamicin-resistant strains, 20 were also resistant to kanamycin. Sixteen strains with a high level of resistance to gentamicin (MIC greater than 160 microgram/ml) transferred all their resistance determinants to recipient strains of P. aeruginosa and four transferred some resistance determinants to P. aeruginosa but none transferred resistance to a recipient strain of E. coli K12. These results show that gentamicin resistance in strains of P. aeruginosa isolated in Auckland is mediated by R plasmids.

Anti-Bacterial Agents↗

The transfer of antibiotic resistance by R plasmids in Shigellae.

Forty-five strains of Shigella species isolated at Auckland Hospital from 1972--1974 were investigated for antibiotic resistance. Forty-two strains were resistant to one or more antibiotics and 11 strains transferred antibiotic resistance by conjugation to E. coli.

Anti-Bacterial Agents↗

Comparative sensitivity of penicillinase producing Staphylococcus aureus to four cephalosporin antibiotics.

One hundred and seven strains of penicillinase producing Staphylococcus aureus were tested for their sensitivity to four cephalosporin antibiotics--cephalothin, cephaloridine, cephradine and cephalexin. All the strains were sensitive to these antibiotics. Cephaloridine was the most effective antibiotic and cephradine the least effective as measured by their minimum inhibitory concentration. Varying the inoculum size had no significant effect on the MIC of cephradine.

Cephalexin↗

Antibiotic sensitivity of pathogens from infected skin lesions.

One hundred and seven patients attending an accident and emergency department with infected skin lesions were studied. The commonest organisms isolated were Staph aureus and Strep pyrogenes. Routine antimicrobial sensitivity testing of bacterial isolates showed that the antibiotic most likely to be effective against the organisms isolated was a cephalosporin or a tetracycline.

Anti-Bacterial Agents↗

The morphological identification of pathogenic yeasts using carbohydrate media.

Eight isolates of C. albicans were used to determine the frequency with which germ tube formation occurred: on rice extract -Tween 80 agar, on its components, and on 1% bactopeptone agar after three hr at 37 degrees C; in 0.5% aqueous solution of various carbohydrates; in various concentrations of glucose; on 0.5 and 0.1% glucose agar and on various types of agar alone. Subsequently 250 isolates of yeast of the genera Candida, Torulopsis, Trichosporon, Cryptococcus, and Saccharomyces, which were obtained from a clinical laboratory, were spread on rice extract -Tween 80 agar and on 0.1% glucose agar and covered with coverslips. Direct microscopic examination after incubation for three hours at 37 degrees C demonstrated germ tube formation by all 140 isolates of C. albicans, but by none of the other yeasts. The characteristic features of the pseudomycelia of isolates of Candida and Trichosporon were evident on reexamination after a further 45 to 69 hours at room temperature (22 degrees C). These morphological observations suggested the identity of the isolates of Torulopsis, Cryptococcus, and Saccharomyces but identified virtually all (98.2%) of those of the genera which formed pseudomycelia. Of the latter group only four isolates required fermentation and assimilation tests to determine whether they were C. parapsilosis (1) or C. guilliermondii (3).

Agar↗

Ampicillin resistance of Shigella sonnei.

The ampicillin resistance of clinical isolates of Shigella sonnei is due to beta-lactamase production. Two kinds of resistance are found: low level, nontransmissible; and high level, tranmissible. The nontransmissible type of resistance results from a chromosomal mutation which increases the production of a beta-lactamase that hydrolyses cephalosporins relatively rapidly and gives cephalothin resistance. The transmissible type of resistance is due to an R factor mediating the synthesis of a different beta-lactamase that does not significantly hydrolyze cephalosporins or confer cephalothin resistance. One clinical isolate is shown to possess simultaneously both these mechanisms of ampicillin resistance.

Ampicillin Resistance↗