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Biomedical subjects

J Igari

Publications and source records attributed to J Igari.

At least 145 records · Page 8Linked to original sources

[Comparison of antibacterial potencies of oral and parenteral antibiotic preparations against Escherichia coli, Klebsiella, Citrobacter, and Proteus isolated from urinary tract infections (3: 1981) 1. Susceptibility distribution].

In vitro activities of antibacterial agents against E. coli, Klebsiella, Citrobacter and Proteus which were isolated from patients with urinary tract infections at 8 hospitals in Japan, were investigated by dilution broth method using MIC 2000 (Dynatec) during July to October in 1981. The summarized results are as follows: Among oral antibacterial agents, MPC and PPA have showed potent antibacterial activities against E. coli and Klebsiella. In vitro activities of oral antibacterial agents against Proteus and Citrobacter showed not so potent. Among the first and second generation's parenteral antibacterial agents, CTM has showed potent antibacterial activities against E. coli and Klebsiella. Among the third generation's parenteral antibacterial agents, CMX, CTX and CZX have showed potent antibacterial activities against E. coli, Klebsiella, Proteus and Citrobacter.

Anti-Bacterial Agents↗

[Comparison of antibacterial potencies of oral and parenteral antibiotic preparations against Escherichia coli, Klebsiella, Citrobacter, and Proteus isolated from urinary tract infections (3: 1981). 2. Changes in bacterial sensitivities].

Since 1979 the antibacterial activity of antibiotics against E. coli, Klebsiella, Citrobacter and Proteus isolated from patients with urinary tract infections has been investigated. The serious transition of susceptibilities of E. coli and Klebsiella could not be recognized in these antibiotics (MPC, ABPC, NA, PPA, CEX, CEZ, CTM, CMZ and CFX). However, a few resistant organisms against the third generation's antibiotics (CTX, CMX, CZX, LMOX and CPZ) have already been appeared, we have to observe these results, continuously.

Anti-Bacterial Agents↗

[Comparison of antibacterial potencies of oral and parenteral antibiotic preparations against Escherichia coli, Klebsiella, Citrobacter, and Proteus isolated from urinary tract infections (3. 1981). 3. Patient backgrounds and bacterial sensitivities].

Routine susceptibilities testing of microorganisms isolated from patients are of restricted usefulness in the treatment of patients because of the delay in obtaining results. Thus, the empiric chemotherapy based on the susceptibility of microorganisms isolated from patients is necessary for the majority of patients with simple and complicated urinary tract infections. In this study the relation between changing susceptibility and background factors such as age, a sex distinction, antibiotics, areas in Japan, simple and complicated UTI and so on, has been investigated.

Adolescent↗

[Susceptibility of bacteria isolated from lower respiratory tract infections to antibiotics (1981)].

During the period from September 1981 to March 1982, 363 bacterial isolates were obtained as possible pathogens from 311 patients with lower respiratory tract infections at 12 medical institutions in Japan. Of these clinical isolates, mostly from the sputum, a total of 231 isolates including 19 strains of Staphylococcus aureus, 33 strains of Streptococcus pneumoniae, 90 strains of Haemophilus influenzae, 65 strains of Pseudomonas aeruginosa, 17 strains of Klebsiella pneumoniae and 7 strains of Escherichia coli were tested in vitro for minimal inhibitory concentrations (MIC) of 17 antimicrobial agents, and their antimicrobial susceptibility distribution and cumulative percentages of inhibited isolates by increasing concentrations of drugs were determined. The data were further analyzed to investigate the interrelation between such parameters as the age-distribution of patients by diseases of the respiratory system, sex and types of infection and the species and frequency of isolation of the organisms, and also the relationship between the antimicrobial chemotherapy prior to collection of clinical specimens and the species and incidence of the bacterial isolates. In respiratory infections, it is frequently that chemotherapy should be instituted with an appropriate drug even before the causative organism can be identified and assessed for its antimicrobial susceptibility. The present data may provide valuable informations in selecting appropriate drugs in practical, clinical use.

Adult↗

[An in vitro study of susceptibility of Flavobacterium meningosepticum to antibiotics].

The present study concern in vitro observation on the susceptibility to 20 antibacterial agents of the strains of Flavobacterium meningosepticum from clinical specimens at Juntendo University Hospital during the 1 year period of 1981. The tests for susceptibility of the 144 strains to the drugs were all performed by the serial 2-fold agar plate dilution method on Mueller Hinton agar (Difco), standardized by the Japan Society of Chemotherapy using the Microplanter apparatus with one loop of approximately 10(8) cells/ml. The antibacterial agents tested were as follows: ampicillin, sulbenicillin, piperacillin, mezlocillin, cefazolin, cefmetazole, cefoperazone, cefotaxime, ceftizoxime, kanamycin, gentamicin, tobramycin, amikacin, tetracycline, doxycycline, minocycline, nalidixic acid, pipemidic acid, erythromycin and clindamycin. 1. Thirty-seven per cent of the strains were isolated from sputum, 23% from urine (greater than or equal to 10(5) ml), and 18% from pus and exudate. Only 3 and 2 strains were isolated from cerebrospinal fluid and blood, respectively. 2. A large number of the strains tested were highly resistant to ABPC, SBPC, CEZ, KM, TOB, AMK, PPA and EM, and moderately resistant to PIPC, MZPC, CMZ, CPZ, CTX, CZX, GM, TC and NA. The most of the strains were highly sensitive to MINO, CLDM and DOXY in this order. There was no strain resistant to MINO in this study. 3. The yearly change of the antibacterial activities of DOXY, MINO, CLDM was not significant and 9% of the strains in 1981 were highly resistant to CLDM. The strains resistant to EM were more frequently seen in 1981 than in 1974--1976.

Cephalosporins↗

[Compared studies of antimicrobial agents against E. coli, Klebsiella, Citrobacter and Proteus isolated from urinary tract infections].

In vitro activities of antibacterial agents against E. coli, Klebsiella, Citrobacter and Proteus which were isolated from patients urinary tract infections at 8 hospitals in Japan, were investigated by agar dilution method from July to October in 1979. The summarized results are as follows. 1. Among oral antibacterial agents, MPC and PPA have showed potent antibacterial activities against E. coli and Klebsiella. Among parenteral antibiotics, CTM was the most active against E. coli and Klebsiella. However, ABPC-resistant E. coli and Klebsiella have appeared to occupy about 40% and 96% of bacteria isolated from urinary tract infections, respectively. 2. In vitro activities of antibacterial agents against Proteus and Citrobacter showed not so potent. 3. Causative organisms in female patients with simple urinary tract infections were mainly E. coli and Klebsiella. 4. Among oral antibacterial agents, PPA have shown similar antimicrobial activities against E. coli isolated from simple and complicated urinary tract infections. ABPC and MPC have been influenced in some degree by these factors. However, parenteral antibiotics are not influenced by these factors. On the other hand, in vitro activities of antibacterial agents against Klebsiella isolated from simple and complicated urinary tract infections were similar.

Adult↗

[Susceptibilities of Pseudomonas species to aminoglycosides and tetracyclines].

Pseudomonas aeruginosa has attracted much attention through its role in hospital outbreaks of disease. However, other members of the genus Pseudomonas, particularly Pseudomonas maltophilia and Pseudomonas cepacia, may be isolated as opportunistic pathogens of man, and can be found in hospital materials. These organisms have been less susceptible to the commonly used antibiotics. This report deals with the in vitro sensitivity of Pseudomonas strains except for P. aeruginosa to aminoglycosides and tetracyclines. The following bacteria were tested: P. maltophilia (50 strains), P. fluorescens (29 strains), P. putida (52 strains), P. cepacia (49 strains), P. putrefaciens (18 strains), P. acidovorans (12 strains). All of the strains for this study were isolated from routine cultures of infected clinical materials which sent to the Clinical Laboratories, Juntendo University Hospital during the 1 year period of 1980. The tests for susceptibility of the strains to the 3 aminoglycosides (gentamicin, tobramycin, amikacin) and 3 tetracyclines (tetracycline, doxycycline, minocycline) were all performed by the serial 2-fold agar plate dilution method on heart infusion agar, standardized by the Japan Society of Chemotherapy, using the microplanter apparatus with an inoculum size of approximately 10(8) CFU/ml. There were similar sensitivity patterns for the aminoglycosides tested; most of the strains of P. maltophilia, P. cepacia and P. acidovorans were resistant to the aminoglycosides, while most of P. fluorescens, P. putida and P. putrefaciens were sensitive. Minocycline and doxycycline were extremely active to the Pseudomonas species studied. Tetracycline was almost ineffective against P. maltophilia and P. cepacia.

Aminoglycosides↗

[Antimicrobial susceptibility patterns of clinical isolates of Pseudomonas cepacia (author's transl)].

The yearly changes of relative frequency of glucose-nonfermentative Gram-negative bacilli except for P. aeruginosa isolated from various clinical specimens over the past 5 years were studied. Acinetobacter anitratum was the most commonly encountered strain and P. maltophilia and P. putida were also frequently encountered during 1974 through 1977. In 1978, P. cepacia became a significantly predominant strain, which was 44.6% of all nonfermentative Gram-negative bacilli excluding P. aeruginosa isolated in Juntendo Hospital. Antimicrobial susceptibility patterns of 59 similar to 61 clinical isolates of P. cepacia in 1978 were studied by agar dilution method, standardized by the Japan Society of Chemotherapy. Miloxacin and minocycline inhibited more than 95% of the strain by the concentration of 6.25 micrograms/ml. Nalidixic acid and sulfamethoxazole were sensitive to approximately 52% and 75% of the strains respectively. The minimal inhibitory concentration of gentamicin, tobramycin, amikacin, kanamycin, apalcillin, piperacillin and pipemidic acid for most strains was more than 1.25 micrograms/ml. More than 90% of the strains were highly resistant to ampicillin, carbenicillin, sulbenicillin, ticarcillin, cefazolin, cefotiam, tetracycline, clindamycin and colistin.

Aminoglycosides↗