[Evaluation of the development of resistance as a factor for the limitation of therapeutic possibilities].

Abstract:

:From the microbiological point of view a variety of highly active compounds has contributed to improved efficacy of antibacterial chemotherapy during the last few decades. In some cases, however, resistance has increased due to different molecular mechanisms. Resistance to the new generation of broad-spectrum beta-lactams is in the cases of TEM and SHV enzymes based upon the stepwise acquisition of point mutations within the structural gene. Multiresistance to aminoglycosides is caused by a combination of different genes coding for aminoglycoside modifying enzymes on transferable plasmids. Resistance to glycopeptides has recently been detected in enterococci and is due to a new mechanism of resistance. These substances have so far had unlimited activity against methicillin-resistant Staphylococcus aureus and have been widely used for treatment of pseudomembranous colitis. While all the three mechanisms of resistance mentioned above are transferable among different strains, no evidence exists so far for transferable resistance to 4-quinolones. However, for S. aureus and Pseudomonas aeruginosa an increase of resistance has been reported. The underlying mechanisms seem to be unchanged. The detection of global changes in the development of resistance and the discrimination of these changes from local events requires recording of statistically significant data obtained with approved methods and evaluation of the data with standardized international breakpoints. Consequently, the use of new agents should be controlled efficiently.

journal_name

Infection

journal_title

Infection

authors

Heisig P,Wiedemann B

doi

10.1007/BF01644735

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

S47-51

eissn

0300-8126

issn

1439-0973

journal_volume

19 Suppl 1

pub_type

杂志文章,评审
  • Campylobacter Enteritis.

    abstract::Campylobacter jejuni (previously called "related vibrio") has recently become recognized as an important cause of acute diarrhoeal disease in many countries. As with other intestinal pathogens, the clinical picture of C. jejuni infection varies from symptomless excretion to severe disease. The incubation period averag...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01640857

    authors: Butzler JP

    更新日期:1982-01-01 00:00:00

  • Interaction between levothyroxine and indinavir in a patient with HIV infection.

    abstract::Drug interactions are an important and emerging problem in the treatment of HIV-infected patients. Protease inhibitors, like nonnucleoside reverse transcriptase inhibitors, are metabolized by the cytochrome P-450 enzyme system and each of these antiretroviral agents may interact with other drugs metabolized by this sy...

    journal_title:Infection

    pub_type: 信件

    doi:10.1007/s15010-002-2092-3

    authors: Lanzafame M,Trevenzoli M,Faggian F,Marcati P,Gatti F,Carolo G,Concia E

    更新日期:2002-01-01 00:00:00

  • The pharmacokinetics of trimethoprim and trimethoprim/sulphonamide combinations, including penetration into body tissues.

    abstract::In this review the pharmacokinetic properties of trimethoprim (TMP) and TMP/sulphonamide combinations are discussed. The concentration of both substances in the various body fluids and tissues differ considerably from the concentrations in blood due to the different distribution of TMP and sulphonamides in the body. A...

    journal_title:Infection

    pub_type: 杂志文章,评审

    doi:10.1007/BF01639009

    authors: Reeves DS,Wilkinson PJ

    更新日期:1979-01-01 00:00:00

  • Cytomegalovirus infection in newborns and their family members: polymerase chain reaction analysis of isolates.

    abstract::Polymerase chain reaction (PCR) analysis with primers for the pp65, a-sequence, glycoprotein B, and major immediate early genes of human cytomegalovirus (CMV) was used to study five congenitally-infected infants and their CMV-infected family members. Family members excreting CMV included three mothers and two siblings...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF02113601

    authors: Souza IE,Gregg A,Pfab D,Dawson JD,Benson P,O'Neill ME,Murph JR,Petheram SJ,Bale JF Jr

    更新日期:1997-05-01 00:00:00

  • Basis and results of therapy with Beta-lactam antibiotics in experimental infections.

    abstract::Experimental infections in animals and their chemotherapy are dependent on a variety of experimental conditions and parameters which may be themselves interrelated; the type and number of infecting organisms, the nature of the infection, the antibiotic chosen for therapy and its administration schedule can influence t...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01644932

    authors: Rolinson GN

    更新日期:1980-01-01 00:00:00

  • Safety and immunogenicity of early vaccination with two doses of tetravalent measles-mumps-rubella-varicella (MMRV) vaccine in healthy children from 9 months of age.

    abstract:BACKGROUND:This open, randomized, controlled study [208136/018] assessed the safety and immunogenicity of early vaccination with an experimental tetravalent measles-mumps-rubella-varicella (MMRV) vaccine (GlaxoSmithKline Biologicals) compared to concomitant administration of separate licensed MMR (Priorix) and varicell...

    journal_title:Infection

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s15010-007-6337-z

    authors: Goh P,Lim FS,Han HH,Willems P

    更新日期:2007-10-01 00:00:00

  • Neuraminidase inhibitors in the treatment of influenza A and B--overview and case reports.

    abstract::Influenza viruses type A and B can cause a wide spectrum of illness, and they are responsible for considerable mortality and morbidity. With the new neuraminidase inhibitors, of which zanamivir was the first drug to be licensed, the physician has antivirals at his disposal which are safe and effective against both inf...

    journal_title:Infection

    pub_type: 杂志文章,评审

    doi:10.1007/s150100070016

    authors: Wutzler P,Vogel G

    更新日期:2000-09-01 00:00:00

  • A novel duplex real-time PCR permits simultaneous detection and differentiation of Borrelia miyamotoi and Borrelia burgdorferi sensu lato.

    abstract:PURPOSE:For simultaneous detection of Borrelia miyamotoi (relapsing fever spirochete) and Borrelia burgdorferi sensu lato, we have developed a duplex real-time PCR targeting the flagellin gene (flaB; p41), a locus frequently used in routine diagnostic PCR for B. burgdorferi s.l. detection. METHODS:Primers and probes w...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/s15010-015-0820-8

    authors: Venczel R,Knoke L,Pavlovic M,Dzaferovic E,Vaculova T,Silaghi C,Overzier E,Konrad R,Kolenčík S,Derdakova M,Sing A,Schaub GA,Margos G,Fingerle V

    更新日期:2016-02-01 00:00:00

  • Kinetics and correlation with body temperature of circulating interleukin-6, interleukin-8, tumor necrosis factor alpha and interleukin-1 beta in patients with fever and neutropenia.

    abstract::Interleukin-1 beta (IL-1 beta), interleukin-6 (IL-6), interleukin-8 (IL-8) and tumor necrosis factor alpha (TNF) are important mediators of fever and inflammation, and are involved in the pathogenesis of sepsis. There is only limited data on serum concentrations of these proinflammatory cytokines in patients with feve...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01716695

    authors: Engel A,Kern WV,Mürdter G,Kern P

    更新日期:1994-05-01 00:00:00

  • Ceftizoxime (FK 749) in vitro antibacterial activity.

    abstract::The minimal inhibitory concentrations of ceftizoxime, cefotaxime, moxalactam, cefoperazone, cefotiam and cefamandole were determined against various species of gram-negative bacteria and against Staphylococcus aureus. Ceftizoxime was more active against Enterobacteriaceae than cefamandole, cefotiam and cefoperazone an...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01641024

    authors: Husson MO,Courcol R,Izard D,Leclerc H

    更新日期:1984-01-01 00:00:00

  • Comparison of BacT/Alert blood culture bottles with lytic media for culture of peritoneal dialysis fluid.

    abstract::A comparison was made between the Septi-Chek "Release" system containing saponins, standard BacT/Alert blood culture bottles and FAN BacT/Alert blood culture bottles for culturing CAPD fluids. Seventy-seven CAPD effluent specimens were tested. No differences could be found. Therefore, lytic agents are not necessary wh...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01713570

    authors: Wüst J,von Graevenitz A

    更新日期:1995-11-01 00:00:00

  • Protective effect of an outer membrane vaccine against Pseudomonas aeruginosa infection.

    abstract::The outer membrane proteins, F, H2 and I, from PA12 strain of Pseudomonas aeruginosa, were purified and used successfully for immunization of Balb/c mice. The immunized mice were protected against challenge with a 2-26 fold LD50 of all known 19 serogroups of P. aeruginosa. ...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01647755

    authors: von Specht BU,Strigl G,Ehret W,Brendel W

    更新日期:1987-01-01 00:00:00

  • Early experience with remdesivir in SARS-CoV-2 pneumonia.

    abstract::At present, there is no definitive antiviral treatment for coronavirus disease 2019 (COVID-19). We describe our early experience with remdesivir in four critically ill COVID-19 patients. Patients received a 200 mg loading dose, followed by 100 mg daily intravenously for up to 10 days. All patients had been previously ...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/s15010-020-01448-x

    authors: Durante-Mangoni E,Andini R,Bertolino L,Mele F,Florio LL,Murino P,Corcione A,Zampino R

    更新日期:2020-10-01 00:00:00

  • Pertussis complications in Germany--3 years of hospital-based surveillance during the introduction of acellular vaccines.

    abstract::Between 1 November 1993 and 31 October 1996, admissions to paediatric departments for Bordetella pertussis complications were reported to a nationwide, hospital-based active surveillance system. The case definition included pertussis complicated by pneumonia, apnoea requiring assisted ventilation, seizures, encephalop...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF02962368

    authors: Herzig P,Hartmann C,Fischer D,Weil J,von Kries R,Giani G,Schroten H,Wirsing von König CH

    更新日期:1998-07-01 00:00:00

  • Combination therapy with an aminoglycoside for Staphylococcus aureus endocarditis and/or persistent bacteremia is associated with a decreased rate of recurrent bacteremia: a cohort study.

    abstract:PURPOSE:Although limited data exist on the efficacy and potential risk of synergistic aminoglycoside therapy for persistent Staphylococcus aureus bacteremia and endocarditis, aminoglycosides are frequently used in clinical practice. METHODS:As our study population, we included subjects fulfilling the modified Duke cri...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/s15010-011-0189-2

    authors: Lemonovich TL,Haynes K,Lautenbach E,Amorosa VK

    更新日期:2011-12-01 00:00:00

  • Infectious keratitis and orthokeratology lens use: a systematic review.

    abstract:PURPOSE:Myopia is a prevalent condition among Asians. Orthokeratology lens has gained popularity as a method of myopia control. This systematic review is to summarize the clinical profile of infectious keratitis in association with orthokeratology lens wear. METHODS:We searched in the PubMed and EMBASE for articles ad...

    journal_title:Infection

    pub_type: 杂志文章,评审

    doi:10.1007/s15010-017-1023-2

    authors: Kam KW,Yung W,Li GKH,Chen LJ,Young AL

    更新日期:2017-12-01 00:00:00

  • Intestinal microsporidiosis in patients with acquired immunodeficiency syndrome--report of three more German cases.

    abstract::Intestinal microsporidiosis with Enterocytozoon bieneusi was diagnosed in three of 18 HIV-infected patients with chronic diarrhoea. In two cases all known stages of the life cycle of E. bieneusi (merogonial plasmodia, sporogonial plasmodia, sporoblasts, spores) were found in duodenal biopsies by electron microscopical...

    journal_title:Infection

    pub_type: 杂志文章,评审

    doi:10.1007/BF01715501

    authors: Franzen C,Fätkenheuer G,Salzberger B,Müller A,Mahrle G,Diehl V,Schrappe M

    更新日期:1994-11-01 00:00:00

  • Rotavirus epidemiology and vaccine demand: considering Bangladesh chapter through the book of global disease burden.

    abstract:BACKGROUND:Rotavirus is the major cause of gastroenteritis in children throughout the world. Every year, a large number of children aged < 5 years die from rotavirus-related diarrhoeal diseases. Though these infections are vaccine-preventable, the vast majority of children in low-income countries suffer from the infect...

    journal_title:Infection

    pub_type: 杂志文章,评审

    doi:10.1007/s15010-017-1082-4

    authors: Mahmud-Al-Rafat A,Muktadir A,Muktadir H,Karim M,Maheshwari A,Ahasan MM

    更新日期:2018-02-01 00:00:00

  • Urinary tract infection in renal transplant patients.

    abstract::The incidence of urinary tract infections (UTI) in 299 renal graft transplantations (281 patients) was analyzed. UTI episodes were demonstrated in 185 grafts (62%), most frequently in the first month after transplantation. The infectious episodes were mostly recurrent. Persistent infection, detected in 11% of grafts, ...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01667212

    authors: Prát V,Horcicková M,Matousovic K,Hatala M,Liska M

    更新日期:1985-09-01 00:00:00

  • IL-6 and TNF alpha release in association with neutrophil activation after cardiopulmonary bypass surgery.

    abstract::The serum IL-6 and TNF alpha response to cardiopulmonary bypass surgery was studied in 12 patients. Human neutrophil elastase was also measured in order to detect the presence of neutrophil activation. Peripheral venous blood samples were obtained before, during, and 1, 2, 3 and 6 days after surgery. Intra-operative s...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01780764

    authors: Holzheimer RG,Molloy RG,Görlach H,Wilkert S,Hehrlein F

    更新日期:1994-01-01 00:00:00

  • [Urinary tract infections in childhood (author's transl)].

    abstract::The clinical symptoms of urinary tract infections (UTI) are only rarely an indication of the presence of the disease in childhood. Of decisive importance for the detection of UTI is an appropriate investigation to determine whether there is significant bacteriuria. Since in a significant proportion of cases of UTI in ...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01659736

    authors: Straub E

    更新日期:1979-01-01 00:00:00

  • Bacterial meningitis in infants and children.

    abstract::Bacterial meningitis of infants and children exact a major toll worldwide. Haemophilus influenzae, Streptococcus pneumoniae and Neisseria meningitidis continue to be the major causes, and efforts to reduce the incidence of this disease have had limited success. Major advances in rapid diagnosis, such as antigen detect...

    journal_title:Infection

    pub_type: 杂志文章,评审

    doi:10.1007/BF01641744

    authors: Marks MI

    更新日期:1984-01-01 00:00:00

  • Comparative in vitro antibacterial activity of seven semi-synthetic penicillins against aerobic gram-negative bacteria and enterococci.

    abstract::The MICs and MBCs of mecillinam, ticarcillin, mezlocillin, azlocillin and piperacillin were determined by the microdilution method in liquid medium using 700 strains of gram-negative bacilli and enterococci isolated from pathological sources and classified as a function of their sensitivity to ampicillin and carbenici...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01640683

    authors: Thabaut A,Durosoir JL,Saliou P

    更新日期:1982-01-01 00:00:00

  • Colistin and trimethoprim-sulfamethoxazole for the prevention of infection in patients with acute non-lymphocytic leukaemia. Decrease in the emergence of resistant bacteria.

    abstract::In a previous study we demonstrated that trimethoprim-sulfamethoxazole decreases the prevalence of infection in patients with severe granulocytopenia. However, treatment was accompanied by a relatively high incidence of multiresistant microorganisms. We therefore conducted this study to determine whether the addition ...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01641298

    authors: Rozenberg-Arska M,Dekker AW,Verhoef J

    更新日期:1983-05-01 00:00:00

  • In vitro activity of new cephalosporins against multi-resistant gram-negative bacteria.

    abstract::The in vitro sensitivities of 47 multi-resistant gram-negative bacilli against six third generation cephalosporins were investigated. Overall, moxalactam was the most active compound and cefoperazone the least active. Ceftizoxime and ceftazidime were very active against Enterobacteriaceae. Ceftriaxone and ceftizoxime ...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01641100

    authors: Fainstein V,Le Blanc B,Bodey GP

    更新日期:1983-01-01 00:00:00

  • Immunoglobulin class- and subclass-specific HIV antibody detection in serum and CSF specimens by ELISA and Western blot.

    abstract::Twenty-four homosexual adult patients suffering from LAS or AIDS were investigated for immunoglobulin class- and IgG subclass-specific antibodies to human immunodeficiency virus (HIV) by the indirect ELISA and Western blot using monoclonal tracer antibodies. All patients revealed HIV-specific serum antibodies of IgG s...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01647729

    authors: Mergener K,Enzensberger W,Rübsamen-Waigmann H,von Briesen H,Doerr HW

    更新日期:1987-01-01 00:00:00

  • Burrowing bug pigmentation.

    abstract::Cydnidae bug (also termed the burrowing bug) are arthropods of the order Hemiptera, that are recognized by their morphological adaptations for digging. They release an odorous substance from special glands that serve as self-defense, causing pigmented macules when in contact with human skin, especially during the rain...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/s15010-020-01481-w

    authors: Chakraborty S,Sil A,Panigrahi A

    更新日期:2020-07-11 00:00:00

  • The epidemiological burden and overall distribution of chronic comorbidities in coronavirus disease-2019 among 202,005 infected patients: evidence from a systematic review and meta-analysis.

    abstract:PURPOSE:The main purpose of this study was to examine the overall distribution of chronic comorbidities in coronavirus disease-19 (COVID-19) infected populations and the risk of the underlying burden of disease in terms of the case fatality ratio (CFR). METHODS:We carried out a systematic review and meta-analysis of s...

    journal_title:Infection

    pub_type: 杂志文章,meta分析

    doi:10.1007/s15010-020-01502-8

    authors: Mahumud RA,Kamara JK,Renzaho AMN

    更新日期:2020-12-01 00:00:00

  • Clindamycin-induced hypersensitivity reaction.

    abstract::Drug-induced anaphylaxis is an unpredictable adverse reaction. Although it may occur with any medication, antibiotics induce more cases of anaphylaxis than any other medication class with most cases being induced by β-lactam antibiotics. Clindamycin is an antibiotic with good gram-positive and anaerobe coverage which ...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/s15010-015-0826-2

    authors: Bulloch MN,Baccas JT,Arnold S

    更新日期:2016-06-01 00:00:00

  • Antibacterial activity and kill kinetics of amoxicillin-clavulanic acid combinations against Escherichia coli and Klebsiella aerogenes.

    abstract::Combinations of amoxicillin and clavulanic acid were tested against 11 Escherichia coli strains and five Klebsiella aerogenes strains. Apart from one E. coli, the strains were highly resistant to amoxicillin due to beta-lactamase production. Synergy was demonstrated in all strains by agar dilution. Synergy was detecte...

    journal_title:Infection

    pub_type: 杂志文章

    doi:10.1007/BF01641359

    authors: Fuglesang JE,Bergan T

    更新日期:1983-11-01 00:00:00