Antimicrobials sulfonamides

Linear descendants of the antimicrobial sulfonamides, the orally active sulfonylureas continue to be of interest as alternatives to insulin injections in patients with adult-onset diabetes. Tolpyrramide (153) is synthesized from unsymmetrical O-methylurea... 

The GUM approach is most easily achieved using a stepwise strategy, as illustrated below for an HPLC method for the determination of an antimicrobial sulfonamide, for... 

The Question of Cross-reactivity Between Antimicrobial and Non-antimicrobial Sulfonamides... 

SPCE/MB-Protein A/Ab Ag-(CH2)s-AP DPV(in NP) Antimicrobial sulfonamide Honey Eight-electrodes AP array Four-parameters logistic regression [44]... 

Multielectrode configuration allows parallelization of the assays. In this way, eight-electrode arrays are available, in a way that material employed in conventional ELISA microtiter plates (8x 12 wells) such as eight-channel micropipettes could be used. This format was employed for detection of antimicrobial sulfonamides in honey [44] or clen-buterol in livestock urine [55] with 8 or 16-electrode arrays, respectively. Apart from these arrays, dual-electrode formats in which both working electrodes share the reference and auxiliary electrodes can be employed for single [45] or multianalyte determinations [143], similarly to what happens with a four-channel SPCE (screen-printed carbon electrode) design for simultaneous bianalyte determination [70] (see also Section 9.7.1). 

Centi, S., Stoica, A.I., Laschi, S. and Mascini, M. (2010) Development of an electrochemical immunoassay based on the use of an eight-electrodes screen-printed array coupled with magnetic beads for the detection of antimicrobial sulfonamides in honey Electroanalysis, 22, 1881-1888. 

The sulfa dmgs are stiH important as antimicrobials, although they have been replaced in many systemic infections by the natural and semisynthetic antibiotics. They are of great value in third world countries where problems of storage and lack of medical personnel make appropriate use of antibiotics difficult. They are especially useful in urinary tract infections, particularly the combination of sulfamethoxazole with trimethoprim. Their effectiveness has been enhanced by co-adniinistration with dihydrofolate reductase inhibitors, and the combination of sulfamethoxazole with trimethoprim is of value in treatment of a number of specific microbial infections. The introduction of this combination (cotrimoxazole) in the late 1960s (1973 in the United States) resulted in increased use of sulfonamides. 

In subsequent studies attempting to find a correlation of physicochemical properties and antimicrobial activity, other parameters have been employed, such as Hammett O values, electronic distribution calculated by molecular orbital methods, spectral characteristics, and hydrophobicity constants. No new insight on the role of physiochemical properties of the sulfonamides has resulted. Acid dissociation appears to play a predominant role, since it affects aqueous solubiUty, partition coefficient and transport across membranes, protein binding, tubular secretion, and reabsorption in the kidneys. An exhaustive discussion of these studies has been provided (10). 

Sulfur dioxide, sulfites, and metabisulfites have had extensive use as antimicrobial preservatives in the food industry. In pharmaceuticals they have had a dual role, acting as preservatives and antioxidants. The sulfa dmgs, or sulfonamides, the first effective chemotherapeutic agents to be employed... 

Most drugs in the pyrimidine series fall into four categories the barbiturates, the sulfonamides, the antimicrobials and the antitumour agents. In addition there are innumerable pyrimidines with diverse biological activities, some of which are in use. 

The phenomenon of bacterial resistance to antibiotics was already known by the pioneers of the era of antibiotics, like Paul Ehrlich, who coined the term selective toxicity as the basic principle of antimicrobial therapeutics, as well as Gerhard Domagk, the inventor of the sulfonamide drugs, and Sir Alexander Fleming, the discoverer of the penicillins. When penicillin G was introduced into clinical practice in 1944, as many as 5% of the isolates of Staphylococcus aureus were resistant to penicillin, while 5 years later the percentage was 50%. 

Amphotericin B, cephalosporins, penicillins, minocycline, nitrofurantoin, sulfonamide antimicrobials, and vancomycin... 

Allopurinol, barbiturates, carbamazepine, cephalosporins, cyclophosphamide, ethambutol, fluconazole, ibuprofen, lamotrigine, macrolides, nitrofurantoin, penicillins, phenytoin, propranolol, quinolones, sulfonamide antimicrobials, sulindac, tetracyclines, thiazides, valproic acid, and vancomycin... 

Allopurinol, barbiturates, benzodiazepines, captopril, carbamazepine, erythromycin, fluoroquinolones, isoniazid, NSAIDs, penicillins, phenothiazines, phenytoin, rifampin, sulfonamides antimicrobials, and tetracyclines... 

Amantadine, amiodarone, barbiturates, benzodiazepines, carbamazepine, chlorpromazine, fluoroquinolones, furosemide, NSAIDs, promethazine, psoralens, quinidine, simvastatin, sulfonamide antimicrobials, sulfonylureas, tetracyclines, and thiazides... 

Albumin, aminophylline, aspirin, heparin, insulin, metoclopramide, NSAIDs, muromonab-CD3 (OKT3), opiates, penicillins, propafenone, quinidine, senna, sulfonamide antimicrobials, and vancomycin... 

Amiodarone, ampicillin, amoxicillin, captopril, chlorpro-mazine, ceftriaxone, erythromycin estolate, estrogen products, methimazole, nafcillin, rifampin, sulfonamide antimicrobials, and sulfonylureas... 

Acetazolamide, allopurinol, aspirin, captopril, carbamazepine, chloramphenicol, chlorpromazine, dapsone, felbamate, gold salts, metronidazole, methimazole, penicillamine, pentoxifylline, phenothiazines, phenytoin, propylthiouracil, quinidine, sulfonamide antimicrobials, sulfonylureas, and ticlopidine... 

Benzocaine, P-lactams, chloramphenicol, chloroquine, dapsone, hydroxychloroquine, methylene blue, nitrofurantoin, phenazopy-ridine, rasburicase, and sulfonamide antimicrobials... 

P-lactam antimicrobials, gatifloxacin, indinavir, isoniazid, levofloxacin, nitrofurantoin, ribavirin, rifabutin, rifampin, silver sulfadiazine, streptomycin, sulfonamide antimicrobials, and tetracyclines... 

P-lactam antimicrobials, erythromycin, nitrofurantoin, rifampin, sulfonamide antimicrobials, and vancomycin 0 Diuretics (all classes), NSAIDs... 

Host factors can help to ensure selection of the most appropriate antimicrobial agent. Age is an important factor in antimicrobial selection. With regard to dose and interval, renal and hepatic function varies with age. Populations with diminished renal function include neonates and the elderly. Hepatic function in the neonate is not fully developed, and drugs that are metabolized or eliminated by this route may produce adverse effects. For example, sulfonamides and ceftriaxone may compete with bilirubin for binding sites and may result in hyperbilirubinemia and kernicterus. Gastric acidity also depends on... 

Among pharmaceuticals, antibiotics have become of special concern in recent years. The reason is that these substances are continuously being introduced into the environment and may spread and maintain bacterial resistance in the different compartments. Sulfonamides are very commonly used antimicrobials in humans but mainly in veterinary medicine, due to their broad spectrum of activity and low cost, being the second most widely used veterinary antibiotic in the EU. Their occurrence has been reported in all kinds of water matrices their high excretion rates (after their intake by humans of livestock) and high water solubility make them very ubiquitous and persistent pollutants in the environment. 

Antimicrobial acrylic fibers, 11 215-219 Antimicrobial agents, 12 31. See also Antimicrobial compounds in continuous-filament yarns, 19 758 as preservatives, 12 57-59 silylating agents and, 22 700 as soap bar additives, 22 746 sulfonamides as, 23 494 Antimicrobial compounds, microbiological methods for determining, 20 132 Antimicrobial nanoemulsion technology, 3 630-631... 

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