Mycobacterium species inhibition

The mechanism of action and other pharmacologic features of streptomycin are discussed in Chapter 45. The typical adult dose is 1 g/d (15 mg/kg/d). If the creatinine clearance is less than 30 mL/min or the patient is on hemodialysis, the dose is 15 mg/kg two or three times per week. Most tubercle bacilli are inhibited by streptomycin, 1-10 mcg/mL, in vitro. Nontuberculosis species of mycobacteria other than Mycobacterium avium complex (MAC) and Mycobacterium kansasii are... 

The search for new and effective treatment modalities requires the availability of adequate screening tests. Although no model adequately reflects the events that occur in human arthritic conditions, several in vivo and in vitro assays are used. The most common in vivo animal assays measure the ability of anti-inflammatory drugs to inhibit edema induced in the rat paw by carrageenan (a mucopolysaccharide derived from a sea moss of the Chondrus species), to inhibit adjuvant arthritis in rats induced by Mycobacterium butyricum or M. tuberculosis, to inhibit granuloma formation usually induced by the implantation of a cotton pellet beneath the abdominal skin of rats, or to inhibit erythema of guinea pig skin as a result of exposure to ultraviolet radiation. In vitro techniques include the ability of NSAIDs to stabilize erythrocyte membranes or, more commonly, to inhibit the biosynthesis of prostaglandins, particularly in cultured human synoviocytes and chondrocytes, and monocyte culture fluid stimulated bovine synoviocytes and chondrocytes. 

Theis and Leder (1993) demonstrated in aerobic biofilm experiments with an oil field isolate of aerobic bacteria, containing predominantly Pseudomonas species, that OPA is more effective than formaldehyde (FA, 2.1a.) or glutaraldehyde (GA, 2.5.) in killing or inhibiting the growth of sessile microorganisms (see Table 16). OPA is effective without activation and is able to inactivate GA-restistant strains of Mycobacterium chelonae. On the other hand OPA unlike GA acts not sporicidal at its in-use concentration of 0.5% (w/v) and normal pH (6.5.). 

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