期刊文献+
共找到610篇文章
< 1 2 31 >
每页显示 20 50 100
Metallo-β-Lactamases:A Major Threat to Human Health 被引量:1
1
作者 Emer K.Phelan Manfredi Miraula +3 位作者 Christopher Selleck David L.Ollis Gerhard Schenk Natasa Mitic 《American Journal of Molecular Biology》 2014年第3期89-104,共16页
Antibiotic resistance is one of the most significant challenges facing global healthcare. Since the 1940s, antibiotics have been used to fight infections, initially with penicillin and subsequently with various deriva... Antibiotic resistance is one of the most significant challenges facing global healthcare. Since the 1940s, antibiotics have been used to fight infections, initially with penicillin and subsequently with various derivatives including cephalosporins, carbapenams and monobactams. A common characteristic of these antibiotics is the four-memberedβ-lactam ring. Alarmingly, in recent years an increasing number of bacteria have become resistant to these antibiotics. A major strategy employed by these pathogens is to use Zn(II)-dependent enzymes, the metallo-β-lactamases (MBLs), which hydrolyse theβ-lactam ring. Clinically useful MBL inhibitors are not yet available. Consequently, MBLs remain a major threat to human health. In this review biochemical properties of MBLs are discussed, focusing in particular on the interactions between the enzymes and the functionally essential metal ions. The precise role(s) of these metal ions is still debated and may differ between different MBLs. However, since they are required for catalysis, their binding site may present an alternative target for inhibitor design. 展开更多
关键词 Antibiotic Resistance β-lactam Antibiotics Metallo-β-lactamases Reaction Mechanism Metal Ion Binding
下载PDF
Identification and preliminary characterization of novel B3-type metallo-β-lactamases
2
作者 Manfredi Miraula Conor SBrunton +1 位作者 Gerhard Schenk Natasa Mitić 《American Journal of Molecular Biology》 2013年第4期198-203,共6页
Antibiotic resistance has emerged as a major global threat to human health. Among the strategies employed by pathogens to acquire resistance the use of metallo-β-lactamases (MBLs), a family of dinuclear metalloenzyme... Antibiotic resistance has emerged as a major global threat to human health. Among the strategies employed by pathogens to acquire resistance the use of metallo-β-lactamases (MBLs), a family of dinuclear metalloenzymes, is among the most potent. MBLs are subdivided into three groups (i.e. B1, B2 and B3) with most of the virulence factors belonging to the B1 group. The recent discovery of AIM-1, a B3-type MBL, however, has illustrated the potential health threat of this group of MBLs. Here, we employed a bioinformatics approach to identify and characterize novel B3-type MBLs from Novosphingobium pentaromativorans and Simiduia agarivorans. These enzymes may not yet pose a direct risk to human health, but their structures and function may provide important insight into the design and synthesis of a still elusive universal MBL inhibitor. 展开更多
关键词 Antibiotic Resistance β-lactam Antibiotics Metallo-β-lactamases Sequence Homology Novosphingobium Pentaromativorans Simiduia Agarivorans
下载PDF
Unusual metallo-β-lactamases may constitute a new subgroup in this family of enzymes
3
作者 Chun-Feng D.Hou Emer K.Phelan +3 位作者 Manfredi Miraula David L.Ollis Gerhard Schenk Natasa Mitic 《American Journal of Molecular Biology》 2014年第1期11-15,共5页
Metallo-β-lactamases (MBLs) are a family of Zn2+-dependent enzymes that have contributed strongly to the emergence and spread of antibiotic resistance. Novel members as well as variants of existing members of this fa... Metallo-β-lactamases (MBLs) are a family of Zn2+-dependent enzymes that have contributed strongly to the emergence and spread of antibiotic resistance. Novel members as well as variants of existing members of this family are discovered continuously, compounding their threat to global health care. MBLs are divided into three subgroups, i.e. B1, B2 and B3. The recent discovery of an unusual MBL from Serratia proteamaculans (SPR-1) suggests the presence of an additional subgroup, i.e. B4. A database search reveals that SPR-1 has only one homologue from Cronobacter sakazakii, CSA-1.These two MBLs have a unique active site and may employ a mechanism distinct from other MBLs, but reminiscent of some organophosphate-degrading hydrolases. 展开更多
关键词 Antibiotic Resistance β-lactam Antibiotics Metallo-β-lactamases Sequence Homology Serratia proteamaculans Cronobacter sakazakii
下载PDF
Synthesis and Steric Structure of β-Lactam Derivatives of 2,4-Diaryl-2,3-dihydro-1,5-benzothiazepines 被引量:1
4
作者 Qi Yi XING Yuan LI +1 位作者 Cat Yun DU Qiu Qing YANGNa SUN, Sheng JIN(Bioorganic Molecular Engineering Laboratory, Institute of Chemistry and Molecular Engineering, Peking University, Beijing 100871 Department of Chemistry, Experiment Center, Hebei Normal Unive 《Chinese Chemical Letters》 SCIE CAS CSCD 1998年第10期919-921,共3页
This paper reports the primary results of the study on β-lactam derivatives of 2,4-diaryl-2, 3-di hydro-1, 5 -benzothiazepines. Five titie compounds have been synthesized, and their configUration and conformation wer... This paper reports the primary results of the study on β-lactam derivatives of 2,4-diaryl-2, 3-di hydro-1, 5 -benzothiazepines. Five titie compounds have been synthesized, and their configUration and conformation were detendned by X-ray crystallographic analysis. 展开更多
关键词 1 5-benzothiazopine β-lactam CYCLOADDITION
下载PDF
Synthesis, Crystal Structure and Antitumor Activities of 2-Acyl-β-lactam-2-carboxamides 被引量:1
5
作者 GAO Hai-Tao WANG Hong-Mei +3 位作者 HOU Na GUO Xing-Rong ZENG Xiao-Hua HU Yang-Gen 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 2019年第3期416-421,共6页
A series of 2-acyl-β-lactam-2-carboxamides was prepared through a tandem Ugi 4 CC/SN cyclization of bromoacetic acid, primary amine, arylglyoxal, and isocyanide. All of them were characterized by NMR, IR, MS and elem... A series of 2-acyl-β-lactam-2-carboxamides was prepared through a tandem Ugi 4 CC/SN cyclization of bromoacetic acid, primary amine, arylglyoxal, and isocyanide. All of them were characterized by NMR, IR, MS and elemental analysis. Meanwhile, the single crystal of compound 5 a, C_(19)H_(25)ClN_2 O_3, was also obtained and determined by X-ray crystallography. Crystal data: triclinic system, space group P_1, a = 8.1318(15), b = 11.931(2), c = 12.027(2) ?, α = 67.361(3)°, β = 73.009(3)°, γ = 85.663(3)°, V = 1029.1(3) ?3, Z = 2, F(000) = 388, Dc = 1.178 g/cm3, μ = 0.204 mm^(-1), R = 0.0786 and w R = 0.2212 for 3585 independent reflections(Rint = 0.0214) and 2960 observed ones(I > 2σ(I)). Intermolecular N–H···O stacking interactions contributed to the stability of the structure. The antitumor abilities of 5 were analyzed with 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazo-liumbromide(MTT) standard method; 5 c stood out as the most potent showing an IC_(50) of 1.70 μmol/L against human tumor cell lines(HepG2). 展开更多
关键词 crystal structure 2-acyl-β-lactam-2-carboxamides SYNTHESIS CYTOTOXIC activity
下载PDF
探讨肺炎克雷伯菌临床感染的护理方式及对β-lactams药物耐药性的主决定因素 被引量:2
6
作者 黄妙娟 《北方药学》 2013年第8期78-79,共2页
目的:研究探讨肺炎克雷伯菌(本文以下使用英文简称"KNP")临床感染的护理方式及对药物耐药性的主决定因素。方法:2011年1月~2013年1月,于我院共选择110例患者作为研究对象。首先对患者实施积极的护理干预,以防止院内感染。之... 目的:研究探讨肺炎克雷伯菌(本文以下使用英文简称"KNP")临床感染的护理方式及对药物耐药性的主决定因素。方法:2011年1月~2013年1月,于我院共选择110例患者作为研究对象。首先对患者实施积极的护理干预,以防止院内感染。之后对患者送检物实施β-lactams的活性测定以及细胞膜的通透性测定。结果:和敏感菌株比较,泛耐药菌株以及多重耐药的菌株β-内酰胺酶(本文以下使用英文简称"β-lactamase")的活性显著增多,差异具有统计学意义(P<0.05)。泛耐药菌株以及多重耐药的菌株两者的外膜的通透性相对于敏感菌株而言,具有显著的阻碍作用,差异具有统计学意义(P<0.05)。结论:合理护理,可有效防止医院院内感染。且β-lactamase的活性以及细胞外膜的通透性是KNP对β-lactams耐药性的主决定性因素,对抗生素药物的筛选具有一定的指导意义。 展开更多
关键词 肺炎克雷伯菌 临床感染 护理方式 β-lactamS 耐药性 主决定因素
下载PDF
Highly Stereoselective Synthesis of trans-3-Chloro-β-lactams from Imines and Mixed Chloroacetyl and Nitroacetyl Chlorides
7
作者 QI Heng-zhen MO Shan-yan XU Jia-xi 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2011年第6期958-962,共5页
A series of trans-3-chloro-β-lactams was synthesized stereospecifically from imines and chloroacetyl chloride or a mixture of chloroacetyl chloride and nitroacetyl chloride, prepared from vinylidene chloride and a mi... A series of trans-3-chloro-β-lactams was synthesized stereospecifically from imines and chloroacetyl chloride or a mixture of chloroacetyl chloride and nitroacetyl chloride, prepared from vinylidene chloride and a mixture of concentrated nitric acid and sulfuric acid, in the presence of triethylamine. The reaction of vinylidene chloride and the mixed acid was investigated. The formation mechanism of chloroacetyl chloride and nitroacetyl chloride and their reaction process with imines were proposed. 展开更多
关键词 β-lactam Chloroacetyl chloride Staudinger reaction STEREOSELECTIVITY
下载PDF
Synthesis and Stereostructure of New β-Lactam Derivatives of1,5-Benzothiazepines
8
作者 Yuan LI Na SUN Sheng JIN(Department of Chemistry Hebei University Shijiazhuang 050016 Institute of Chemistry and Molecular Engineering Peking University Beijing 100871) 《Chinese Chemical Letters》 SCIE CAS CSCD 1999年第6期447-448,共2页
Reaction of 1,5-benzothiazepine with N-protected glycine gives new a-amino-β-lactamderivatives of 1.5-benzothiazepine. The configuration and conformation of the products wereconfirmed by x-ray diffraction. The resu... Reaction of 1,5-benzothiazepine with N-protected glycine gives new a-amino-β-lactamderivatives of 1.5-benzothiazepine. The configuration and conformation of the products wereconfirmed by x-ray diffraction. The result further reveals that the reaction of 1.5-benzothiazepineswith derivatives of carboxylic acid stereospecific. 展开更多
关键词 1.5-Benzothiazepine β-lactam stereospecific reaction
下载PDF
Synthesis and Steric Structure of 1, 5-Benzothiazepine-Phenyl-β-Lactams
9
作者 Yuan LI Jian Dong SHI +3 位作者 Yuan Jing ZHANG Sheng JIN Qi Yi XING(Department of Chemistry, Hebei Normal University. Shijiazhuang 050016 ShijiazhuangTeachers College 050041)(Beliing institute of Radiation Medicine, Beijing 100850)(Institute of Chemistry and 《Chinese Chemical Letters》 SCIE CAS CSCD 1999年第1期23-26,共4页
1, 5-Benzothiazepines 1 react with phenylacetyl chloride to give the title compounds.The structures of these new compounds were confirmed by elemental analysis, ~1H NMR, ^(13)C NMRand MS spectroscopy, and their config... 1, 5-Benzothiazepines 1 react with phenylacetyl chloride to give the title compounds.The structures of these new compounds were confirmed by elemental analysis, ~1H NMR, ^(13)C NMRand MS spectroscopy, and their configuration (the mutual positions of the substituents relative to theβ-lactam ring) and conformation of the compounds were determined by X-ray crystal analysis. 展开更多
关键词 1 5-BENZOTHIAZEPINE β-lactam stereospecific reaction
下载PDF
Rapid Detection of β-lactam Antibiotic Residue in Milk Using Biolayer Interferometry
10
作者 Xiaojun LIU Hui FU +3 位作者 Feng XUE Tao MA Xiangxiang ZENG Hai ZHU 《Agricultural Biotechnology》 CAS 2014年第1期9-11,15,共4页
[ Objective] This study aimed to establish a high-sensitivity method for rapid detection of^-lactam antibiotic residue in milk. [Method] Based on bio- layer interferometry technology, ampicillin-BSA conjugate was fixe... [ Objective] This study aimed to establish a high-sensitivity method for rapid detection of^-lactam antibiotic residue in milk. [Method] Based on bio- layer interferometry technology, ampicillin-BSA conjugate was fixed on the bottom of APS fiber optic biosensor probe through hydrophobic interaction and bound to 40 mn colloidal gold-labeled/3-1actam antibiotic receptor, to detect β-lactam antibiotics in milk. [ Result] The sensitivity of colloidal gold-labeled BLI method was twice as high as that of immunechromatographic test strip in detection of β-1actam antibiotic residue in milk. Colloidal gold-labeled BLI method exhibited good speci- ficity and had no cross-reaction with 1 000 ng/ml aflatoxin M1, gentamicin, kanamycin, streptomycin, tylosin, chloromycetin and melamine. [Condusion] The colloidal gold-labeled BLI method is not suitable for quantitative detection in actual production due to its small quantitative range in detection of β-lactam antibiot- ics, but it is a simple and rapid qualitative detection method that can be used in rapid detection of β-1actam antibiotic residue in milk. 展开更多
关键词 Bialayer interferometry β-lactam antibiotics Receptor-colloidal gold conjugate MILK RECEPTOR
下载PDF
Novel Method for the Enantioselective Synthesis of β-Lactams
11
作者 YUAN Qing JIAN Shan-zhong WANG Yan-guang 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2008年第1期58-64,共7页
A novel method for the enantioselective synthesis of β-lactams is described in this study. 2,3-Dihydrobenzooxazin-4-one derived from salicylamide and L-menthone was used as the chiral auxiliary, which reacted with a-... A novel method for the enantioselective synthesis of β-lactams is described in this study. 2,3-Dihydrobenzooxazin-4-one derived from salicylamide and L-menthone was used as the chiral auxiliary, which reacted with a-bromo-acyl bromides in the presence of pyridine to give carboximides 2. The stereo-controlled Reformatsky-type reactions of carboximides with imines yielded the corresponding trans β-lactams with high enantioselectivities(e.e. 75%-86%) and high chemical yields(63%-85%), meanwhile, the chiral auxiliary dihydrobenzooxazin-4-one was released and recovered. 展开更多
关键词 β-lactamS ENANTIOSELECTIVE Chiralauxiliary Reformatskyreaction
下载PDF
Synthesis and Crystal Structure of α-( N-Protected a mino)β-lactam Derivative of 1 ,5-Benzothiazepine 被引量:2
12
作者 李媛 金声 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 1999年第5期331-334,共4页
The crystal of the title compound C, C 30 H 30 N 2O 3S has been prepared by reaction of 1,5 benzothiazepine with N protected glycine and determined by X ray single crystal diffraction. Crystal data:... The crystal of the title compound C, C 30 H 30 N 2O 3S has been prepared by reaction of 1,5 benzothiazepine with N protected glycine and determined by X ray single crystal diffraction. Crystal data: M r =498.62, triclinic with P 1 space group, a=10.880(2), b=13.955(3), c=9.537(2), α=99.34(3)°, β=110.43(3)°, γ=88 56(3)°, V=1338.2(5) 3, F(000)=528, λ (Mo Kα)=0.71073, Z=2, D c =1 237g/cm 3, μ =0.154mm -1 . Final R=0.0453, wR =0.1256 for 3491 observed reflections 〔 I>2σ(I) 〕. Structure analysis reveals that the substituents at C(23) and C(7) in four membered ring are located on the same side. The conformation of seven membered ring is chair like. 展开更多
关键词 crystal structure cycloaddition reaction β lactam 1 5 benzothiazepine.
下载PDF
Synthesis and Crystal Structure of a β-Lactam Derivative of 2,4-Diaryl-1,5-Benzothiazepine
13
作者 LI Yuan DU Cai Yun YANG Qiu Qing 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 1999年第1期59-62,共4页
The compound(2) (C 24 H 20 NO 2ClS)(see Scheme 1) has been synthesized by reaction of 1, 5 benzothiazepine with chloroacetyl chloride and crystallized in the monoclinic system, space group P2 1/c, a=12.54... The compound(2) (C 24 H 20 NO 2ClS)(see Scheme 1) has been synthesized by reaction of 1, 5 benzothiazepine with chloroacetyl chloride and crystallized in the monoclinic system, space group P2 1/c, a=12.547(3), b=10.614(2), c=15.881(3) , β=105.91(3)°, V=2034.1(10) 3, D c =1.378 g/cm 3, Z=4, F(000)=880, μ (Mo Kα) =0.311 mm -1 , R= 0.0510 and R w =0.0647 for 1953 observed reflections. Structure analysis reveals that the cycloaddition to β lactam is stereospecific reaction, the chloro and phenyl substituents in four membered ring are located on the same side of the nucleus. The conformation of seven membered ring in compound (2) is chair like. 展开更多
关键词 crystal structure cycloaddition reaction β lactam 1 5 benzothiazepine
全文增补中
Impact of Genetic Diversity of Uropathogenic Escherichia coli and Klebsiella pneumoniae Strains on the Dissemination of Extended Spectrum Beta-Lactam Resistance Genes in Côte d’Ivoire
14
作者 Innocent Allepo Abe Martial Kassi N’Djetchi +5 位作者 Mélika Barkissa Traore Flora Yao Thomas Konan Konan Paulin Didier Sokouri Ibrahim Konate Mathurin Koffi 《American Journal of Molecular Biology》 CAS 2024年第4期230-244,共15页
The increase and spread of bacterial resistance to extended-spectrum beta-lactam antibiotics are reported in many infections and are a real public health problem worldwide. Drug pressure is a factor that favors the em... The increase and spread of bacterial resistance to extended-spectrum beta-lactam antibiotics are reported in many infections and are a real public health problem worldwide. Drug pressure is a factor that favors the emergence of a population of better adapted bacteria. However, there is no literature highlighting the genetic diversity and evolutionary structure of E. coli and K. pneumoniae in an environment with high selection pressure in Côte d’Ivoire. The objective of this study was to evaluate the genetic diversity of E. coli and K. pneumoniae strains circulating at the HKB Hospital in Abobo and at the Daloa Regional Hospital and its impact on the dissemination of extended spectrum beta-lactam resistance genes. A total of 39 strains isolated from the urinary tract of infected patients, including 30 strains of E. coli and 9 strains of K. pneumoniae were studied. A total of 39 strains isolated from the urinary tract of infected patients, including 30 strains of E. coli and 9 strains of K. pneumoniae were studied. From genomic DNA extracts, ESBL resistance genes were amplified by PCR and sequenced, in addition to genetic typing by ERIC-PCR. The data obtained were submitted to genetic and bioinformatics analyses. The results have shown a genetic diversity important in E. coli and K. pneumoniae with diversity indexs (SID) ranging from 0.5 to 0.77. The genetic structure of the bacterial species studied has shown a clonal distribution of strains with clones expressing TEM-9 and CTX-M-15 variants. Also, this clonal structure was correlated with the spread of resistance genes in E. coli and K. pneumoniae. The spread of resistant clones is a factor that might limit the fight against antibiotic resistance. 展开更多
关键词 Escherichia coli Klebsiella pneumoniae Extended-Spectrum β-lactam Antibiotic Resistance Genetic Diversity
下载PDF
静脉注射头孢菌素类药物患者过敏反应发生率及其影响因素的多中心临床研究
15
作者 阳平 戴单单 +7 位作者 李晴宇 詹海潮 李旭梅 芦小燕 何敏 陈娜 姜赛平 卢晓阳 《浙江大学学报(医学版)》 CAS CSCD 北大核心 2024年第5期615-622,共8页
目的:分析头孢菌素类药物过敏反应的发生率及其影响因素。方法:横断面调研2021年4月1日至6月30日浙江省29家医疗机构所有接受静脉注射头孢菌素类药物的患者,统计头孢菌素类药物过敏反应的发生率,采用泊松回归模型分析头孢菌素类药物诱... 目的:分析头孢菌素类药物过敏反应的发生率及其影响因素。方法:横断面调研2021年4月1日至6月30日浙江省29家医疗机构所有接受静脉注射头孢菌素类药物的患者,统计头孢菌素类药物过敏反应的发生率,采用泊松回归模型分析头孢菌素类药物诱导过敏反应发生的相关影响因素。结果:研究共纳入56155例患者,头孢菌素类药物过敏反应总发生率为1.67‰,过敏反应发生率最高的是头孢唑肟(4.27‰),其次是头孢曲松(3.49‰)和头孢噻肟(2.40‰)。与皮试阴性组比较,非皮试组患者过敏反应发生率无明显增加(分别为1.75‰与1.63‰,RR=1.07,95%CI:0.70~1.63,P>0.05)。泊松回归分析结果显示,体重指数低于18.5 kg/m^(2)(RR=2.43,95%CI:1.23~4.82,P<0.05)、其他β-内酰胺类药物过敏史(RR=33.88,95%CI:1.47~781.12,P<0.05)会增加头孢菌素类药物过敏反应的发生率,且与头孢呋辛比较,头孢曲松(RR=3.08,95%CI:1.70~5.59,P<0.01)、头孢他啶(RR=1.89,95%CI:1.03~3.47,P<0.05)和头孢唑肟(RR=3.74,95%CI:1.64~8.50,P<0.01)过敏反应发生的风险增加。结论:头孢菌素类药物过敏反应与低体重指数和β-内酰胺类药物过敏史有关,头孢菌素类药物的常规皮试筛查并不能减少过敏反应发生。 展开更多
关键词 头孢菌素 皮试 过敏反应 体重指数 Β-内酰胺类药物
下载PDF
β-内酰胺酶抑制剂联合不同β-内酰胺类抗生素对耐多药结核分枝杆菌临床菌株体外活性研究
16
作者 石洁 郑丹薇 +6 位作者 徐吉英 马晓光 苏茹月 朱岩昆 王少华 常文静 孙定勇 《中国感染控制杂志》 CAS CSCD 北大核心 2024年第9期1091-1097,共7页
目的体外评估5种β-内酰胺类抗生素和不同β-内酰胺酶抑制剂组合对耐多药结核分枝杆菌(MDR-TB)活性的影响,以期发现针对耐多药结核病最有效的β-内酰胺类抗生素和β-内酰胺酶抑制剂组合。方法选取2021年河南省耐药监测项目收集的MDR-TB... 目的体外评估5种β-内酰胺类抗生素和不同β-内酰胺酶抑制剂组合对耐多药结核分枝杆菌(MDR-TB)活性的影响,以期发现针对耐多药结核病最有效的β-内酰胺类抗生素和β-内酰胺酶抑制剂组合。方法选取2021年河南省耐药监测项目收集的MDR-TB菌株,使用最小抑菌浓度(MIC)法测定5种β-内酰胺类抗生素或联合β-内酰胺酶抑制剂对临床MDR-TB的MIC值,并采用聚合酶链式反应(PCR)和DNA测序法分析菌株的bla C突变情况。结果共纳入105株MDR-TB,MIC检测结果显示,多尼培南对MDR-TB抗菌活性最高,其MIC 50值为16μg/mL。与β-内酰胺酶抑制剂联合后,大部分β-内酰胺类抗生素的MIC值明显下降。共有13.33%(14株)的菌株存在bla C基因的突变,主要为3种核苷酸替代突变,分别为AGT333AGG、AAC638ACC、ATC786ATT。BlaC蛋白Ser111Arg和Asn213Thr与同义单核苷酸突变相比,增强了克拉维酸/舒巴坦与美罗培南对MDR-TB的协同作用。结论多尼培南和舒巴坦组合对MDR-TB具有最强的抗菌活性。而BlaC蛋白Ser111Arg和Asn213Thr的替代突变使MDR-TB对美罗培南的敏感性在克拉维酸/舒巴坦协同时增强。 展开更多
关键词 结核分枝杆菌 Β-内酰胺类 Β-内酰胺酶抑制剂 耐多药结核分枝杆菌
下载PDF
高效液相色谱法测定β-内酰胺抗生素中残留乙酸的含量
17
作者 冯艳春 裴文莉 +6 位作者 王晨 朱俐 田冶 崇小萌 宋暤昀 姚尚辰 宁保明 《中国抗生素杂志》 CAS CSCD 北大核心 2024年第4期388-393,共6页
目的建立测定β-内酰胺类抗生素原料中乙酸残留量的HPLC方法。方法采用多因素组内设计方法,确定色谱流动相的组成、比例和pH值。参考ICH Q2,从专属性、检出限和定量限、线性、准确度、精密度和耐用性等6个方面对方法进行验证。用所建立... 目的建立测定β-内酰胺类抗生素原料中乙酸残留量的HPLC方法。方法采用多因素组内设计方法,确定色谱流动相的组成、比例和pH值。参考ICH Q2,从专属性、检出限和定量限、线性、准确度、精密度和耐用性等6个方面对方法进行验证。用所建立的方法对19种β-内酰胺类抗生素原料进行了测定。结果采用C_(18)色谱柱,流动相:甲醇-0.02 mol/L磷酸二氢钾,梯度洗脱;柱温25℃;检测波长220 nm。供试品、溶剂和流动相对乙酸测定没有明显干扰;乙酸的最低检出限约为0.029μg,最低定量限约0.12μg;从定量限到限度2倍浓度范围内,方法的线性关系良好,拟合直线方程为y=388866.7186x-177.5720,r2=0.9999;低中高浓度加样回收率平均分别为93%,96%和99%;方法的重复性和中间精密度分别为2.37%和2.11%;在3根不同C_(18)色谱柱上的耐用性良好。19种β-内酰胺抗生素原料中有3种筛查出残留乙酸。结论所建方法可以实现对β-内酰胺类抗生素原料中残留乙酸的准确定量,为该类原料的生产过程控制和标准物质研制提供了依据。 展开更多
关键词 Β-内酰胺类抗生素 原料 乙酸 反相高效液相色谱法
下载PDF
1例类鼻疽脓毒症患者的全程个体化药学监护
18
作者 王敏 林叶 +4 位作者 赵洁 符香香 吴华 吴琼诗 谢甜 《中国药房》 CAS 北大核心 2024年第1期101-106,共6页
目的为类鼻疽脓毒症(MS)抗菌药物治疗方案的调整、不良反应的识别和个体化药学监护提供参考。方法临床药师利用血药浓度和基因检测全程参与1例MS患者强化期和根除期治疗过程。通过测定β-内酰胺类和复方磺胺甲噁唑(TMP/SMZ)血药浓度并... 目的为类鼻疽脓毒症(MS)抗菌药物治疗方案的调整、不良反应的识别和个体化药学监护提供参考。方法临床药师利用血药浓度和基因检测全程参与1例MS患者强化期和根除期治疗过程。通过测定β-内酰胺类和复方磺胺甲噁唑(TMP/SMZ)血药浓度并计算其药代动力学与药效学(PK/PD)参数,结合文献对MS抗菌药物治疗方案进行调整;同时通过高通量测序检测药物相关基因多态性,对药物不良反应的发生原因进行分析并进行处理。结果临床药师利用血药浓度和基因检测手段,提出了亚胺培南西司他丁钠(IMP)给药剂量调整建议,分析了多种药物不良反应的发生原因;通过测定β-内酰胺类药物和TMP/SMZ血药浓度计算PK/PD靶标,通过查询指南和文献为临床医生解释类鼻疽患者脓毒症期和非脓毒症期状态下的达标情况;利用血药浓度和基因检测分析MS患者神经毒性与IMP cmin的相关性,并发现肾毒性与TMP/SMZ的cmax无关,而与患者饮水量相关。经全程抗菌药物治疗后,患者病情好转出院,不良反应得到有效处理。结论临床药师基于抗菌药物血药浓度和基因检测结果解读情况协助临床医生制定MS治疗方案,并为患者提供全程用药监护,提高了临床药物治疗的安全性和有效性。 展开更多
关键词 类鼻疽脓毒症 Β-内酰胺类抗菌药物 复方磺胺甲噁唑 血药浓度 基因检测 药学监护
下载PDF
89例药疹患者的致敏药物分析
19
作者 张亚丽 李君 +3 位作者 梁粟 王雪 曹娟梅 贾雪松 《皮肤性病诊疗学杂志》 2024年第9期588-594,共7页
目的探讨药疹住院患者的临床特征及常见致敏药物、药疹类型,分析药疹的相关诱发因素,为临床合理用药及预防药疹的发生提供参考。方法回顾性分析2019年4月至2023年12月底石河子大学第一附属医院确诊为药疹的患者临床数据,包括药疹类型、... 目的探讨药疹住院患者的临床特征及常见致敏药物、药疹类型,分析药疹的相关诱发因素,为临床合理用药及预防药疹的发生提供参考。方法回顾性分析2019年4月至2023年12月底石河子大学第一附属医院确诊为药疹的患者临床数据,包括药疹类型、使用致敏药物原因、致敏药物、潜伏期、发热情况、住院时间、治疗与转归等。结果药疹患者共89例,占皮肤科同期住院总病例的2.90%。轻症药疹63例(70.79%),以发疹型为主;重症药疹26例(29.21%),以重症多形红斑(SJS)为主。使用致敏药物原因以感染性疾病最多(44例,占49.44%)。63例(70.79%)为单一药物致敏,其中前3位的致敏药物类别为抗生素类(33.33%)、中成药(26.98%)、抗癫痫药(14.29%)。轻症药疹潜伏期平均(4.56±6.14)d,重症药疹潜伏期平均(9.35±11.33)d,差异有统计学意义(t=2.03,P=0.025)。19.05%轻症药疹以及46.15%重症药疹患者初期并发高热。89例药疹平均住院(9.02±3.58)d,轻症药疹与重症药疹患者住院时间无统计学差异(t=3.06,P=0.05)。89例患者中,有46例(51.69%)系统应用糖皮质激素,其中2例重症药疹联用丙种球蛋白治疗,2例重症药疹联用肿瘤坏死因子(TNF)-α拮抗剂。未随访到死亡病例。结论本地区药疹类型以发疹型为主,抗生素类、中成药、抗癫痫药是前3位的致敏药物种类。多数药疹初期并发高热,尤其是重症药疹,但重症药疹与轻症药疹间住院时间无差异。早期足量应用糖皮质激素或联合治疗可缩短重症药疹的住院时间。 展开更多
关键词 药疹 β类酰胺类 卡马西平 拉莫三嗪 糖皮质激素
下载PDF
基于不同识别元件的β-内酰胺类药物快速检测方法研究进展
20
作者 张会彩 胡佳佳 王建平 《畜牧与兽医》 CAS 北大核心 2024年第8期139-144,共6页
β-内酰胺类药物被广泛用于动物细菌性疾病的治疗,在世界抗生素市场中占据了超过一半的份额。然而,此类药物给食品动物大量使用会造成在动物源性食品中的残留,从而对消费者健康构成潜在威胁。因此,必须要对此类药物在动物源性食品中的... β-内酰胺类药物被广泛用于动物细菌性疾病的治疗,在世界抗生素市场中占据了超过一半的份额。然而,此类药物给食品动物大量使用会造成在动物源性食品中的残留,从而对消费者健康构成潜在威胁。因此,必须要对此类药物在动物源性食品中的残留进行检测。在β-内酰胺类药物的快速检测方法中,核心试剂是使用识别元件,它直接影响检测方法的选择性。受体、抗体、适配体、分子印迹聚合物等识别元件均具有特异性识别能力,已被用于不同兽药的残留检测。本文着重论述了近年来基于上述识别元件的方法在β-内酰胺类药物残留检测方面的应用,旨在为相关研究人员提供一些帮助。 展开更多
关键词 Β-内酰胺类药物 残留 识别元件 检测方法
下载PDF
上一页 1 2 31 下一页 到第
使用帮助 返回顶部