煤工尘肺结核患者肺部细菌感染及耐药性研究

研究淮南矿区煤工尘肺结核患者肺部产超广谱β-内酰胺酶细菌感染及其耐药情况.对从煤工尘肺结核肺部感染患者痰标本分离的132株革兰阴性杆菌进行ESBLs检测,并对产ESBLs细菌进行药物敏感性检测.共计检出产ESBLs细菌31株,占全部测试菌株的23.48%,其中主要包括肺炎克雷伯菌15株,大肠埃希菌13株.产ESBLs细菌对氨苄西林均高度耐药;对头孢噻肟、头孢他定等第三代头孢菌素类也高度耐药;而头孢西丁对产ESBLs肺炎克雷伯菌及大肠埃希菌有较强的抗菌效果,但产ESBLs铜绿假单孢菌和阴沟肠杆菌对头孢西丁的耐药率却高达100%;除铜绿假单胞菌外的产ESBLs细菌对亚胺培南的敏感率极高;奈替米星、阿米卡星及氧氟沙星、环丙沙星对产ESBLs细菌抗菌作用较弱.淮南矿区煤工尘肺结核患者肺部产ESBLs细菌感染以产ESBLs肺炎克雷伯菌和大肠埃希菌引起的肺部感染为主要要致病菌,亚胺培南可作为治疗产ESBLs细菌(铜绿假单胞菌除外)的首选药物,临床应采取措施以预防产ESBLs细菌肺部感染的发生.     

58例肺结核患者肺功能分析

目的：探讨肺结核对肺功能的影响。方法：回顾分析58例肺结核患者的肺功能。结果：浸润型肺结核肺功能大致正常，慢性纤维空洞型肺结核肺功能普遍异常。结论：肺结核的肺功能障碍呈混合性。     

痰涂片阳性肺结核患者分枝杆菌培养及药敏结果743例分析

目的研究衢州地区痰涂片阳性肺结核患者对常用抗结核药物的耐药情况,为结核病控制和临床用药提供对策.方法对衢州地区的743例痰涂片阳性肺结核患者痰标本进行酸性改良罗氏培养基痰培养,将培养阳性菌株以硝基苯甲酸(PNB)培养基和噻吩-2-2羧酸肼(TCH)培养基进行菌种鉴定,采用绝对浓度间接法对异烟肼(INH)、利福平(RFP)、链霉素(SM)、氧氟沙星(OFLX)、乙胺丁醇(EMB)、卡那霉素(KM)6种抗结核药物进行敏感性试验.结果743例获得菌种鉴定和药物敏感试验结果者中有结核分枝杆菌复合群728例(97.98%),非结核分枝杆菌15例(2.02%).728例结核分枝杆菌复合群中总耐药率为26.63%,初治耐药率为19.35%,复治耐药率为57.32%;总耐多药率为5.36%,初治耐多药率1.39%,复治耐多药率36.59%.6种抗结核药物的耐药顺序依次为INH 8.20%、SM 7.74%、OFLX 4.80%、RFP 1.86%、KM 1.24%、EMB 1.08%.结论衢州地区肺结核患者中耐药情况较为严重,应开展分枝杆菌培养和药敏试验并根据药敏结果组成个体化化疗方案,同时进一步落实和提高非住院肺结核患者全面监督化学治疗(DOTS)质量,提高各类患者的治愈率,减少各种耐药的发生概率.     

Ecofriendly synthesis and biological evaluation of 4-(4-nitro-phenyl)-2-phenyl-1,4-dihydro-benzo[4,5]imidazo[1,2-a]pyrimidine-3-carboxylic acid ethyl ester derivatives as an antitubercular agents

An ecofriendly route has been investigated for the synthesis of 4-(4-nitro-phenyl)-2-phenyl-1,4-dihydro-benzo[4,5]imidazo[1,2-a]pyrimidine-3-carboxylic acid ethyl ester derivatives by one-pot, three-component condensation of ethyl benzoylacetate, aromatic aldehydes, and 2-amino benzimidazole using 260?mol% of citric acid as reaction mediator. Citric acid is an inexpensive, nontoxic, and green medium with smoothly activates the rate of reaction. The synthesized compounds were assessed for in vitro antimycobacterial activity against Mycobacterium tuberculosis H₃₇RV strain using the microplate alamar blue assay (MABA). The results indicate that among all the synthesized compound series, P-4 and P-9 compounds illustrate effective activity with a minimum inhibitory concentration of 25?µg/ml.     

Formulation and Optimization of Alkaline Extracted Ispaghula Husk Microscopic Reservoirs of Isoniazid by Box-Behnken Statistical Design

The main objective of the present work was to formulate and optimize a microparticulate sustained release drug delivery system of isoniazid by using a novel, alkaline extracted ispaghula husk as a polymer. Isoniazid microspheres of alkaline extracted ispaghula husk were prepared by emulsification internal ionic gelation method. Results of preliminary trials indicated that the polymer concentration, cross-linking agent and stirring speed had a noticeable effect on size and surface morphology. A four-factor three-level Box-Behnken design was employed to study the effect of independent variables on dependent variables. The particle size and entrapment efficiency varied from 30.75 to 61.78 µm and 62.27% to 85.80% respectively, depending on the polymer concentration, concentration of cross-linker and stirring speed. Optimized microspheres batch based on point prediction tool of design software exhibited 83.43% drug entrapment and 51.53 µm particle size with 97.80% and 96.37% validity, respectively at the following conditions: sodium alginate (3.55% w/v), alkaline extracted ispaghula husk (3.60% w/v), cross-linker concentration (7.82% w/v), and stirring speed (1200 rpm). The optimized formulation showed controlled drug release for more than 12 hours. The drug release followed Higuchi kinetics via a non-Fickian diffusion.     

Thiazole Ring—A Biologically Active Scaffold

Background: Thiazole is a good pharmacophore nucleus due to its various pharmaceutical applications. Its derivatives have a wide range of biological activities such as antioxidant, analgesic, and antimicrobial including antibacterial, antifungal, antimalarial, anticancer, antiallergic, antihypertensive, anti-inflammatory, and antipsychotic. Indeed, the thiazole scaffold is contained in more than 18 FDA-approved drugs as well as in numerous experimental drugs. Objective: To summarize recent literature on the biological activities of thiazole ring-containing compounds Methods: A literature survey regarding the topics from the year 2015 up to now was carried out. Older publications were not included, since they were previously analyzed in available peer reviews. Results: Nearly 124 research articles were found, critically analyzed, and arranged regarding the synthesis and biological activities of thiazoles derivatives in the last 5 years.     

Synthesis,Characterization and Biological Evaluation of New 3,5-Disubstituted-Pyrazoline Derivatives as Potential Anti-Mycobacterium tuberculosis H37Ra Compounds

A total of fourteen pyrazoline derivatives were synthesized through cyclo-condensation reactions by chalcone derivatives with different types of semicarbazide. These compounds were characterized by IR, 1D-NMR (¹H, ¹³C and Distortionless Enhancement by Polarization Transfer - DEPT-135) and 2D-NMR (COSY, HSQC and HMBC) as well as mass spectroscopy analysis (HRMS). The synthesized compounds were tested for their antituberculosis activity against Mycobacterium tuberculosis H37Ra in vitro. Based on this activity, compound 4a showed the most potent inhibitory activity, with a minimum inhibitory concentration (MIC) value of 17 μM. In addition, six other synthesized compounds, 5a and 5c–5g, exhibited moderate activity, with MIC ranges between 60 μM to 140 μM. Compound 4a showed good bactericidal activity with a minimum bactericidal concentration (MBC) value of 34 μM against Mycobacterium tuberculosis H37Ra. Molecular docking studies for compound 4a on alpha-sterol demethylase was done to understand and explore ligand–receptor interactions, and to hypothesize potential refinements for the compound.     

An iboga alkaloid chemotaxonomic marker from endemic Tabernaemontana ternifolia with antitubercular activity

Abstract

Coronaridine (1) was isolated from the CH₂Cl₂ root extract of Tabernaemontana ternifolia. The structure of 1 was established from 1D- and 2D-NMR and HR-ESIMS experiments, and by comparison with reported spectroscopic data. To date, this is the first report of compound 1 from T. ternifolia, introduced as new Tabernaemontana species from Philippines in 2005 on the basis of morphological characters. Coronaridine, an iboga-type indole alkaloid, has been isolated from over 50 Tabernaemontana species and can thus be inferred as a chemotaxonomic marker of the genus. T. ternifolia has a distinct arrangement of leaves not known in the genus, but is variable in other genera. Its isolation from endemic T. ternifolia establishes its position in the genus and supports the claim that coronaridine is a chemical marker of the genus Tabernaemontana. Interestingly, coronaridine exhibited relatively weak activity against Mycobacterium tuberculosis H₃₇Rv (MIC 82.64?μg/mL) (Rifampicin MIC 0.05?μg/mL).