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10.1093/jac/dkt010

http://scihub22266oqcxt.onion/10.1093/jac/dkt010
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C3654221!3654221!23447139
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suck abstract from ncbi


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pmid23447139      J+Antimicrob+Chemother 2013 ; 68 (6): 1312-8
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  • Minimizing human infection from Escherichia coli O157:H7 using GUMBOS #MMPMID23447139
  • Cole MR; Li M; Jadeja R; El-Zahab B; Hayes D; Hobden JA; Janes ME; Warner IM
  • J Antimicrob Chemother 2013[Jun]; 68 (6): 1312-8 PMID23447139show ga
  • Objectives: Reduction in faecal shedding of Shiga toxin-producing enterohaemorrhagic Escherichia coli (EHEC) in food-producing animals is a viable strategy to minimize human disease initiated by exposure to these microorganisms. To this end, an intervention strategy involving the electrostatic hybridization of two commonly used anti-infective agents for veterinary practice (i.e. chlorhexidine and ampicillin) was evaluated to curtail EHEC-transmitted disease from ruminant sources. Chlorhexidine di-ampicillin is a novel group of uniform material based on organic salts (GUMBOS) with inherent in vitro antibacterial activity that comes from its parent antimicrobial ions, chlorhexidine and ampicillin. Methods: Antibacterial activities for chlorhexidine diacetate, sodium ampicillin, chlorhexidine di-ampicillin and stoichiometrically equivalent 1?:?2 chlorhexidine diacetate?:?sodium ampicillin were assessed using the serial 2-fold dilution method and time?kill studies against seven isolates of E. coli O157:H7 and one non-pathogenic E. coli 25922. Further studies to investigate synergistic interactions of reacted and stoichiometrically equivalent unreacted antimicrobial agents at MICs and possible mechanisms were also investigated. Results: Synergism and in vitro antibacterial activities against EHEC were observed in this study, which suggests chlorhexidine di-ampicillin could be a useful reagent in reducing EHEC transmission and minimizing EHEC-associated infections. Likewise, chlorhexidine di-ampicillin reduced HeLa cell toxicity as compared with chlorhexidine diacetate or the stoichiometric combination of antimicrobial agents. Further results suggest that the mechanisms of action of chlorhexidine di-ampicillin and chlorhexidine diacetate against E. coli O157:H7 are similar. Conclusions: Reacting antimicrobial GUMBOS as indicated in this study may enhance the approach to current combination drug therapeutic strategies for EHEC disease control and prevention.
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