In vitro efficacy of ureteral catheters impregnated with ciprofloxacin, N-acetylcysteine and their combinations on microbial adherence.

Background: Ureteral catheters are valuable indispensable devices may readily acquire biofilms on the inner or outer surfaces. This study evaluated the efficacies of ureteral catheters impregnated with ciprofloxacin, N-acetylcysteine each alone and in combination on microbial adherence. Methods: Ant...

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Publicado en:Clinical Medicine: Urology no. 3; pp. 1 - 9
Autores principales: El-Rehewy MSK, El-Feky MA, Hassan MA, Abolella HA, Abolyosr A, El-Baky RMA, Gad GF
Formato: clinical trial pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. 2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2009
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: In vitro efficacy of ureteral catheters impregnated with ciprofloxacin, N-acetylcysteine and their combinations on microbial adherence.
      aug:
        au:
          El-Rehewy MSK
          El-Feky MA
          Hassan MA
          Abolella HA
          Abolyosr A
          El-Baky RMA
          Gad GF
        affil: Microbiology Department, Faculty of Medicine, Assuit University, Assuit, Egypt
      sug:
        subj:
          Acetylcysteine
          Biofilms
          Catheters
          Ciprofloxacin
          Ureter
          Bacterial Colonization
          Bacterial Physiology
          Clinical Trials
          Data Analysis Software
          Human
          One-Way Analysis of Variance
          Stents
      ab: Background: Ureteral catheters are valuable indispensable devices may readily acquire biofilms on the inner or outer surfaces. This study evaluated the efficacies of ureteral catheters impregnated with ciprofloxacin, N-acetylcysteine each alone and in combination on microbial adherence. Methods: Antimicrobial durability of ureteral catheters coated, through instant dip method, with ciprofloxacin were determined using modified Kirby-Bauer method. Ciprofloxacin-coated catheters showed zones of inhibition ranged from 15 to 45 mm in diameter (baseline) against nine clinical strains recently isolated from patients undergoing ureteral stent removal. Segments coated with ciprofloxacin, N-acetylcysteine each alone and in combination, through instant dip method, were incubated with the tested microorganisms, washed, sonicated, cultured and the number of viable cells were determined. Results: Ciprofloxacin-coated catheters soaked in urine and incubated at 37 °C, maintained antimicrobial activities and produce zones of inhibition that measured 2-10 mm for at least 8 weeks. Effect of ciprofloxacin and N-acetylcysteine coated catheters on microbial adherence were found to be dose dependent. Catheters impregnated with ciprofloxacin/N-acetylcysteine showed the highest inhibitory effect on microbial adherence when compared with controls (85.5%-100%). Conclusion: Catheters impregnated with ciprofloxacin, using instant dip method, were shown to have broad spectrum, prolonged antimicrobial durability and high efficacy. On the other hand, Catheters impregnated with ciprofloxacin/NAC showed the highest inhibitory effect on microbial adherence to stent surfaces.
      pubtype: Academic Journal
      doctype:
        clinical trial
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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