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Immunopharmacology. 1987 Apr;13(2):99-109.
Effects of quinolones on interleukin 1 production in vitro by human monocytes.

Roche Y, Fay M, Gougerot-Pocidalo MA.

The new quinoline derivative antibiotics (quinolones), pefloxacin and ciprofloxacin at concentrations higher than 50 micrograms/ml inhibit the PHA response of the human mononuclear leukocytes in vitro. Since monocytes have been shown to be accessory cells for the activation of lymphocytes by mitogens, we investigated the effects of pefloxacin and ciprofloxacin on extracellular interleukin 1 (IL-1) and cell-associated IL-1 from lipopolysaccharide-stimulated human monocytes. Pefloxacin and ciprofloxacin decreased the extracellular IL-1 in a dose-dependent manner, while cell-associated IL-1 was not altered. These effects were observed even after a short period of incubation (1 or 2 h). No inhibitory activity against purified IL-1 or IL-2 could be demonstrated in the dialyzed supernatants from pefloxacin- or ciprofloxacin-treated monocytes. Neither pefloxacin nor ciprofloxacin modified the biological activity of preformed IL-1. The decrease of extracellular IL-1 induced by pefloxacin and ciprofloxacin could, in part, account for the observed decrease in the proliferative response of human mononuclear leukocytes to phytohemagglutinin, as extracellular IL-1 and proliferative response were positively correlated (at various concentrations of pefloxacin and ciprofloxacin). The decrease in extracellular IL-1 was not associated with any alteration in the expression of the HLA-DR antigen on the monocytes membrane. These data suggested that pefloxacin and ciprofloxacin could antagonize IL-1 production and release by lipopolysaccharide-stimulated monocytes. These quinolones could be interesting tools to study the production, processing, transport and release from the monocytes of IL-1.

online pharmacy ref source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3496323&dopt=Abstract




Ann Pharm Fr. 1994;52(6):303-10.
[Absence of chemical interaction between short catheters (ETFE) and three major antibiotics. Study model]

[Article in French]

Minosio JP, Bourget P, Clapeau G, Rieutord A, Hamon M.

Service de Pharmacie Clinique, Laboratoire de Toxicologie, Hopital Antoine-Beclere, Clamart.

Recourse to sounding with vein catheters is more and more frequent in hospital environments. At the same time, a perceptible increase in incidents and accidents linked to this constantly growing practice is noted. The multiplication of new biomaterials used in the composition of catheters leads to taking into account the criteria of innocuousness and physiochemical inertia as discriminant elements in the choice of biomaterials. A study in vitro has been undertaken of the interaction between short catheters made of ethylenetetrafluoroethylen (ETFE) and antibiotic solutions widely used in hospital environments. The confrontation concerned solutions of vancomycine (Vancocin), ciprofloxacine (Ciflox) and the amoxicillin-clavulanic acid (Augmentin) association. A device has been fitted up and operative conditions have been set in order that the flushing out of the catheters by the solutions be in quality and quantity, as near as possible to actual conditions of use. The interaction marked chosen being a possible release of fluorides ions by the polymer, the determination of this anion has been made by liquid-gas chromatography paired with a flame ionization detection. We show the inertia of ETFE catheters with respect to the solutions examined. Taking into account the initially defined objectives, the conclusion of the work is important and constitutes a considerable factor of security for the catheters user whether he be buyer or practitioner. The model of study making up this approach could very be applied to other categories of materials and therapeutics.

online pharmacy ref source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7864530&dopt=Abstract




Scand J Infect Dis Suppl. 1989;60:46-53.
Species-specific interpretive breakpoints for ciprofloxacin disk diffusion susceptibility testing.

Ringertz S, Bjorklind A, Kronvall G.

Department of Clinical Microbiology, Karolinska Hospital, Karolinska Institute, Stockholm, Sweden.

When ciprofloxacin was introduced on the Swedish market the recommended interpretive standards for disk diffusion susceptibility testing using a 10 microgram disk were: Sensitive greater than or equal to 24 mm (MIC less than or equal to 1 mg/l) and Resistant less than 18 mm (MIC greater than 4 mg/l), except for enterococci where S greater than or equal to 18 mm and R less than 14 mm were recommended. A quality control study revealed that the accuracy of the routine susceptibility testing of ciprofloxacin was low. 50% of the strains of Staphylococcus aureus and 90% of Streptococcus agalactiae strains were falsely assigned to the intermediate instead of the sensitive category, and the test missed to detect true resistance in Pseudomonas maltophilia. New species-specific breakpoints were determined by the SRA method. Separate breakpoints were required only for the pseudomonas species. Streptococcus faecalis was found to belong mainly to the intermediate group and it is suggested that these strains are not categorized as sensitive. The breakpoints that gave acceptable accuracy in routine susceptibility testing of ciprofloxacin were S greater than or equal to 20 mm, R less than 13 mm for all relevant bacteria except Pseudomonas aeruginosa for which S greater than or equal to 27 mm, R less than 18 mm is proposed, and Pseudomonas maltophilia where S greater than or equal to 30 mm, R less than 23 mm are adequate breakpoints. The 10 microgram disk gave acceptable inhibition zones for all strains with MICs within the clinically interesting MIC range.

online pharmacy ref source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2502836&dopt=Abstract













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