Inhibitory effect of Egyptian garlic extract on penicillic acid production

The inhibitory effects of aqueous Egyptian garlic extract on growth and penicillic acid production of Penicillium hirsutum were established. Minimal inhibitory concentration [MIC] of the aqueous garlic extract was determined by the agar diffusion assay, which was 30 mg/ml. Growth of the fungus in broth containing higher concentrations of garlic extract [18 and 24 mg/ml] showed that sporulation was completely inhibited after 7 days of incubation or became very slight after 10 days at these mentioned concentrations, The increase in garlic concentration caused a gradual increase in the average values of mycelial dry weights reaching a maximum at 24 mg/ml. In the contrary, the increase in garlic extract concentration induced a reduction in the levels of penicillic acid production. The amount of penicillic acid in presence of 24 mg/ml of garlic was approximately 44% that of control culture filtrate after 10 days of incubation, however penicillic acid was not detected completely at the same garlic extract concentration after 7 days of incubation. This study was also extended to analyze and evaluate the percentage of the main components in garlic extract that may be responsible for these inhibitory effects, applying GC-MS chromatographic analysis. This is the first report on the inhibition of penicillic acid production by a natural substance as garlic extract

Allergy to beta-lactams in pediatrics: a practical approach

OBJETIVO: Apresentar uma abordagem prática ao diagnóstico e conduta na alergia a antibióticos beta-lactâmicos. FONTES DOS DADOS: Periódicos da área de alergia indexados nas bases MEDLINE e LILACS, além de estudos e textos clássicos que tratam do tema. SíNTESE DOS DADOS: A alergia à penicilina é relatada com freqüência, em muitos casos resultando na exclusão desse medicamento do arsenal terapêutico. Cerca de 10 por cento dos relatos de alergia a drogas são confirmados. As manifestações clínicas decorrentes da reação alérgica à penicilina são bastante amplas, destacando-se os quadros cutâneos. Os quatro mecanismos de hipersensibilidade de Gell & Coombs estão envolvidos nas reações alérgicas. A penicilina é degradada em determinante maior (95 por cento dos produtos) e em determinantes menores (5 por cento dos produtos). As reações imediatas, mediadas por IgE, e que determinam quadros de anafilaxia, estão relacionadas aos determinantes menores em 95 por cento dos casos. A hipersensibilidade a esses produtos pode ser avaliada através de testes cutâneos realizados com os determinantes maior e menores, permitindo, assim, evitar o choque anafilático em indivíduos alérgicos. O texto ressalta conhecimentos básicos sobre a alergia à penicilina, propiciando um diagnóstico mais adequado desse evento e a conduta em casos de suspeita de alergia a beta-lactâmicos. CONCLUSÃO: O diagnóstico de alergia à penicilina tem sido feito de forma inadequada, resultando em sua exclusão do arsenal terapêutico. O melhor reconhecimento dessas condições permitirá o uso da penicilina com diminuição dos riscos decorrentes da hipersensibilidade.

OBJECTIVE: To present a practical approach to the diagnosis and management of allergy to beta-lactam antibiotics. SOURCES: Allergy journals indexed in MEDLINE and LILACS, as well as seminal studies and texts. SUMMARY OF THE FINDINGS: Allergy to penicillin is commonly reported. In many cases, this results in the decision not to use this drug. About 10 percent of drug allergy reports are confirmed. The clinical manifestations due to allergic reaction to penicillin vary widely, with emphasis on skin disorders. Gell & Coombs' four hypersensitivity mechanisms are involved in allergic reactions. Penicillin is degraded to a major (95 percent) and minor determinants (5 percent). Immediate IgE-mediated reactions causing anaphylaxis are associated with minor determinants in 95 percent of the cases. Hypersensitivity to these products can be assessed using cutaneous tests performed with major and minor determinants, thus avoiding anaphylactic shock in allergic individuals. The present article underscores the basic body of knowledge on allergy to penicillin, providing support for a more accurate diagnosis of this event and for the choice of management in cases of suspected beta-lactam allergy. CONCLUSIONS: The incorrect diagnosis of penicillin allergy frequently leads to the exclusion of this drug as a therapeutic option. A better recognition of these situations will enable the use of penicillin and reduce the risks associated with hypersensitivity.

Role of side chain moiety in the hydrolysis of penicillins by beta-lactamase.

Various beta-lactam compounds and structurally related moieties were examined as substrates of beta-lactamase from Bacillus cereus 5/B NCTC 9946. The enzyme was specific for penicillins and none of the cephalosporins were hydrolysed. Electronic environment of allylic carboxy group in dihydrothiazine ring restricts the acceptance of cephalosporins as substrates. The efficiency of hydrolysis of penicillins is dependent on dense resonating electronic environment of phenyl ring present in the side chain, flexibility of the side chain and the distance between the phenyl ring and carbonyl group in the side chain.