Oral Candida in Patients with Fixed Orthodontic Appliance: In Vitro Combination Therapy
Identifieur interne : 000143 ( Main/Exploration ); précédent : 000142; suivant : 000144Oral Candida in Patients with Fixed Orthodontic Appliance: In Vitro Combination Therapy
Auteurs : Wisam Alhamadi [Iraq] ; Rafal J. Al-Saigh [Iraq] ; Nebras N. Al-Dabagh [Iraq] ; Hussam W. Al-Humadi [Iraq]Source :
- BioMed Research International [ 2314-6133 ] ; 2017.
Abstract
Fixed orthodontic appliance (FOA) increases the cariogenic microorganisms of mouth including candida. The aim was to evaluate the pharmacodynamic effects of some antibacterial drugs in combination with most applicable antifungal agents on candida isolated from patients with FOA.
Three antifungal agents (amphotericin B (AMB), ketoconazole (KET), and itraconazole (ITZ)) and three antibacterial drugs (ciprofloxacin (CIP), doxycycline (DOX), and metronidazole (MET)) with serial concentrations have been used and microdilution broth method has been done for single and combination therapy, then fungal growth was assessed spectrophotometrically, and the combinations were evaluated by bliss independent analysis.
According to bliss independent interaction, the synergistic interactions depended on Δ
This study uncovers the optimum antibiotic combination therapy against cariogenic candida with FOA by usage of low therapeutic concentrations.
Url:
DOI: 10.1155/2017/1802875
PubMed: 28685145
PubMed Central: 5480024
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Oral Candida in Patients with Fixed Orthodontic Appliance: In Vitro Combination Therapy</title>
<author><name sortKey="Alhamadi, Wisam" sort="Alhamadi, Wisam" uniqKey="Alhamadi W" first="Wisam" last="Alhamadi">Wisam Alhamadi</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Orthodontics, Dentistry College, University of Babylon, Babylon, Iraq</nlm:aff>
<country xml:lang="fr">Iraq</country>
<wicri:regionArea>Department of Orthodontics, Dentistry College, University of Babylon, Babylon</wicri:regionArea>
<wicri:noRegion>Babylon</wicri:noRegion>
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<author><name sortKey="Al Saigh, Rafal J" sort="Al Saigh, Rafal J" uniqKey="Al Saigh R" first="Rafal J." last="Al-Saigh">Rafal J. Al-Saigh</name>
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<author><name sortKey="Al Dabagh, Nebras N" sort="Al Dabagh, Nebras N" uniqKey="Al Dabagh N" first="Nebras N." last="Al-Dabagh">Nebras N. Al-Dabagh</name>
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<author><name sortKey="Al Humadi, Hussam W" sort="Al Humadi, Hussam W" uniqKey="Al Humadi H" first="Hussam W." last="Al-Humadi">Hussam W. Al-Humadi</name>
<affiliation wicri:level="1"><nlm:aff id="I4">Department of Pharmacology & Toxicology, Pharmacy College, University of Babylon, Babylon, Iraq</nlm:aff>
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<series><title level="j">BioMed Research International</title>
<idno type="ISSN">2314-6133</idno>
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<imprint><date when="2017">2017</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p> Fixed orthodontic appliance (FOA) increases the cariogenic microorganisms of mouth including candida. The aim was to evaluate the pharmacodynamic effects of some antibacterial drugs in combination with most applicable antifungal agents on candida isolated from patients with FOA.</p>
</sec>
<sec><title> Methods</title>
<p> Three antifungal agents (amphotericin B (AMB), ketoconazole (KET), and itraconazole (ITZ)) and three antibacterial drugs (ciprofloxacin (CIP), doxycycline (DOX), and metronidazole (MET)) with serial concentrations have been used and microdilution broth method has been done for single and combination therapy, then fungal growth was assessed spectrophotometrically, and the combinations were evaluated by bliss independent analysis.</p>
</sec>
<sec><title> Results</title>
<p> According to bliss independent interaction, the synergistic interactions depended on Δ<italic>E</italic>
values that showed the best for CIP was with AMB (Δ<italic>E</italic>
= 55.14) followed with KET (Δ<italic>E</italic>
= 41.23) and lastly ITR (Δ<italic>E</italic>
= 39.67) at CIP = 150 mg/L. DOX was optimal with KET (Δ<italic>E</italic>
= 42.11) followed with AMB (Δ<italic>E</italic>
= 40.77) and the lowest with ITR (Δ<italic>E</italic>
= 9.12) at DOX = 75 mg/L. MET is the best with AMB (Δ<italic>E</italic>
= 40.95) and then with ITR (Δ<italic>E</italic>
= 35.45) and finally KET (Δ<italic>E</italic>
= 15.15) at MET 200 mg/L. Moreover, usage of higher concentrations of antibacterial agents revealed inhibitory effects.</p>
</sec>
<sec><title> Conclusion</title>
<p> This study uncovers the optimum antibiotic combination therapy against cariogenic candida with FOA by usage of low therapeutic concentrations.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>Iraq</li>
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<tree><country name="Iraq"><noRegion><name sortKey="Alhamadi, Wisam" sort="Alhamadi, Wisam" uniqKey="Alhamadi W" first="Wisam" last="Alhamadi">Wisam Alhamadi</name>
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<name sortKey="Al Dabagh, Nebras N" sort="Al Dabagh, Nebras N" uniqKey="Al Dabagh N" first="Nebras N." last="Al-Dabagh">Nebras N. Al-Dabagh</name>
<name sortKey="Al Humadi, Hussam W" sort="Al Humadi, Hussam W" uniqKey="Al Humadi H" first="Hussam W." last="Al-Humadi">Hussam W. Al-Humadi</name>
<name sortKey="Al Saigh, Rafal J" sort="Al Saigh, Rafal J" uniqKey="Al Saigh R" first="Rafal J." last="Al-Saigh">Rafal J. Al-Saigh</name>
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</tree>
</affiliations>
</record>
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