Guest guest Posted June 14, 2005 Report Share Posted June 14, 2005 Funny. I've been reading about this abx, which has been around forever (also called Macrodantin) and given for UTIs. See reference 2, as this abx can be toxic to DNA- So I'm not sure I'd want to take this long-term (The double edged sword you know) REFERENCE 1 Surg Infect (Larchmt). 2005 Spring;6(1):87-92. Emerging infections with community-associated methicillin-resistant Staphylococcus aureus in outpatients at an Army Community Hospital. Beilman GJ, Sandifer G, Skarda D, Jensen B, McAllister S, Killgore G, Srinivasan A. Division of Surgical Critical Care, Department of Surgery, University of Minnesota, Minneapolis, Minnesota 55455, USA. beilm001@... BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) infection typically occurs in chronically ill patients requiring long- term antimicrobial therapy or hospitalization. However, community- associated MRSA (CA-MRSA) necrotizing soft tissue infections seem to be increasing in incidence. Our aim was to describe the incidence and microbiologic characteristics of CA-MRSA isolates collected at an army community hospital. METHODS: We report a retrospective review of MRSA isolates identified during 1998-2003 at the microbiology laboratory of Moncrief Army Community Hospital that serves a community of approximately 40,000 transient residents yearly in Fort , South Carolina. We evaluated the incidence of MRSA in our laboratory during 1998-2003. For MRSA isolates from 2003, we evaluated antimicrobial susceptibility patterns. Six selected isolates were evaluated by molecular typing, resistance gene analysis, and toxin analysis. RESULTS: During 1998-2003, 241 (23%) of 1041 S. aureus isolates identified at the hospital microbiology laboratory were resistant to methicillin. Of these 241 MRSA isolates, 223 were cultured from outpatients. The incidence of MRSA in our population increased from 12% of S. aureus isolates in 1998 to 43% in 2003. In 2003, MRSA was cultured from 76 different patients. Isolates of MRSA were often resistant to erythromycin (91%), although resistance to other agents was less common: Ciprofloxacin (14%), levofloxacin (14%), clindamycin (3%), tetracycline (3%), and trimethoprim sulfamethoxazole (1%). No isolates were resistant to vancomycin, gentamicin, nitrofurantoin, or rifampin. Six CA-MRSA isolates were compared by pulsed-field gel electrophoresis (PFGE). Five were PFGE type USA300, and one was PFGE type USA100, based on the U.S. Centers for Disease Control and Prevention (CDC) classification scheme. The five USA300 isolates carried SCCmec type IV, and the USA100 carried SCCmec II. None of the isolates were positive by PCR for genes encoding enterotoxins A-E and H, or toxic shock syndrome toxin (TSST-1), but the five USA300 isolates carried the gene coding for Panton-Valentine leukocidin toxin. CONCLUSIONS: The incidence of MRSA at our institution is increasing. Isolates of MRSA show resistance patterns and microbiologic characteristics consistent with CA-MRSA isolates from the United States. Clinicians should consider the possibility of CA-MRSA in patients with soft- tissue infections who do not respond to initial therapy with beta- lactam antimicrobial agents. PMID: 15865554 [PubMed - in process] ____________________________________________________________________ REFERENCE 2 Mutagenesis. 2005 May;20(3):193-7. Epub 2005 Apr Comparative genotoxic evaluation of 2-furylethylenes and 5- nitrofurans by using the comet assay in TK6 cells. Borroto JI, Machado G, Creus A, Marcos R. Grup de Mutagenesi, Departament de Genetica i de Microbiologia, Facultat de Ciencies, Universitat Autonoma de Barcelona, 08193 Bellaterra, Spain. The genotoxicity of three 2-furylethylene derivatives and four 5- nitrofurans was evaluated by using the comet assay in human lymphoblastoid cultured TK6 cells. The 2-furylethylene derivatives were 2-furyl-1-nitroethene, 1-(5-bromofur-2-yl)-2-nitroethene and 1- (5-bromofur-2-yl)-2-bromo-2-nitroethene, while the 5-nitrofurans were nitrofurantoin, nitrofurazone, furazolidone and 5-nitro-2- furanacrolein. The treatments lasted for 3 h in the absence of metabolic activation. No genotoxic effects were observed for two of the 2-furylethylene compounds, while the derivative 1-(5-bromofur-2- yl)-2-nitroethene showed a statistically significant response mainly at the highest concentration tested; this effect was considered biologically relevant and the compound was classified as slightly genotoxic. On the other hand, for the classical 5-nitrofurans tested there is a tendency towards a dose-related increase of the DNA damage in the comet assay and the observed increases for the parameters analysed (Olive tail moment, tail % DNA and tail length) were significant for all compounds. Then, the four 5-nitrofurans tested were considered genotoxic. These results show that the position of the nitro group influences the genotoxicity of the assayed compounds. Thus, in this comet assay, the 2-furylethylene derivatives having the nitro group attached outside the furan ring appear to be much less genotoxic than the 5-nitrofurans. PMID: 15817571 [PubMed - in process] > > >> Yes Penny, I have been using a Wheldon/Stratton > protocol for > > several months this time but I had used some > components of it in the > past. I am using as much of the protocol as I can, as > I have had to > also re-introduce mefloquine (lariam) for Babesia bec > of returning > heart sxs. > > >> > >> The cycline + macrolide part of the protocol is > quite easy to take > > and I am quite sure it is getting some job done (much > better sleep > and a kind of loosening of tensions in head) but the > intro of the > imidazole has rocked me quite hard even when using it > only a few > days in a row. It is quite interesting as I have used > loads od > tinidazole before but not in the same context ie after > a few weeks > on a cycline + macrolide regimen. > > >> > >> I have also started taking the charcoal part of it > more seriously > > lately taking quite a big scoop at night (not sure how > much I am > taking, probably btwn 5-10g per evening) > > >> > >> I am taking sublingual B12 but no cimetidine > >> > >> Nelly > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2005 Report Share Posted June 15, 2005 Barb Macrodantin is a useless antibiotic because it does nothing in the body. It kills bugs in the urine only.It fails to change any aspect of systemic disease. I did notice that they had this antimicrobial cream for external application whihc is only available in the vet circles nowadays. I absolutely feel this drug is unbeleivable because it keeps killing bacteria which other abx don't touch.Unfortunately in blood plasma USELESS - NO EFFECT on bacteria. tony > > > > >> Yes Penny, I have been using a Wheldon/Stratton > > protocol for > > > > several months this time but I had used some > > components of it in the > > past. I am using as much of the protocol as I can, as > > I have had to > > also re-introduce mefloquine (lariam) for Babesia bec > > of returning > > heart sxs. > > > > >> > > >> The cycline + macrolide part of the protocol is > > quite easy to take > > > > and I am quite sure it is getting some job done (much > > better sleep > > and a kind of loosening of tensions in head) but the > > intro of the > > imidazole has rocked me quite hard even when using it > > only a few > > days in a row. It is quite interesting as I have used > > loads od > > tinidazole before but not in the same context ie after > > a few weeks > > on a cycline + macrolide regimen. > > > > >> > > >> I have also started taking the charcoal part of it > > more seriously > > > > lately taking quite a big scoop at night (not sure how > > much I am > > taking, probably btwn 5-10g per evening) > > > > >> > > >> I am taking sublingual B12 but no cimetidine > > >> > > >> Nelly > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2005 Report Share Posted June 15, 2005 It does do a good job on UTIs that don't respond to Cipro and Zith. I know 2 people who recently used it after using those others. Have you ever used it in your culture plates? And maybe it would be a good abx if combined with another (sometimes 2 work together when one or the other doens't work alone. Barb > > > > > > >> Yes Penny, I have been using a Wheldon/Stratton > > > protocol for > > > > > > several months this time but I had used some > > > components of it in the > > > past. I am using as much of the protocol as I can, as > > > I have had to > > > also re-introduce mefloquine (lariam) for Babesia bec > > > of returning > > > heart sxs. > > > > > > >> > > > >> The cycline + macrolide part of the protocol is > > > quite easy to take > > > > > > and I am quite sure it is getting some job done (much > > > better sleep > > > and a kind of loosening of tensions in head) but the > > > intro of the > > > imidazole has rocked me quite hard even when using it > > > only a few > > > days in a row. It is quite interesting as I have used > > > loads od > > > tinidazole before but not in the same context ie after > > > a few weeks > > > on a cycline + macrolide regimen. > > > > > > >> > > > >> I have also started taking the charcoal part of it > > > more seriously > > > > > > lately taking quite a big scoop at night (not sure how > > > much I am > > > taking, probably btwn 5-10g per evening) > > > > > > >> > > > >> I am taking sublingual B12 but no cimetidine > > > >> > > > >> Nelly > > > >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2005 Report Share Posted June 15, 2005 Barb Have I used it... Ask Penny how often I would say macrodantin keeps on keeping on. I would suck on these all day to try and reduce my oral flora. The thing I'm coming around to discover is that we are m,issing last centuries wonder drug in our treatments. Penicillin even though frequently listed as resistant in most tests the bacteria even though they possess beta lactams that beat the penicillin if dosed correctly this drug still penetrates and cuts down bacteria better than any other abx. I also believe if you use it blown out of an asthma pump ythe oxygen molecules will keep the bacteria fromn producing there beta lactams.Bacteria need a certain amount of CO2 they have mecahnisms on borad which enable them to produce there own requirements so they can do there dirty work. I'm working with penicillin because no-one in the hospital system can become well without this drug covering more than what it's touted for.I also believe it's one of very few drugs that kills exisiting microbes wheras most abx only stop the infection getting larger. > > > > > > > > >> Yes Penny, I have been using a Wheldon/Stratton > > > > protocol for > > > > > > > > several months this time but I had used some > > > > components of it in the > > > > past. I am using as much of the protocol as I can, as > > > > I have had to > > > > also re-introduce mefloquine (lariam) for Babesia bec > > > > of returning > > > > heart sxs. > > > > > > > > >> > > > > >> The cycline + macrolide part of the protocol is > > > > quite easy to take > > > > > > > > and I am quite sure it is getting some job done (much > > > > better sleep > > > > and a kind of loosening of tensions in head) but the > > > > intro of the > > > > imidazole has rocked me quite hard even when using it > > > > only a few > > > > days in a row. It is quite interesting as I have used > > > > loads od > > > > tinidazole before but not in the same context ie after > > > > a few weeks > > > > on a cycline + macrolide regimen. > > > > > > > > >> > > > > >> I have also started taking the charcoal part of it > > > > more seriously > > > > > > > > lately taking quite a big scoop at night (not sure how > > > > much I am > > > > taking, probably btwn 5-10g per evening) > > > > > > > > >> > > > > >> I am taking sublingual B12 but no cimetidine > > > > >> > > > > >> Nelly > > > > >> Quote Link to comment Share on other sites More sharing options...
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