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Chapter 11 : In Vitro Activities of Various Antibiotics against

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Abstract:

infections may progress among patients rapidly. Optimal results in the treatment of Legionnaire's disease may only be achieved with prompt effective antimicrobial therapy. This chapter presents a study in which in vitro activities of some antibiotics were assessed against isolated from water samples. It has been determined that strains obtained from the cooling tower are sensitive to all antibiotics tested. On the other hand, it has been found that 8% of tested strains isolated from the cold water tank are resistant to azithromycin. Other findings have shown that 8% of strains isolated from the hot water tank are resistant to erythromycin, azithromycin, and doxycycline; 6% of strains isolated from hot water faucets are resistant to azithromycin; and 8% of strains isolated from hot water shower heads are resistant to erythromycin, azithromycin, ciprofloxacin, and doxycycline. According to these findings, it is clear that tested strains which have been found resistant to antibiotics have been isolated mostly from hot water shower heads. Consequently, this study has shown that ofloxacin and levofloxacin can be preferable antibiotics in the treatment of infections where bactericidal activity is needed.

Citation: Seher Birteksöz A, Zeybek Z, Çotuk A. 2006. In Vitro Activities of Various Antibiotics against , p 43-46. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch11

Key Concept Ranking

Antibiotics
0.6188713
Legionella pneumophila
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0.6188713
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Figures

Image of FIGURE 1
FIGURE 1

Susceptibility of strains to the antibiotics. R, resistant; MS, moderately susceptible; S, susceptible; ERY, erythromycin; AZM, azithromycin; CIP, ciprofloxacin; OFX, ofloxacin; LVX, levofloxacin; DOX, doxycycline; RIF, rifampin.

Citation: Seher Birteksöz A, Zeybek Z, Çotuk A. 2006. In Vitro Activities of Various Antibiotics against , p 43-46. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch11
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Image of FIGURE 2
FIGURE 2

MBC/MIC of antibiotics against strains. ERY, erythromycin; AZM, azithromycin; CIP, ciprofloxacin; OFX, ofloxacin; LVX, levofloxacin; DOX, doxycycline; RIF, rifampin.

Citation: Seher Birteksöz A, Zeybek Z, Çotuk A. 2006. In Vitro Activities of Various Antibiotics against , p 43-46. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch11
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References

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1. Addiss, D. G.,, J. P. Davis,, M. Laventure,, P. J. Wand,, M. A. Hutchinson, and, R. M. Mckinney. 1992. Community-acquired Legionnaires’ disease associated with a cooling tower: evidence for longer-distance transport of Legionella pneumophila.Am. J. Epidemiol. 130:557568.
2. Bollin, G. E.,, J. F. Plouffe,, M. F. Para, and, B. Hackman. 1985. Aerosols containing Legionella pneumophila generated by shower heads and hot-water faucets. Appl. Environ. Microbiol. 50:11281131.
3. Fields, B. S. 1997. Legionella and protozoa: interaction of a pathogen and its natural host. In J. M. Barbaree, R. F. Breiman, and A. P. Dufour (ed.).Manual of Environmental Microbiology, 2nd ed. American Society for Microbiology, Washington, D.C.
4. Health & Safety Series Booklet. 1991. The Control of Legionellosis Including Legionellaires’ Disease, HMSO HS(G) 70, London.
5. International Organization for Standardization (ISO). 1998. Water Quality Detection and Enumeration of Legionella. ISO 11731: (E).
6. National Committee For Clinical Laboratory Standards. 2000. Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria that Grow Aerobically, 5th ed. Approved Standard M7-A5 NCCLS, Wayne.
7. National Committee For Clinical Laboratory Standards. 1999. Methods for Determining Bactericidal Activity of Antimicrobial Agents. Approved Guideline. M26, NCCLS, Wayne.

Tables

Generic image for table
TABLE 1

MICs and MBCs of antibiotics against strains

Citation: Seher Birteksöz A, Zeybek Z, Çotuk A. 2006. In Vitro Activities of Various Antibiotics against , p 43-46. In Cianciotto N, Kwaik Y, Edelstein P, Fields B, Geary D, Harrison T, Joseph C, Ratcliff R, Stout J, Swanson M (ed), . ASM Press, Washington, DC. doi: 10.1128/9781555815660.ch11

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