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Cow dung-derived biochars engineered as antibacterial agents for bacterial decontamination 被引量:1
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作者 Quanfu Yao Qinggele Borjihan +6 位作者 Huihui Qu Yixuan Guo Ziying Zhao Long Qiao Ting Li Alideertu Dong Ying Liu 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2021年第7期33-43,共11页
Disposal of the pollutants arising from farming cattle and other livestock threatens the environment and public safety in diverse ways.Herein,we report on the synthesis of engineered biochars using cow dung as raw mat... Disposal of the pollutants arising from farming cattle and other livestock threatens the environment and public safety in diverse ways.Herein,we report on the synthesis of engineered biochars using cow dung as raw material,and investigating these biochars as antibacterial agents for water decontamination.By coating the biochars with N-halamine polymer and loading them with active chlorine (i.e.,Cl+),we were able to regulate them on demand by tuning the polymer coating and bleaching conditions.The obtained N-halamine-modified biochars were found to be extremely potent against Escherichia coli and Staphylococcus aureus.We also investigated the possibility of using these N-halamine-modified biochars for bacterial decontamination in real-world applications.Our findings indicated that a homemade filter column packed with N-halamine-modified biochars removed pathogenic bacteria from mining sewage,dairy sewage,domestic sewage,and artificial seawater.This proposed strategy could indicate a new way for utilizing livestock pollutants to create on-demand decontaminants. 展开更多
关键词 Cow dung Biochars Polymer coating antibacterial agent Bacterial decontamination
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Magnetic polyacrylonitrile/ZIF-8/Fe_(3)O_(4) nanocomposite bead as an efficient iodine adsorbent and antibacterial agent 被引量:1
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作者 Reza Sacourbaravi Zeinab Ansari-Asl Esmaeil Darabpour 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2023年第9期210-220,共11页
The efficient adsorption of radioactive iodine(^(129)I and^(131)I)as nuclear waste is of great importance.Polymer nanocomposites consist of metal-organic frameworks(MOFs)developing for various pollutions sorption and ... The efficient adsorption of radioactive iodine(^(129)I and^(131)I)as nuclear waste is of great importance.Polymer nanocomposites consist of metal-organic frameworks(MOFs)developing for various pollutions sorption and separation have attracted much attention.This study reports the fabrication of magnetic polyacrylonitrile(PAN)/zeolitic imidazolate frameworks(ZIF-8)nanocomposites,PAN/ZIF-8(x%)/Fe_(3)O_(4),x=30 and 50,as iodine capture adsorbents.The PAN/ZIF-8(x%)/Fe_(3)O_(4)nanocomposite beads were fabricated via the phase inversion method,and their potential for iodine capture and separation in solution and vapor was investigated through UV-vis and weighing methods,respectively.Also,antibacterial activity of the as-prepared beads was assessed against E.coil and S.aureus.The as-fabricated compounds were studied by various techniques such as Fourier-transform infrared,X-ray diffraction,scanning electron microscope,energy-dispersive X-ray spectroscopy mapping,transmission electron microscope,N_(2)adsorption isotherm,and vibrating sample magnetometer.The iodine capture results showed that the efficiency of nanocomposites is remarkably higher than the pure PAN beads.Additionally,the asprepared nanocomposite adsorbents displayed higher capture capacities for iodine vapor(1524-4345mg·g^(-1))than iodine solution(187-295 mg·g^(-1)).The as-obtained magnetic nanocomposites can be successfully separated from polluted media by simple filtration or an external magnet,regenerated through washing with ethanol,and reused.Fast capturing,high sorption capacity,rapid separation,and good reusability make the PAN/ZIF-8(x%)/Fe_(3)O_(4)nanocomposites highly effective adsorbents for the separation of iodine from wastewater.Additionally,PAN/ZIF-8(50%)/Fe_(3)O_(4)bead can be considered as a potential new antibacterial agent for water and wastewater treatment. 展开更多
关键词 ZIF-8 POLYACRYLONITRILE Composites ADSORPTION Waste treatment antibacterial agent
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From Environmental Toxicants to Antibacterial Agents:BPA Analogues Selectively Inhibit the Growth of Gram-Positive Bacteria by Disturbing Biosynthesis of the Cell Wall
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作者 Huiming Cao Zhunjie Li +5 位作者 Bolei Chen Jing Wang Zhen Zhou Zhi Li Yun Qian Yong Liang 《Environment & Health》 2023年第4期291-299,共9页
Remarkable antibacterial activity of BPA analogues especially for tetrabromobi-sphenol A against Staphylococcus aureus 25923(Sa25923)and methicillin-resistant Staphylococcus aureus(MRSA)has been reported in our previo... Remarkable antibacterial activity of BPA analogues especially for tetrabromobi-sphenol A against Staphylococcus aureus 25923(Sa25923)and methicillin-resistant Staphylococcus aureus(MRSA)has been reported in our previous studies.However,the toxic effects of the compounds as environmental contaminants on the endocrine system limited their applications in the field of medicine and health.Given the abuse of antibiotics has led to the emergence of multiple super-resistant bacteria,we considered that structural modifications based on the BPA structure will be available for molecular designing of potential antimicrobial agents without drug resistance.In this study,to further improve the antibacterial activity and reduce the biological toxicity,we performed the computational models to evaluate the binding affinities of BPA analogues to the potential target DltA protein in the biosynthesis of cell wall.A series of synthesized achiral analogues ofα,α,α′-tris(4-hydroxyphenyl)-1-ethyl-4-isopropylbenzene(α,α,α′-TEIB)exhibited low minimum inhibitory concentration against Sa25923 and MRSA(2 or 1μg mL−1).Especially,the analogue A4 did not induce the drug-resistant mutants for all tested Gram-positive bacterial strains and exhibited relatively lower cytotoxicity in HepG2 cells.The developed classification model based on the light gradient boosting algorithm showed the superior performances on the internal robustness and generalization ability for the ligand-based virtual screening of bisphenol and polyphenol antimicrobial substances.Collectively,our findings suggest that the molecular structure ofα,α,α′-TEIB is promising as a scaffold,which is expected to achieve a breakthrough in the development of antibiotics which can prevent the invasion of MRSA and other super bacteria. 展开更多
关键词 Environmental toxicants antibacterial agents BPA analogues Lipoteichoic acid Virtual screening Machine learning
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Antibacterial Dental Resin Composites: A Narrative Review
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作者 Ameenah Saad Alansy Thekra Ali Saeed +3 位作者 Yuqing Guo Yanwei Yang Bin Liu Zengjie Fan 《Open Journal of Stomatology》 2022年第5期147-165,共19页
Lack of antibacterial properties in resin-based composites (RBCs) is one of the flaws that cause the failure of filling clinically. Several agents have been incorporated to endow RBCs with antibacterial properties. In... Lack of antibacterial properties in resin-based composites (RBCs) is one of the flaws that cause the failure of filling clinically. Several agents have been incorporated to endow RBCs with antibacterial properties. In this review, we summarize the recent antibacterial agents between 2015 and 2020 using keywords of antibacterial or antimicrobial dental resin composites by PubMed databases. The most effective strategies are concerned with polymerizable monomers (50%), followed by filler particles (39%) and leachable agents (11%). A recent modification of the antibacterial agent is either by combining two agents from the same category or mixing agents from different categories in one. More than two methods were used in one study to assess antibacterial efficacy. The most common method was biofilm colony-forming units (CFUs) counting method (40%), followed by live/dead bacteria staining assay of biofilms (25%), metabolic activity assay of biofilms using MTT assay (16%), lactic acid production assay of biofilms (8%), agar diffusion test (8%), and other methods (3%) such as minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC). 展开更多
关键词 Dental Resin Composite antibacterial agents antibacterial Strategies antibacterial Property antibacterial Assessment
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药品集中带量采购对抗菌药物使用的影响分析:以阿莫西林为例
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作者 刘俊刚 石可凡 +3 位作者 贾佳佳 杨星怡 黄洁莹 徐伟 《中国卫生资源》 CSCD 北大核心 2023年第3期269-273,共5页
目的分析抗菌药物集中带量采购(以下简称“集采”)后使用变化,为完善我国带量采购政策和促进合理用药提供参考。方法采用描述性统计分析和间断时间序列分析方法,将第二批和第三批药品集采政策落地时间设为政策干预点,分析2019年1月—202... 目的分析抗菌药物集中带量采购(以下简称“集采”)后使用变化,为完善我国带量采购政策和促进合理用药提供参考。方法采用描述性统计分析和间断时间序列分析方法,将第二批和第三批药品集采政策落地时间设为政策干预点,分析2019年1月—2021年12月全国医药企业阿莫西林销售量和销售金额在集采前后的变化情况。结果阿莫西林胶囊剂和颗粒剂在集采后销售量大幅上升,非中选的胶囊剂和颗粒剂销售量也有所上升,但涨幅低于市场整体增长率。非集采剂型中的阿莫西林片剂和混悬剂销售量和销售金额均出现降低,口服剂型中选能有效降低同为口服剂型的其他非集采品规销售量,阿莫西林注射剂销售量和销售金额在集采后短期内明显增长,通过模型预测阿莫西林注射剂长期的销售量和销售金额呈下降趋势。结论药品带量采购能够实现药价降低且达成以量换价的目标,中选药品使用量显著增长,但需要关注同通用名下非集采剂型的使用量情况,减少不同剂型间替代使用的情况;应该进一步扩大抗菌药物集采范围,将更多临床具体替代关系的药物纳入采购范畴,加强对临床抗菌药物的使用监测,保障临床抗菌药物合理使用。 展开更多
关键词 集中带量采购volume-based procurement 抗菌药物antibacterial agent 替代效应substitution effect 间断时间序列discontinuous time series 合理用药rational drug use
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Precise phase adjustment and antibacterial property of copper sulfide particles in confined mesoporous silica nanoreactor
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作者 Shiyu Xu Jinyong Wu +1 位作者 Zhongzhen Ren Dechao Niu 《Particuology》 SCIE EI CAS CSCD 2024年第2期113-121,共9页
Bacteria-caused wound infection greatly threatens human health,thus developing an efficient and safe antibacterial agent without drug resistance is still a great challenge.Herein,a confined vulcanization strategy is p... Bacteria-caused wound infection greatly threatens human health,thus developing an efficient and safe antibacterial agent without drug resistance is still a great challenge.Herein,a confined vulcanization strategy is proposed to construct copper sulfides-loaded dual-mesoporous silica nanospheres(Cux-Sy@DMSNs)with various crystal phases for reactive oxygen species(ROS)-mediated and photothermal antibacterial application.With the pore confinement of DMSNs,the crystal phases of copper sulfides including CuS,Cu_(9)S_(5)and Cui.96S can be easily controlled by changing the vulcanization temperature.The relationships between the crystal phases and photothermal properties as well as peroxidase-like activity of copper sulfides were systematically investigated.Results show that the obtained CuS@DMSNs exhibited higher photothermal ability with remarkable photothermal conversion efficiency of 36.86%in the second near-infrared region(NIR-II)and better peroxidase-like activity,compared to those of Cu_(9)S_(5)@DMSNs and Cu_(1.96)S@DMSNs.As a result,the in vitro experiments showed the good antibacterial effect against both gram-negative E.coli and gram-positive S.aureus under 1064 nm laser irradiation and the presence of H_(2)O_(2).Besides,the CCK-8 assay indicated that CuS@p-DMSNs have minimal cytotoxicity against normal human umbilical vein endothelial cells at the ranged concentrations.Therefore,the resultant CuS@p-DMSNs could act as a promising antibacterial agent for deep wound bacterial infection treatment. 展开更多
关键词 Copper sulfides Mesoporous silica PHOTOTHERMAL Reactive oxygen species antibacterial agent
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Spinal Epidural Abscess in Patients with Sepsis Who Experienced Significant Improvements after Complete Paralysis: Two Case Reports
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作者 Tomofumi Ogoshi Motoo Yoshimiya +5 位作者 Hiroshi Ichibakase Takayoshi Kimura Masafumi Kameoka Hayato Yoshioka Takahiro Ueda Masato Homma 《Open Journal of Emergency Medicine》 2020年第4期125-133,共9页
Spinal epidural abscess (SEA) is a rare condition, and a delay in its diagnosis causes paralysis. In this study, we report two rare cases of delayed diagnosis of SEA whose conditions improved after a state of complete... Spinal epidural abscess (SEA) is a rare condition, and a delay in its diagnosis causes paralysis. In this study, we report two rare cases of delayed diagnosis of SEA whose conditions improved after a state of complete paralysis. The first case was a 71-year-old diabetic man who received a corticosteroid injection for shoulder pain that caused intensified pain. Thereafter, the patient developed paralysis of both legs in stage IV according to Heusner staging. Subsequently, he was diagnosed with multiple abscesses and sepsis. He was in a poor state of health. Therefore, we treated his epidural abscess conservatively. After a month, his muscle strength had improved to Heusner stage III-A, and he was transferred to another hospital. The second case was a 64-year-old diabetic man who received an epidural corticosteroid injection for lower back pain. However, the pain intensified and was admitted to the hospital for pyelonephritis. He developed paralysis in both of his arms and legs presenting as a Heusner stage IV, caused by a cervical epidural abscess. A laminoplasty was performed and paralysis was improved. However, the patient subsequently developed a left subcortical hemorrhage. He underwent surgery. However, his right hemiplegia persisted, and on Day 21, he was transferred back to the previous hospital with a Heusner III-A. We could improve the patients’ paralysis by cooperating closely with infectious disease specialists and spine surgeons, taking intensive care, applying antibacterial agents appropriately, and operating quickly. 展开更多
关键词 antibacterial agents Diabetes Mellitus Iatrogenic Abscesses Infection Spinal Epidural Abscess
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Contact Mechanism of the Ag-doped Trimolybdate Nanowire as An Antimicrobial Agent 被引量:3
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作者 Yujie Jiang Jian Gang Sheng-Yong Xu 《Nano-Micro Letters》 SCIE EI CAS 2012年第4期228-234,共7页
Antibacterial Ag-agents are intensively applied as broad spectrum, high-stability, high-efficiency and high-safety inorganic antibacterial agents. We have developed a new kind of antibacterial Ag-agent, namely Ag_2-x(... Antibacterial Ag-agents are intensively applied as broad spectrum, high-stability, high-efficiency and high-safety inorganic antibacterial agents. We have developed a new kind of antibacterial Ag-agent, namely Ag_2-x(NH_4)xMo_3O_(10) ·3H_2O nanowires(NWs). Carrying Ag atoms in the lattice and Ag-rich nanoparticles on the surface, the Ag-doped NWs show strong antibacterial effects for a variety of bacteria including E.coli, Staphylococcus aureus, Candida albicans and Aspergil lus niger. By performing systematic comparison experiments, we have proven that the main antibacterial effects are neither resulted from the tiny amount of Ag+ions released from the Ag-doped NWs in aqueous solutions, nor resulted from Ag-rich nanoparticles of fragments of the NWs when they are slowly dissolved in the Martin broth. Instead, the effects are mainly resulted from a contact mechanism, under which, the Ag-doped NWs need to be physically in contact with the bacteria to be eliminated. This is a novel phenomenon observed in the interactions between nanomaterials and live cells, which is worthy of further investigation at the molecular scale. As the Ag-doped NWs are not dissolved in pure water or weak acids, one may find practical antibacterial applications in textile industry and food storage industry for these unique nanomaterials. 展开更多
关键词 antibacterial agent antibacterial Ag-agent Silver ions Silver-rich nanoparticles Silver-doped trimolybdate nanowire Bio-safety of nanomaterials Contact mechanism
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Embedding ultrasmall Ag nanoclusters in Luria-Bertani extract via light irradiation for enhanced antibacterial activity 被引量:1
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作者 Ziping Wang Yushuang Fang +6 位作者 Xianfeng Zhou Zhibo Li Haiguang Zhu Fanglin Du Xun Yuan Qiaofeng Yao Jianping Xie 《Nano Research》 SCIE EI CAS CSCD 2020年第1期203-208,共6页
Ultrasmall silver nanoclusters(Ag NCs)with rich surface chemistry and good biocompatibility are promising in antibacterial application,however,further development of Ag NCs for practical settings has been constrained ... Ultrasmall silver nanoclusters(Ag NCs)with rich surface chemistry and good biocompatibility are promising in antibacterial application,however,further development of Ag NCs for practical settings has been constrained by their relatively weak antibacterial activity.Using the nutritionally-rich medium for bacteria(e.g.,Luria-Bertani(LB)medium)to coat active Ag NCs could further improve their antibacterial activity.Here,we provide a delicate design of a highly efficient Ag NCs@ELB antibacterial agent(ELB denotes the extract of LB medium)by anchoring Ag NCs inside the ELB species via light irradiation.The as-designed Ag NCs with bacterium-favored nutrients on the surface can be easily swallowed by the bacteria,boosting the production of the intracellular reactive oxygen species(ROS,about 2-fold of that in the pristine Ag NCs).Subsequently,a higher concentration of ROS generated in Ag NCs@ELB leads to enhanced antibacterial activity,and enables to reduce the colony forming units(CFU)of both gram-positive and gram-negative bacteria with 3–4 orders of magnitude less than that treated with the pristine Ag NCs.In addition,the Ag NCs@ELB also shows good biocompatibility.This study suggests that surface engineering of active species(e.g.,Ag NCs)with nutritionally-rich medium of the bacteria is an efficient way to improve their antibacterial activity. 展开更多
关键词 Ag nanoclusters LB broth light irradiation antibacterial agent reactive oxygen species
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Eco-friendly method for synthesis of zeolitic imidazolate framework 8 decorated graphene oxide for antibacterial activity enhancement
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作者 Nazerah Ahmad Nik Abdul Hadi Md Nordin +5 位作者 Juhana Jaafar Nik Ahmad Nizam Nik Malek Ahmad Fauzi Ismail Muhammad Nabil Fikri Yahya Siti Aishah Mohd Hanim Mohd Sohaimi Abdullah 《Particuology》 SCIE EI CAS CSCD 2020年第2期24-32,共9页
We report a rapid method for synthesis of zeolitic imidazolate framework 8(ZIF-8)-decorated graphene oxide(GO)composites(ZGO)with good antibacterial properties.The ZGO composites were synthesized at room temperature w... We report a rapid method for synthesis of zeolitic imidazolate framework 8(ZIF-8)-decorated graphene oxide(GO)composites(ZGO)with good antibacterial properties.The ZGO composites were synthesized at room temperature with low GO to metal salt ratios.The samples were characterized by X-ray diffraction,transmission electron microscopy,Fourier transform infrared spectroscopy,thermal gravimetric analysis,and surface area analysis.The characterization results show that ZIF-8 with a size of approximately 120 nm is successfully decorated on the surface of GO sheets with the host ZIF-8 framework maintained in the synthesized composite,but there is a significant reduction in the Brunauer-Emmett-Teller surface area.The antibacterial activities of the samples against Escherichia coli ATCC 11229 and Staphylococcus aureus ATCC 6538 as model strains of gram-negative and-positive bacteria,respectively,were determined by disc diffusion and minimum inhibitory concentration(MIC)tests.ZGO-1.0(1 wt%of ratio of GO to metal salt)shows the highest antibacterial activity with MIC values required to inhibit bacterial growth of E.coli and S.aureus of 5 times lower than those of pristine ZIF-8.Different antibacterial mechanisms are proposed based on field-emission scanning electron microscope images of the two bacteria after contact with the synthesized composite.Overall,owing to the simple synthesis,good stability,low chemical usage,and excellent antibacterial activity of the ZGO composites,they show great potential for application in the field of microbial contamination control. 展开更多
关键词 Graphene oxide Metal-organic framework Hybrid nanocomposite Zeolitic imidazolate framework antibacterial agent
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Azobenzene quaternary ammonium salt for photo-controlled and reusable disinfection without drug resistance
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作者 Yuhong Zhu Pengfei Li +5 位作者 Caikun Liu Mengqi Jia Yadong Luo Dengfeng He Chunyan Liao Shiyong Zhang 《Chinese Chemical Letters》 SCIE CAS CSCD 2023年第2期440-445,共6页
The abuse of antibiotics causes severe bacterial resistance, and the shortage of antibiotics has created a global public health crisis. This situation has prompted people to develop new antibacterial agents independen... The abuse of antibiotics causes severe bacterial resistance, and the shortage of antibiotics has created a global public health crisis. This situation has prompted people to develop new antibacterial agents independent of traditional antibiotics. Here, we created a series of photosensitive azobenzene-quaternary ammonium salt smart antibacterial agents by connecting azobenzene with amines with different chain lengths to improve the antibacterial selectivity of quaternary ammonium salt(QAS) and prevent the accumulation of active QAS in the environment. After trans-cis isomerization, the solubility of the title compound(compound 4) increased and the antibacterial property enhanced. The experimental results suggested that the antibacterial effect of compound 4 was significantly enhanced after 365 nm light irradiation, and it had photosensitive intelligent antibacterial activity and could be reused. Notably, we did not obtain any mutants of Staphylococcus aureus or Escherichia coli resistant to compound 4. In general,compound 4 has the advantages of high yield, photo-controllable antibacterial properties, reusability, and does not induce bacterial resistance. This photosensitive antibacterial compound provides a new idea for the construction of intelligent disinfectants and is expected to be a candidate for disinfectants in public facilities and medical architecture. 展开更多
关键词 AZOBENZENE Quaternary ammonium salt PHOTOSENSITIVITY REPEATABILITY antibacterial agent
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Nano zinc, an alternative to conventional zinc as animal feed supplement:A review 被引量:11
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作者 Partha S.Swain Somu B.N.Rao +2 位作者 Duraisamy Rajendran George Dominic Sellappan Selvaraju 《Animal Nutrition》 SCIE 2016年第3期134-141,共8页
The uniqueness of Zn is that, it is the second most abundant trace element in the animal body but can't be stored in the body, thus regular dietary intake is required. Zinc oxide(ZnO) nanoparticles(NP) particles a... The uniqueness of Zn is that, it is the second most abundant trace element in the animal body but can't be stored in the body, thus regular dietary intake is required. Zinc oxide(ZnO) nanoparticles(NP) particles are being extensively used in paints, skin lotions pigments, food, electronics appliances, biological and pharmaceutical applications and many more. Zinc oxide nanoparticles are the specially prepared mineral salt having particle size of 1 to 100 nm. It promotes growth can act as antibacterial agent,modulates the immunity and reproduction of the animals. Both in lower and higher doses of specifications it has exhibited a variety of effects on animal performances. Apart from being highly bioavailable, reports have already pointed out the growth promoting, antibacterial, immuno-modulatory and many more effects of nano zinc(nZn). These can be used at lower doses and can provide better result than the conventional Zn sources and indirectly prevents environmental contamination also. The toxicological studies provide mixed results in animal models. Studies been undertaken in diversified animal species and encouraging effects have been reported with nZn supplementation. However, there is a need to optimize the dose and duration of ZnO NP supplementation for human and livestock,depending on its biological effects. Actual bioavailability of ZnO NP in livestock is still to be worked out.In this review we have attempted to summarize, conclude the beneficial effects of nZnO and its possible usage as mineral supplement to different categories of human and livestock. 展开更多
关键词 antibacterial agent Feed additive Human LIVESTOCK Nano zinc
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Comparative efficacy and optimal duration of first-line antibiotic regimens for acute otitis media in children and adolescents:a systematic review and network meta-analysis of 89 randomized clinicaltrials
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作者 Min Seo Kim Jae Han Kim +7 位作者 Seohyun Ryu Seung Won Lee Dong Keon Yon Eunyoung Kim Ai Koyanagi Elena Dragioti Jae Il Shin Lee Smith 《World Journal of Pediatrics》 SCIE 2024年第3期219-229,共11页
Introduction Antibiotic use for acute otitis media(AOM)is one of the major sources of antimicrobial resistance.However,the effective minimal antibiotic duration for AOM remains unclear.Moreover,guidelines often recomm... Introduction Antibiotic use for acute otitis media(AOM)is one of the major sources of antimicrobial resistance.However,the effective minimal antibiotic duration for AOM remains unclear.Moreover,guidelines often recommend broad ranges(5-10 days)of antibiotic use,yet the clinical impact of such a wide window has not been assessed.Methods We systematically searched PubMed/MEDLINE,Embase,Scopus,Web of Science,and Cochrane Library from database inception to 6 October 2021.Network meta-analysis was conducted on randomized controlled trials that assessed antibiotic treatment for AOM in children(PROSPERO CRD42020196107).Results For amoxicillin and amoxicillin-clavulanate,7-day regimens were noninferior to 10-day regimens in clinical responses[amoxicillin:risk ratio(RR)0.919(95%CI 0.820-1.031),amoxicillin-clavulanate:RR 1.108(0.957-1.282)],except for≤2 years.For the third-generation cephalosporins,7-day and 10-day regimens had similar clinical responses compared to placebo[7-day:RR 1.420(1.190-1.694),10-day:RR 1.238(1.125-1.362)compared to placebo].However,5-day regimens of amoxicillin-clavulanate and third-generation cephalosporins were inferior to 10-day regimens.Compared to amoxicillin,a shorter treatment duration was tolerable with amoxicillin-clavulanate.Conclusions Our findings indicated that 1O days of antibiotic use may be unnecessarily long,while the treatment duration should be longer than 5 days.Otherwise,5-day regimens would be sufficient for a modest treatment goal.Our findings revealed that the current wide range of recommended antibiotic durations may have influenced the clinical outcome of AOM,and a narrower antibiotic duration window should be re-established. 展开更多
关键词 Amoxicillin-potassium Amoxicillin antibacterial agents Cephalosporins Duration of therapy
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