Crosley CRSH268MS2 Bedienungsanleitung Seite 12

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SUMMARY
Clostridium difficile was first recognized as a potential gastric acid resistant, spore producing
pathogen in 1978. Now it is regarded as a rapidly emerging antibiotic resistant pathogen that
causes disease in humans and animals. C. difficile infections are the result of a strong
bacterial toxin production and are often associated with previous consumption of
antibiotics. Broad-spectrum antibiotics kill a whole range of bacteria, which results in a
disruption of the normal intestine flora. In this way, C. difficile can predominate in het
intestine and hereby lead to different diseases like antibiotic-associated diarrhea and
pseudomembranous colitis.
In the last years, a worldwide increase in the number and the severity of C. difficile infections
was observed. In addition, a reduced effectiveness of antibiotics against C. difficile was
noted. Considering the huge costs for the management of C. difficile infections, estimated at
3 billion euro in the European Union each year, a better solution for the current antibiotic
treatment with metronidazole and vancomycin should be looked for. Antimicrobial
components that exhibit a narrow spectrum activity against C. difficile strains and leave
other non-pathogenic intestinal bacteria intact, are a potential solution.
Prior studies at the department of Pathology, Bacteriology and Poultry Diseases (Faculty of
Veterinary Medicine, Ghent University), already demonstrated the production of
antimicrobial components against C. difficile by a particular Bacillus amyloliquefaciens and
Clostridium perfringens. This project aims to characterize, purify and identify the
components responsible for this antimicrobial activity. Then, the selectivity of the
components against other non-pathogenic bacteria of the intestinal microflora is examined.
The presence of C. difficile toxin genes, responsible for the virulence of the strain, is also
studied in different C. difficile strains. If these compounds exhibit a strong antimicrobial
activity against C. difficile, are not cytotoxic and kill only few non-pathogenic intestinal
bacteria, they can potentially be used for the treatment of C. difficile infections.
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