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Overview of an Emerging Coronavirus Infection, COVID-19: Current Status of Vaccine Development and Therapeutics 新出现的冠状病毒感染概述,COVID-19:疫苗开发和治疗的现状
Pub Date : 2021-01-18 DOI: 10.4236/PP.2021.121003
M. Rana, Maruf Hasan, Md. Eshak Enan, F. Zohora, A. Azam
Coronavirus infectious disease 2019 (COVID-19) first reported in Wuhan, China, causes serious respiratory illnesses such as lung failure and pneumonia. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) the pathogenic agent of COVID-19 has been confirmed as a novel coronavirus. WHO announced COVID-19 a global pandemic and now the whole world is eagerly waiting for vaccines and therapeutic treatment to get rid of this unstoppable coronavirus. As COVID-19 infection, a global threat creates unwanted human casualties and serious economic loss. To stop the ongoing uncontrolled situation researchers are racing to develop prevention and treatment strategies. Vaccines of different countries are in clinical and preclinical trials and the repurposed-drugs are providing to find out a positive result against COVID-19. The report is an analysis of published information focusing on treatment options including vaccination, drug-therapy, cytokines, therapeutic antibodies. Most of the vaccine’s development strategies and drugs target the surface structural spike glycoprotein or S-protein, the major inducer of pathogenic responses. Here, it is reviewed the features of SARS-CoV-2 and the global current status of therapeutic, and vaccine development for the prevention and effective treatment of COVID-19.
2019冠状病毒传染病(COVID-19)首次在中国武汉报告,可导致肺衰竭和肺炎等严重呼吸系统疾病。严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)是一种新型冠状病毒。世卫组织宣布COVID-19为全球大流行,现在全世界都在急切地等待疫苗和治疗方法,以摆脱这种不可阻挡的冠状病毒。COVID-19感染是一种全球性威胁,造成不必要的人员伤亡和严重的经济损失。为了阻止持续的不受控制的情况,研究人员正在竞相制定预防和治疗策略。各国的疫苗正在进行临床和临床前试验,并正在提供重新使用的药物,以确定对新冠病毒的阳性结果。该报告是对已发表信息的分析,重点是治疗方案,包括疫苗接种、药物治疗、细胞因子、治疗性抗体。大多数疫苗的开发策略和药物靶向表面结构刺突糖蛋白或s蛋白,这是致病反应的主要诱导剂。本文综述了SARS-CoV-2的特点、全球治疗现状以及预防和有效治疗COVID-19的疫苗开发情况。
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引用次数: 0
Antimicrobial Resistance Patterns of Selected Enterobacteriaceae Isolated from Commercial Poultry Production Systems in Kiambu County, Kenya 肯尼亚Kiambu县商业家禽生产系统中分离的选定肠杆菌科抗微生物药物耐药性模式
Pub Date : 2021-01-01 DOI: 10.4236/pp.2021.1210019
J. Ndukui, J. Gikunju, G. Aboge, J. Mwaniki, S. Kariuki, J. Mbaria
Introduction: In the last two decades, the treatment of enteric infections has been complicated by the emergence of antimicrobial resistant strains. Occurrence of multidrug resistant Extended Spectrum Beta Lactamase (ESBL) producing Enterobactaeraceae poses the greatest risk to public health by raising morbidity and mortality by six folds in developing countries. The present study aims to determine the antibiotics resistance patterns of selected Enterobacteriaceae isolated from commercial poultry production systems in Kiambu County. Methods: A laboratory based cross-sectional study was conducted in six purposively selected Sub-Counties of Kiambu County from October 2020, to February 2021. A total of 437 fecal samples were collected from each household. The antibiotic susceptibility testing using disk diffusion method was used against E. coli; Salmonella spps.; Shigella spps.; and Klebsiella spps. which were isolated and identified through standard biochemical. Results: Out of 437 fecal and stool samples collected, 591 isolates were recovered with E. coli (48.9%) being the most frequently identified, followed by Shigella spps. (18.8%), Salmonella spps. (18.3%), and Klebsiella spps. (14.0%). The study shows there was high prevalence of multiple resistance among isolates especially to Sulfamethoxazole (79%), Trimethoprim (71%), and Tetracyclines (59%), correspondingly. Additionally, the isolates showed the highest rate of susceptibility against Cefuroxime (94%), Gentamicin (93%), Ceftriaxone (91%), How to cite this paper: Ndukui, J.G., Gikunju, J.K., Aboge, G.O., Mwaniki, J., Kariuki, S. and Mbaria, J.M. (2021) Antimicrobial Resistance Patterns of Selected Enterobacteriaceae Isolated from Commercial Poultry Production Systems in Kiambu County, Kenya. Pharmacology & Pharmacy, 12, 219-236. https://doi.org/10.4236/pp.2021.1210019 Received: August 12, 2021 Accepted: October 22, 2021 Published: October 25, 2021 Copyright © 2021 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access
导言:在过去的二十年中,肠道感染的治疗因耐药菌株的出现而变得复杂。产生多药耐药扩展谱β -内酰胺酶(ESBL)的肠杆菌科细菌的出现,使发展中国家的发病率和死亡率提高了6倍,对公众健康构成了最大的威胁。本研究旨在确定从Kiambu县商业家禽生产系统中分离的选定肠杆菌科细菌的抗生素耐药性模式。方法:于2020年10月至2021年2月在坚布县6个区县进行实验室横断面研究。每户共收集粪便样本437份。对大肠杆菌采用纸片扩散法进行药敏试验;沙门氏菌许可证。志贺氏杆菌许可证。和克雷伯氏菌。通过标准生化分离鉴定。结果:在收集的437份粪便和粪便样本中,分离出591株,其中大肠杆菌(48.9%)是最常见的,其次是志贺氏菌。(18.8%),沙门氏菌。(18.3%)和克雷伯氏菌。(14.0%)。该研究表明,分离株中存在较高的多重耐药率,特别是对磺胺甲恶唑(79%)、甲氧苄啶(71%)和四环素(59%)的耐药率。此外,这些分离株对头孢噻肟(94%)、庆大霉素(93%)和头孢曲松(91%)的敏感性最高。如何引用本文:Ndukui, j.g., Gikunju, j.k., Aboge, g.o., Mwaniki, J., Kariuki, S.和Mbaria, J.M.(2021)肯尼亚Kiambu县商业家禽生产系统中分离的部分肠杆菌科抗生素耐药性模式。药理学与药学,12,219-236。https://doi.org/10.4236/pp.2021.1210019收稿日期:2021年8月12日收稿日期:2021年10月22日出版日期:2021年10月25日版权所有©作者与科研出版公司。本作品采用知识共享署名国际许可协议(CC BY 4.0)。http://creativecommons.org/licenses/by/4.0/开放获取
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引用次数: 0
Research on the Linkage Mechanism between Essential Medicine List and Healthcare Insurance List 基本药物目录与医疗保险目录联动机制研究
Pub Date : 2021-01-01 DOI: 10.4236/pp.2021.1211021
Linning Chen, Jinxi Ding, Jiaming Li, Xuefang Yao
Objective: To put forward suggestions to improve the linkage mechanism between China’s essential medicine list and healthcare insurance medicine list. Methods: Comparative study of the organization setting, selection criteria, adjustment procedures, and reimbursement of essential medicine list and healthcare insurance medicine list, containing both the foreign experience and China’s status quo. Results: When two lists exist at the same time, they are often managed separately abroad, setting more selection criteria for the essential medicine, and giving the essential medicine a higher payment ratio. The two lists in China are managed and adjusted separately, but lack of connection. As a result, some essential medicines cannot be reimbursed. Conclu-sion: The two lists’ linkage mechanism needs to be improved. It is recommended to make it clear that essential medicines should be selected from the healthcare insurance medicine list, and enhance the consistency of medicine evaluation through mutually scientific evidence.
目的:提出完善中国基本药物目录与医保药物目录联动机制的建议。方法:结合国外经验和中国现状,对基本药物目录和医保药物目录的组织设置、选择标准、调整程序、报销等进行比较研究。结果:国外在两个目录同时存在的情况下,往往实行分开管理,基本药物的选择标准较多,基本药物的支付比例较高。在中国,这两个名单是分开管理和调整的,但缺乏联系。因此,一些基本药物无法报销。结论:两表联动机制有待完善。建议明确医保药品目录中应选择基本药物,通过相互科学的证据增强药品评价的一致性。
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引用次数: 0
Assessing Drug Use Indicators in Health Insurance Facilities, Gezira State, Sudan, 2017-2018 评估医疗保险机构中的药物使用指标,苏丹格齐拉州,2017-2018
Pub Date : 2021-01-01 DOI: 10.4236/pp.2021.1210020
S. Ahmed, Elnazeer I. Hamedelniel, A. Yousif
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引用次数: 2
Monte Carlo Analysis of Different Administration Regiments for Isavuconazole against Candida spp. and Aspergillus spp. 依唑康唑对假丝酵母菌和曲霉菌不同给药剂量的蒙特卡罗分析。
Pub Date : 2021-01-01 DOI: 10.4236/pp.2021.1212026
Jiuli Hu, Chanchan Hu, Xiaoqin Zhu
In our study, we aimed to optimize the dosage regimen of Isavuconazole against Candida spp. and Aspergillus spp. by Monte Carlo simulation (MSC). Pharmacokinetic parameters and microbiological data of Isavuconazole were collected. Then we used MSC to simulate 10,000 patients analyzed by Crystal Ball to calculate probability of target attainment (PTA) and cumulative fraction of response (CFR). With dosages of 100 mg, 200 mg, and 400 mg in oral group and dosages of 100 mg, and 200 mg in intravenous administration, all have different degrees of antifungal effect. But when the dosage regimen was 50 mg IV, the therapeutic effect of Isavuconazole against Aspergillus spp. and Candida spp. were not good.
在我们的研究中,我们旨在通过蒙特卡罗模拟(MSC)优化伊沙乌康唑对念珠菌和曲霉的给药方案。收集依沙乌康唑的药动学参数和微生物学数据。然后我们用MSC模拟1万例水晶球分析的患者,计算目标达到概率(PTA)和累积反应分数(CFR)。口服100mg、200mg、400mg,静脉给药100mg、200mg,均有不同程度的抗真菌作用。但当给药方案为50mg IV时,依唑康唑对曲霉和念珠菌的治疗效果不佳。
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引用次数: 0
Effects of the Mixture of Erigeron floribundus (Asteraceae) and Tragia benthamii (Euphorbiaceae) on the Growth and Architecture of Estrogen-Sensitive Sexual Organs 鸢尾花和大戟花对雌性敏感性器官生长和结构的影响
Pub Date : 2021-01-01 DOI: 10.4236/pp.2021.1212023
Gladis Komguep Djuidje, E. Ngadjui, Aimé Césaire Momo Tetsatsi, Georges Roméo Bonsou Fozin, P. Watcho
The mixture of Erigeron floribundus and Tragia benthamii (AEMEFTB) is traditionally used against pelvic pain, dysmenorrhea and female sexual dysfunctions. In a recent study, we showed that the aqueous extract of the mixture of AEMEFTB suppresses the endometrium growth in rats with experimental endometriosis. The present study was aimed at investigating the effects of AEMEFTB on estrogen’s sensitive sexual organs growth and architecture. Immature gonado-intact female rats were randomly distributed into 7 groups of 5 animals each and daily treated during one week with either distilled water (10 ml/kg), refined palm oil (1 ml/kg) or 17β-estradiol (1 μg/day). Plant extract groups received aqueous extract of AEMEFTB at 130 or 260 mg/kg. The remaining groups were co-administered with 17β-estradiol (1 μg) plus 130 or 260 mg/kg of the plant mixture. Moreover, thirty-five immature female rats were bilaterally ovariectomized, then left and treated as before. Five other females, considered as sham animals, orally received distilled water (10 ml/kg). The body weight of each animal was recorded daily and
传统上,花灯盏花和本红花(AEMEFTB)的混合物用于治疗盆腔疼痛,痛经和女性性功能障碍。在最近的一项研究中,我们发现AEMEFTB混合物的水提物抑制实验性子宫内膜异位症大鼠的子宫内膜生长。本研究旨在探讨AEMEFTB对雌激素敏感性器官生长和结构的影响。将未发育成熟的性腺完整雌性大鼠随机分为7组,每组5只,每天分别给予蒸馏水(10 ml/kg)、精制棕榈油(1 ml/kg)或17β-雌二醇(1 μg/d)治疗,持续1周。植物提取物组分别给予AEMEFTB水提液130、260 mg/kg。其余各组分别给予17β-雌二醇(1 μg)加130或260 mg/kg植物混合物。此外,35只未成熟的雌性大鼠被切除双侧卵巢,然后留下和以前一样处理。另外5只雌性作为假动物,口服蒸馏水(10 ml/kg)。每天记录每只动物的体重
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引用次数: 0
Physico-Chemical and Microbiological Study for the Stability of Phenytoin Sodium Extemporaneously Compounded Suspension in Saudi Arabia Hospitals 沙特阿拉伯医院苯妥英钠临时复合混悬液稳定性的理化和微生物学研究
Pub Date : 2021-01-01 DOI: 10.4236/PP.2021.121001
Syed Ata ur Rahman, Abdullah Alsaedi, Abdulelah Alhusayni, Abdulmalik A Alqurshi, Sameh A. Ahmed, Y. Alahmadi, Alaa Omer M. Abdullaal, Badr Ahmed A. Taher, E. Habib
Epilepsy is a chronic and the fourth most common neurological disorder which affects people of all age groups. Recently research and awareness on epilepsy-related deaths have rapidly grown over the past two decades. Many previous studies are attributed to the guidelines that apprise health care professionals in handling these deaths, but there is a relative scarcity of information accessible for clinicians and pharmacists who are responsible for manufacturing or preparing the extemporaneous anti-epileptic suspensions in the hospitals. Mostly in partial seizures, phenytoin is one of the first-choice drugs. In Saudi Arabian hospitals, the extemporaneous preparation of phenytoin suspension is common, but the hot climatic weather in Saudi Arabia possesses stability problems that should be tackled as the prepared suspension should pass all the stability tests to ensure uniform dosage of the extemporaneous formulation. In the current study, the commercial capsules were used to prepare the oral phenytoin sodium extemporaneous suspension. The physical, chemical and microbiological stability of phenytoin sodium suspension is analyzed at various temperatures.
癫痫是一种慢性和第四大最常见的神经系统疾病,影响所有年龄组的人。最近,对癫痫相关死亡的研究和认识在过去二十年中迅速增长。以前的许多研究都归功于指导卫生保健专业人员处理这些死亡的指导方针,但对于负责在医院制造或准备临时抗癫痫停药的临床医生和药剂师来说,可获得的信息相对缺乏。在大多数部分性癫痫中,苯妥英是首选药物之一。在沙特阿拉伯的医院,临时配制苯妥英混悬液是常见的,但沙特阿拉伯炎热的气候天气存在稳定性问题,配制的混悬液需要通过所有的稳定性试验,以保证临时配方的剂量均匀。本研究采用市售胶囊制备苯妥英钠口服临时混悬液。分析了苯妥英钠悬浮液在不同温度下的物理、化学和微生物稳定性。
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引用次数: 0
Analysis of Compliance Management Practice of American Drug Registration Applicants and Its Enlightenment to China 美国药品注册申请人合规管理实践分析及对中国的启示
Pub Date : 2021-01-01 DOI: 10.4236/pp.2021.1212027
Yanjiao Zhao, Ling Li, Xinxin Wang, Yongfa Chen
In order to achieve the goal of drug safety, effectiveness and quality control, corporate compliance management construction is significant. Therefore, this paper systematically analyzes the seven elements of compliance management for U.S. pharmaceutical manufacturers as described in the Compliance Program Guidance for Pharmaceutical Manufacturers issued by the HHS-Office of Inspector General, as well as further analyzes the implementation of the guidance by representative multinational companies in different drug registration stages. Finally, some suggestions and implications are proposed to strengthen the construction of compliance management for Chinese drug registration applicants based on the former practical experience.
为实现药品安全、有效、质量控制的目标,企业合规管理建设意义重大。因此,本文系统分析美国hhs监察长办公室发布的《药品生产企业合规计划指南》中对美国药品生产企业合规管理的七个要素,并进一步分析具有代表性的跨国公司在不同药品注册阶段对该指南的实施情况。最后,结合以往的实践经验,提出了加强我国药品注册申请人合规管理建设的建议和启示。
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引用次数: 0
Frequency and Antimicrobials Susceptibility Pattern of Staphylococcus aureus Associated with Wound Infections in Surgery Department, Wad Madani Teaching Hospital, Sudan 苏丹Wad Madani教学医院外科与伤口感染相关的金黄色葡萄球菌频率及药物敏感性分析
Pub Date : 2021-01-01 DOI: 10.4236/pp.2021.1212028
S. Yousif, A. Abakar, B. Y. Nour, Salma Ibrahim, O. A. Elhasan, M. A. Yousif, Sitelbanat Yassin, Hajer M. Hussien, Mohamed Taj-Eldin, Elhadi A. Ahmed
Background: Most community and hospital acquired infections are due to Staphylococcus aureus, these infections involve both local suppurative and systemic conditions. There is an increase in the incidence rates of acquiring resistant strains of Staphylococcus aureus in hospitals and community in Sudan. This study aims to detect frequency of Staphylococcus aureus isolated from surgical-sites infections (SSIs) and traumatic wounds, and to determine susceptibility to commonly used drugs. Methods: Prospective cross-sectional laboratory based study was followed, 250 patients admitted to Surgery Departments at Wad Madani Teaching Hospitals during 2019 and 2020 were recruited; with clinical manifestation of SSIs and or/traumatic wounds. Swab sample was taken from each participant and incubated aerobically on mannitol salt agar. Biochemical tests and 16rRNA gene used for Staphylococcus aureus identification. Antimicrobial susceptibility was accomplished using Kirby Bauer disc diffusion technique. Results: Infection rate of wounds in males and females equal 71% (17/250) and 29% (73/250), while infection rate in the age group of 41 to 60 years was the highest with percentage of 49% (122/250). Staphylococcus aureus constituting 76% (181/238) as predominant isolates. SSIs isolates of Staphylococcus aureus were highly resistant to tested antimicrobials. Meropeneme was the drug of choice with sensitivity of 88% and 100% for SSIs and traumatic wounds isolates respectively. Conclusion: In hospitals and community Staphylococcus aureus remain the most common How to cite this paper: Yousif, S.M., Abakar, A.D., Nour, B.Y.M., Ibrahim, S.O., Elhasan, O.M.A., Yousif, M.A., Yassin, S., Hussien, H.M., Taj-Eldin, M. and Ahmed, E.A. (2021) Frequency and Antimicrobials Susceptibility Pattern of Staphylococcus aureus Associated with Wound Infections in Surgery Department, Wad Madani Teaching Hospital, Sudan. Pharmacology & Pharmacy, 12, 334-343. https://doi.org/10.4236/pp.2021.1212028 Received: November 3, 2021 Accepted: December 27, 2021 Published: December 30, 2021 Copyright © 2021 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access
背景:大多数社区和医院获得性感染是由金黄色葡萄球菌引起的,这些感染包括局部化脓性和全身性感染。在苏丹的医院和社区中,获得耐药金黄色葡萄球菌菌株的发生率有所增加。本研究旨在检测手术部位感染(ssi)和创伤伤口分离的金黄色葡萄球菌的频率,并确定对常用药物的敏感性。方法:采用前瞻性横断面实验室研究,招募2019年至2020年在Wad Madani教学医院外科住院的患者250例;临床表现为ssi和/或创伤性伤口。从每个参与者身上取拭子样本,在甘露醇盐琼脂上进行有氧培养。生化试验及16rRNA基因用于金黄色葡萄球菌鉴定。采用Kirby Bauer盘片扩散技术进行药敏试验。结果:男女伤口感染率分别为71%(17/250)和29%(73/250),其中41 ~ 60岁年龄组感染率最高,为49%(122/250)。金黄色葡萄球菌占76%(181/238),是优势菌株。金黄色葡萄球菌的ssi分离株对所测试的抗菌素具有高度耐药性。美罗培尼是首选药物,对ssi和创伤分离物的敏感性分别为88%和100%。结论:在医院和社区中,金黄色葡萄球菌仍然是最常见的。本文如何引用:Yousif, S.M, Abakar, A.D, Nour, B.Y.M, Ibrahim, S.O, Elhasan, O.M.A, Yousif, M.A, Yassin, S., Hussien, h.m., Taj-Eldin, M. and Ahmed, E.A.(2021)苏丹Wad Madani教学医院外科伤口感染相关金黄色葡萄球菌的频率和抗菌药物敏感性模式。药理学与药学,12,334-343。https://doi.org/10.4236/pp.2021.1212028收稿日期:2021年11月3日收稿日期:2021年12月27日出版日期:2021年12月30日版权所有©作者与科研出版公司。本作品采用知识共享署名国际许可协议(CC BY 4.0)。http://creativecommons.org/licenses/by/4.0/开放获取
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引用次数: 1
Preparation and Characterization of Orally Fast-Disintegrating Mini-Tablets Containing Diphenhydramine Hydrochloride and Aspartic or Glutamic Acid as an Umami Amino Acid 以盐酸苯海拉明、天冬氨酸或谷氨酸为鲜味氨基酸的口腔快速崩解迷你片的制备与表征
Pub Date : 2021-01-01 DOI: 10.4236/pp.2021.1212024
Kyoko Ohkawa, Haruka Nishikawa, Honami Kojima, Takayoshi Okuno, Rio Uno, Miyako Yoshida, T. Uchida
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引用次数: 1
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Pharmacology & Pharmacy
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