Growth of Escherichia coli in atracurium, rocuronium, mivacurium, cisatracurium, pancuronium, and vecuronium

Amaç: Biz çalışmamızda atrakuryum, rokuronyum, mivakuryum, sisatrakuryum, pankuronyum ve vekuronyumun Escherichia coli üremesi üzerine olan etkinliğini araştırdık. Hastalar ve Yöntemler: Patojen bakteri, atrakuryum, rokuronyum, mivakuryum, sisatrakuryum, pankuronyum ve vekuronyum ile 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, ve 24 saat oda sıcaklığında temas ettirildi. Bulgular: Escherichia coli ortalama koloni sayısı rokuronyumda istatiksel anlamlı olarak atrakuryum, mivakuryum, sisatrakuryum, pankuronyum ve vekuronyumdan daha düşük saptandı (sırasıyla p=0.002, 0.000, 0.000, 0.001, ve 0.002). Atrakuryum, mivakuryum, sisatrakuryum, pankuronyum ve vekuronyumda ortalama koloni sayısı açısından anlamlı fark saptanmadı (p

Atrakuryum, rokuronyum, mivakuryum, sisatrakuryum, pankuronyum ve vekuronyumda Escherichia coli üremesi

Objectives: We studied in vivo growth of Escherichia coli in atracurium, rocuronium, mivacurium, cisatracurium, pancuronium, and vecuronium. Patients and Methods: The pathogen was exposed to atracurium, rocuronium, mivacurium, cisatracurium, pancuronium and vecuronium for 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 h at room temperature, respectively. Results: The mean colony counts of Escherichia coli after exposure to rocuronium was significantly lower than the counts after exposure to atracurium, mivacurium, cisatracurium, pancuronium and vecuronium (p=0.002, 0.000, 0.000, 0.001, and 0.002, respectively). No significant difference was found with respect to the mean colony counts with atracurium, mivacurium, cisatracurium, pancuronium and vecuronium (p<0.05). Conclusion: Rocuronium had more powerful antimicrobial effects than the other neuromuscular agents.

___

  • 1) Bátai I, Kerényi M, Tekeres M. The impact of drugs used in anaesthesia on bacteria. Eur J Anaesthesiol 1999;16:425-40.
  • 2) Lessard MR, Trépanier CA, Gourdeau M, Denault PH. A microbiological study of the contamination of the syringes used in anaesthesia practice. Can J Anaesth 1988;35:567-9.
  • 3) Morgan GE, Mikhail MS. Muscle relaxants. In: Clinical anesthesiology. 2nd ed. Stamford: Appleton & Lange; 1996. p. 149-64.
  • 4) Graystone S, Wells MF, Farrell DJ. Do intensive care drug infusions support microbial growth? Anaesth Intensive Care 1997;25:640-2.
  • 5) Sato S, Sakuragi T, Dan K. Human skin flora as a potential source of epidural abscess. Anesthesiology 1996;85:1276-82.
  • 6) Sakuragi T, Yanagisawa K, Shirai Y, Dan K. Growth of Escherichia coli in propofol, lidocaine, and mixtures of propofol and lidocaine. Acta Anaesthesiol Scand 1999;43:476-9.
  • 7) Pere P, Lindgren L, Vaara M. Poor antibacterial effect of ropivacaine: comparison with bupivacaine. Anesthesiology 1999;91:884-6.
  • 8) Hodson M, Gajraj R, Scott NB. A comparison of the antibacterial activity of levobupivacaine vs. bupivacaine: an in vitro study with bacteria implicated in epidural infection. Anaesthesia 1999;54:699-702.
  • 9) Aydin ON, Eyigor M, Aydin N. Antimicrobial activity of ropivacaine and other local anaesthetics. Eur J Anaesthesiol 2001;18:687-94.
  • 10) Bátai I, Kerényi M, Falvai J, Szabó G. Bacterial growth in ropivacaine hydrochloride. Anesth Analg 2002;94:729-31.
  • 11) Kampe S, Poetter C, Buzello S, Wenchel HM, Paul M, Kiencke P, et al. Ropivacaine 0.1% with sufentanil 1 μg/ml inhibits in vitro growth of pseudomonas aeruginosa and does not promote multiplication of staphylococcus aureus. Anesth Analg 2003;97:409-11.
  • 12) Feldman JM, Chapin-Robertson K, Turner J. Do agents used for epidural analgesia have antimicrobial properties? Reg Anesth 1994;19:43-7.
  • 13) Wierda JM, Kleef UW, Lambalk LM, Kloppenburg WD, Agoston S. The pharmacodynamics and pharmacokinetics of Org 9426, a new non-depolarizing neuromuscular blocking agent, in patients anaesthetized with nitrous oxide, halothane and fentanyl. Can J Anaesth 1991;38:430-5.
  • 14) Atherton DP, Hunter JM. Clinical pharmacokinetics of the newer neuromuscular blocking drugs. Clin Pharmacokinet 1999;36:169-89.
  • 15) Roy JJ, Varin F. Physicochemical properties of neuromuscular blocking agents and their impact on the pharmacokinetic-pharmacodynamic relationship. Br J Anaesth 2004;93:241-8.
  • 16) Wierda JM, Proost JH. Structure-pharmacodynamicpharmacokinetic relationships of steroidal neuromuscular blocking agents. Eur J Anaesthesiol Suppl 1995;11:45-54.
  • 17) Wierda JMKH, Proost JH, Muir AW, Marshall RJ. Design of drugs for rapid onset. Anaesth Pharmacol Rev 1993;1:57-68.
  • 18) Wu C, Engler C, Norton R. Growth of Staphylococcus epidermidis in anaesthetic resuscitative drugs: implications for potential contamination. Anaesth Intensive Care 2005;33:69-72.
  • 19) Zacher AN, Zornow MH, Evans G. Drug contamination from opening glass ampules. Anesthesiology 1991;75:893-5.
  • 20) MacPherson RD. Pharmaceutics for the anaesthetist. Anaesthesia 2001;56:965-79.
Trakya Üniversitesi Tıp Fakültesi Dergisi-Cover
  • ISSN: 1301-3149
  • Yayın Aralığı: 2
  • Başlangıç: 2018
  • Yayıncı: -
Sayıdaki Diğer Makaleler

Muskulokütan sinirin brakiyalis dalının medyan sinirin posterior fasiküler grubunun nörotizasyonunda kullanılabilirliğinin araştırılması: Kadavra çalışması

Atakan AYDIN, Hasan Utkan AYDIN, Nurettin OĞUZ

A case of total knee arthroplasty in which aeromonas hydrophila was ısolated in perioperative culture

Avkan Vildan OĞUZ, Bengisu AY, Vasfi KARATOSUN, Zeynep GÜLAY

A rare case of schwannoma arising from a diverticulum in the first portion of duodenum

Atakan SEZER, Ahmet HATİPOĞLU, Ufuk USTA

Reconstruction of the chest wall defects with mammary dermoglandular advancement flaps in female complicated cases

Atakan AYDIN, Erdem GÜVEN, Barış KEKLİK, Karaca BAŞARAN, BERKER ÖZKAN

The prevalence of pruritus in Mustafa Kemal University Dermatology Outpatient Clinic During July 2008

Çiğdem Asena DOĞRAMACI, Gamze SERARSLAN

Histopathological and biochemical examinations of the effects of bipolar electrocauter and quantum energy surgical device both of which are thermal affected surgical devices on rabbit liver

Ramazan KAYAPINAR, MUSTAFA YÖNTEM, Cem PERK, Sevinç ÇELİK, Gülara HÜSEYİN, Şentürk ÇİFTÇİ, FATMA NESRİN TURAN

Amifostine treatment of a patient with refractory acute myeloid leukemia

Emre TEKGÜNDÜZ, Akyol Alev İRİKÇİ, Ahmet ÖZTÜRK

Levosimendan in asphyxia-induced cardiac arrest model

Murat AKSUN, Gökhan İLHAN, BİLGİN EMRECAN

Effects of darbepoetin alpha on brain tissue oxidative stress in experimental ethanol administration

Pınar SEYMEN, Erman AYTAÇ, Feray BÖLÜKBAŞI, Fatih DEMİR, Habibe GENÇ, Hafize UZUN, Tuncay ALTUĞ, HAKKI OKTAY SEYMEN

How reliable is the safe zone of hardinge approach for superior gluteal nerve?

AHMET MURAT BÜLBÜL, SEMİH AYANOĞLU, Kahraman ÖZTÜRK, Yunus İMREN, CEM ZEKİ ESENYEL, Rıdvan YEŞİLTEPE, Hakan GÜRBÜZ