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  • 1.
    Edlund, Charlotta
    et al.
    Södertörn University, Avdelning Naturvetenskap. Karolinska Institute.
    Beyer, G.
    Free University of Berlin, Berlin, Germany.
    Hiemer-Bau, M.
    Free University of Berlin, Berlin, Germany.
    Ziege, S.
    Free University of Berlin, Berlin, Germany.
    Lode, H.
    Free University of Berlin, Berlin, Germany.
    Nord, C. E.
    Karolinska Institute.
    Comparative effects of moxifloxacin and clarithromycin on the normal intestinal microflora2000In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 32, no 1, p. 81-85Article in journal (Refereed)
    Abstract [en]

    Twelve healthy male subjects age range 24-40 y participated in the investigation. The trial was divided into 2 35-d periods. The 2 treatment regimens were: (i) 1 x 400 mg moxifloxacin tablet in the morning and 1 placebo tablet in the evening for 7 d; and (ii) 1 x 500 mg clarithromycin tablet in the morning and 1 x 500 mg clarithromycin tablet in the evening for 7 d. Each subject received firstly 1 treatment regimen and secondly the other treatment regimen. The wash-out period was 6 weeks between the two treatment regimens. Moxifloxacin caused significant decreases of enterococci and enterobacteria during the administration period while the numbers of staphylococci, streptococci, Bacillus and Candida were not affected. No impact on peptostreptococci, lactobacilli, Veillonella, Bacteroides or fusobacteria was observed, while bifidobacteria and clostridia decreased during moxifloxacin administration. The microflora was normalized after 35 d. Clarithromycin caused significant reduction of Escherichia coli while the numbers of enterococci, Enterobacter, Citrobacter, Klebsiella and Pseudomonas increased markedly. No significant changes in the numbers of staphylococci, streptococci, Bacillus and Candida were noticed. In the anaerobic microflora bifidobacteria, lactobacilli and clostridia were suppressed, while no changes in peptostreptococci, Veillonella, Bacteroides and fusobacteria were found. The microflora was normalized in all volunteers after 35 d.

  • 2.
    Lund, Bodil
    et al.
    Södertörn University, Avdelning Naturvetenskap. Karolinska Institutet, Huddinge University Hospital.
    Edlund, Charlotta
    Södertörn University, Avdelning Naturvetenskap. Karolinska Institutet, Huddinge University Hospital.
    Barkholt, L
    Karolinska Institutet, Huddinge University Hospital.
    Nord, C E
    Karolinska Institutet, Huddinge University Hospital.
    Tvede, M
    Rigshospitalet, Copenhagen, Denmark.
    Poulsen, R L
    Statens Seruminstitut, Copenhagen, Denmark.
    Impact on human intestinal microflora of an Enterococcus faecium probiotic and vancomycin2000In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 32, no 6, p. 627-632Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to evaluate the impact of a fermented milk product containing viable Enterococcus faecium on human intestinal microflora and to evaluate any risk of development of vancomycin-resistant enterococci (VRE). Twenty Danish and 20 Swedish healthy volunteers were given 150 mi of the fermented mill;. product once daily, equivalent to a daily dose of 4.5 x 10(9) to 7.5 x 10(9) CFU E. faecium, for 10 d. Half of the volunteers also received 125 mg vancomycin orally q.i.d. for 10 d. Faecal samples were collected on day 0 before intake, on day 10 directly after end of intake and on day 31, 3 weeks after the end of the experiment. There,Fas a significant increase in the total number of enterococci on day 10 (p < 0.01) in the group receiving only the E. faecium supplement, but 3 weeks later the level was as before intake. In the vancomycin group, the total number of enterococci was reduced on day 10 (p < 0.01) but had increased on day 31 (p < 0.01) in relation to day 0. In none of the Swedish and 4 of the Danish volunteers, VRE were sporadically detected, but without relation to intake of the probiotic or vancomycin. In healthy young Danish individuals the VRE carrier rate tended to be higher than previously found.

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