98%
921
2 minutes
20
The cycle-closed dimer of amoxicillin influences its critical quality and is an important impurity in amoxicillin and clavulanate potassium tablets. The quality of the tablets could be rapidly evaluated using the impurity as an indicator. Here, we report a quantitative model to determine the cycle-closed dimer in samples from different manufacturers using diffuse reflectance near-infrared (NIR) spectroscopy by partial least squares regression for one y variable (PLS1) and hierarchical cluster analysis. Because the contents of the (active pharmaceutical ingredients) APIs (amoxicillin and clavulanate potassium) and water are also the important indexes of the tablet quality, three other quantitative models were used to confirm the API data and water content. All of the four models facilitate rapid and complete control of the tablet quality. In addition, quantitative models were validated in terms of specificity, linearity, accuracy, repeatability, and intermediate precision according to the International Conference on Harmonisation guidelines by evaluating the characteristics of the NIR spectra. These results confirmed that the models were satisfactory.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1208/s12249-016-0602-3 | DOI Listing |
Cureus
August 2025
Department of Critical Care Medicine, Nerima Hikarigaoka Hospital, Tokyo, JPN.
commonly causes community-acquired pneumonia (CAP) in young adults, but it rarely leads to acute respiratory distress syndrome (ARDS). Macrolides are commonly used as the first-line treatment for pneumonia; however, the incidence of macrolide-resistant (MRMP) has increased, particularly in East Asia. There are few case reports of severe ARDS in adults caused by MRMP.
View Article and Find Full Text PDFJAC Antimicrob Resist
October 2025
Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Background And Objectives: The β-lactam/β-lactamase inhibitor combinations ampicillin-sulbactam (SAM) and amoxicillin-clavulanate (AMC) are frequently used to treat Enterobacterales infections and are often assumed to be interchangeable, leading some clinical microbiology laboratories to report antimicrobial susceptibility testing (AST) results for only one of these agents. Given differences in β-lactamase inhibition between sulbactam and clavulanate, we hypothesized that the activities of SAM and AMC may differ.
Methods: To understand the prevalence of discordant SAM and AMC susceptibility results in Enterobacterales species, we analysed AST results obtained by broth microdilution (MicroScan WalkAway, Beckman Coulter) for Enterobacterales isolates recovered from clinical specimens between 2018 and 2022 at an academic medical centre in New York City.
Liver Int
October 2025
Faculty of Medicine, University of Iceland, Reykjavík, Iceland.
Background And Aims: Very few prospective studies have investigated the most common causes of concomitant elevation of ALT and ALP. We aimed to investigate the most common aetiologies of hepatocellular or cholestatic liver injury, and to study the proportion of patients with DILI.
Methods: A 2-year prospective study, in Landspitali Hospital, Iceland on patients with (A) ALT > 500 and (B) ALT > 250 U/L and ALP > 210 U/L.
Medicine (Baltimore)
August 2025
Department of Ultrasound, Kunming Medical University Affiliated Qujing Hospital, Qujing, China.
Rationale: Lawsonella clevelandensis is a gram-positive bacterium, partially acid-fast, strictly anaerobic, nonspore-forming, and catalase-positive. This microorganism was once overlooked in clinical microbiology due to its stringent growth requirements in laboratory cultures, but it has recently attracted recognition as a potential pathogen. Available reports implicate Lawsonella clevelandensis infection with abscess formation, including breast, spinal, abdominal, and deep soft tissue abscesses.
View Article and Find Full Text PDFAntimicrob Steward Healthc Epidemiol
August 2025
Center for Anti-Infective Research and Development, Hartford Hospital, Hartford, CT, USA.
Objective: This before-after study aimed to evaluate whether an order-set intervention would improve CABP-guideline concordance among outpatients.
Setting: This study included adult patients presenting to outpatient clinics ( = 92) and urgent care centers ( = 39) within a community-based health system without a formal outpatient antibiotic stewardship program (ASP).
Intervention: The intervention consisted of an antibiotic order-set and awareness campaign.