Abstract

AbstractAbstract Introduction- Antibiotic to treat dental caries infection are routinely prescribed. Bacteria have increased resistance to the currently recommended antibiotics. The purpose of this investigation was to perform antibiotic susceptibility on a panel pathogenic strain of bacteria isolated step by step from dental caries infection. Materials and Methods -Bacteria were isolated from caries site of patients and cultivated identified at the species level. Each of 150 species of bacteria was tested for antibiotics susceptibility to a five antibiotics using Etest. Antibiotic used were Amoxicillin, Cloxocillin, Erythromycin, Tetracycline, Penicillin-V. Results - The percentages of Resistance in treatment for each antibiotic in this study were penicillin V: 72/150 (48%), Tetracycline: 99/150 (66%), amoxicillin: 135/150 (90%), Cloxocillin: 117/150 (78%), and Erythromycin: 90/150 (60%) (Table 1). If combination antibiotic therapy had been used to treat the bacteria isolated from dental caries, the percentage of Resistance for the combination of penicillin V/Amoxicillin would have been 39/150 (26%), and the combination of amoxicillin/ Erythromycin would have been 45/150 (30%). Conclusion - This study demonstrated the Molecular Mechanism of antibiotic resistance and susceptibility pattern, of bacteria causing dental caries. The comprehensive results data obtained will allow in investigating spatial distribution of pathogenic antibiotic resistant bacteria in patients of dental caries. In turn this will allow the development of novel diagnostic and treatment methods.

Highlights

  • Antibiotic to treat dental caries infection are routinely prescribed

  • The comprehensive results data obtained will allow in investigating spatial distribution of pathogenic antibiotic resistant bacteria in patients of dental caries

  • The purpose of this study was to determine the detailed mechanism of antibiotic susceptibility of 150 strains of bacteria recently isolated from the 50 patients sample using the Etest

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Summary

Introduction

Antibiotic to treat dental caries infection are routinely prescribed. Bacteria have increased resistance to the currently recommended antibiotics. If combination antibiotic therapy had been used to treat the bacteria isolated from dental caries, the percentage of Resistance for the combination of penicillin V/Amoxicillin would have been 39/150 (26%), and the combination of amoxicillin/ Erythromycin would have been. The most common methods of susceptibility testing were the disk diffusion test, agar dilution, and both micro- and macro-broth dilution Disadvantages of these systems include: nonquantitative interpretation, inconsistent application for slow growing bacteria and anaerobes, limited use for direct testing of clinical material, and very time consuming [14]. The Etest overcomes several of the above disadvantages while producing an accurate, reproducible reference minimum inhibitory concentration (MIC), which has been used for susceptibility testing of dental caries isolates [7, 8]. The antibiotics tested were Amoxicillin, Cloxacillin Erythromycin, Tetracycline and Penicillin

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