1999
DOI: 10.1902/jop.1999.70.8.888
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Resistance Profile Survey of 50 Periodontal Strains of Actinobacillus actinomycetemcomitans

Abstract: In this work, most A. actinomycetemcomitans strains were resistant to metronidazole, but the amoxicillin-metronidazole association may be of interest against subgingival anaerobic and capnophilic mixed flora. Pristinamycin and ciprofloxacin appeared as effective alternative monotherapies against A. actinomycetemcomitans. The threat of beta-lactam antibiotic resistance related to beta-lactamase production is currently not a problem with A. actinomycetemcomitans as it has been reported in oral anaerobes.

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Cited by 39 publications
(26 citation statements)
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“…Also, the constant emergence of resistant strains makes it difficult to treat A. actinomycetemcomitans infections, resulting in a greater number of cases that recur following treatment. Various chemical agents have been evaluated over the years for their antimicrobial effects in the oral cavity; however, all are associated with side effects that prohibit regular long-term use (6,20,36,41,55,57,61,75). Therefore, an alternative therapy is essential to prevent the disease.…”
mentioning
confidence: 99%
“…Also, the constant emergence of resistant strains makes it difficult to treat A. actinomycetemcomitans infections, resulting in a greater number of cases that recur following treatment. Various chemical agents have been evaluated over the years for their antimicrobial effects in the oral cavity; however, all are associated with side effects that prohibit regular long-term use (6,20,36,41,55,57,61,75). Therefore, an alternative therapy is essential to prevent the disease.…”
mentioning
confidence: 99%
“…Greater resistance against the antibiotics clindamycin, metronidazole, and amoxicillin has been reported in P. gingivalis and A. actinomycetemcomitans associated with periodontal disease (Ardila et al 2010). Significantly, higher incidence of resistance against spiramycin and metronidazole has been reported in periodontal A. actinomycetemcomitans strains (Madinier 1999). Even oral bacteria that are not directly involved in dental and/or periodontal diseases exhibit resistant to antimicrobial agents (Kouidhi et al 2011;Villedieu et al 2004).…”
Section: Resistance To Antimicrobial Agents Among Oral Bacteriamentioning
confidence: 99%
“…47,48 Further studies characterized the b-lactamases produced by oral bacteria, mainly in Bacteroidaceae, since members of this family were implicated in the aetiology of acute oral infections and periodontal disease. 49,50 More recently, the b-lactamase genes in subgingival oral bacteria, which were isolated from patients with refractory periodontitis, were characterized. 51,52 The CfxA b-lactamase gene was shown to be prevalent in the Prevotella and Capnocytophaga species.…”
Section: B-lactamasesmentioning
confidence: 99%