0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

USE OF GLUCURONOLACTONE WITH STREPTOMYCIN FOR REDUCING BACTERIAL FLORA OF THE COLON

ROBERT C. DONALDSON, M.D.; EUGENE M. BRICKER, M.D.
AMA Arch Surg. 1951;62(1):118-124. doi:10.1001/archsurg.1951.01250030121013.
Text Size: A A A
Published online

STREPTOMYCIN, when given by mouth, produces a rapid reduction of the bacterial flora of the colon. However, this effect is only temporary in most cases, and streptomycin-resistant strains of bacteria rapidly repopulate the bowel. Because of this rapid development of resistant strains of bacteria, Lockwood1 recommends that streptomycin should not be used for preoperative preparation of the bowel.

Recent observations by Mast and Harrison2 and by Wooldridge3 indicate that glucuronolactone may aid streptomycin in producing and maintaining low bacterial counts in the intestinal tract. Glucuronolactone is an inner anhydride of glucuronic acid and forms on dehydration of the latter. Wooldridge and Mast4 demonstrated that this substance has certain antibacterial properties in vitro. Glucuronolactone in concentrations of 0.5 to 2.0 per cent was found to inhibit the growth of Escherichia coli. When glucuronolactone and streptomycin are combined in the test tube, the antibacterial effect against the test organisms is only slightly greater than when streptomycin is

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();