Erythromycin

Table 1. Classification System for TB. Lancel et al. 1997 ; , and at high doses, can act as an anesthetic Bixo and Backstrom 1990; Korneyev and Costa 1996 ; . In a manner similar to other GABA-modulatory agents File 1990; Gallager et al. 1984; Kang et al. 1996 ; , 3 , 5 -THP also exhibits withdrawal properties following chronic 3 wk ; administration of its parent compound, P Costa et al. 1995; Smith et al. 1998a ; . This withdrawal state is characterized by increases in anxiety, assessed using a number of animal models including the defensive burying paradigm Gallo and Smith 1993 ; , light: dark transition Gallo and Smith 1993 ; , and the elevated plus maze Smith et al. 1998b ; , as well as increases in seizure susceptibility Moran and Smith 1998; Reddy et al. 2001; Smith et al. 1998a ; . Our previous findings suggest that the behavioral excitability observed following withdrawal from the GABA-modulatory steroid 3 , 5 -THP is due to a reduction in GABA-mediated inhibition, as a result, at least in part, of increased expression of 4-containing GABAR in the hippocampus Concas et al. 1999; Smith et al. 1998a ; . However, our prior studies have utilized a postsynaptic model to examine GABAergic function in isolated cells. In evaluating the effect of P Wd neuronal excitability, it is necessary to also consider other factors those may affect the hippocampal excitability at the circuit level. Factors such as presynaptic release of GABA, excitatory responses to glutamate, and altered effects of endogenous modulators may exert compensatory effects on the apparent decreases in GABAergic current we have observed in isolated cells following hormone withdrawal. The present study made use of a model of hippocampal circuit excitability, the PPI paradigm, which tests the percentage change in neuronal responses to the second of paired electrical stimuli delivered 10 ms apart. The inhibition of this second response normally observed is due to GABAergic feedback by interneurons innervating the pyramidal cell layer Karnup and Stelzer 1999; Lacaille et al. 1989; Rogers and Hunter 1992 ; , and has been used extensively to demonstrate increased excitability of the hippocampal circuitry following withdrawal from GABAmodulatory drugs, such as alcohol Kang et al. 1998; Rogers and Hunter 1992 ; , as well as following kindling in various seizure models Barkai et al. 1994; Fathollahi et al. 1997; Kamphuis et al. 1992; Sloviter 1987 ; . The goal of this study was to examine the effects of P Wd PPI of hippocampal pyramidal neurons in CA1 hippocampus as a general measure of hippocampal excitability to compare this parameter with other withdrawal hyperexcitability states and models of seizure activity. In addition, we evaluated the role of 4 GABAR subunit upregulation in mediating altered hippocampal excitability with the use of in vivo antisense oligonucleotide administration Smith et al. 1998a ; . The results from these studies will have implications for altered behavioral excitability and seizure susceptibility observed across naturally occurring fluctuations of 3 , 5 -THP, such as reported during the premenstrual period Blumer et al. 1998; Endicott et al. 1999; Rapkin et al. 1997; Schmidt et al. 1994, for example, erythromycin use.

Scheme 1.8 Structures similar to those in the 2002 Physicians' Desk References; a ; azithromycin, pp. 2739, 2743, 2748; b ; clarithromycin, R CH3, pp. 403, and erythromycin, R H, pp. 454, 456. Species in infants typically with viral coinfection: respiratory syncytial virus in 39% of infected pre-school children; treatment failure in 30% of cases with bacterial coinfection ; , adenovirus in 32% of infected pre-school children; treatment failure in 25% of cases with bacterial coinfection ; , influenza A in 28% of infected pre-school children ; , influenza B in 17% of infected pre-school children, 9% of infected school-age children ; , parainfluenza in 16% of infected pre-school children ; , enteroviruses in 16% of infected pre-school children; treatment failure in 17% of cases with bacterial coinfection ; , rhinovirus in 10% of infected pre-school children; treatment failure in 78% of cases with bacterial coinfection ; , measles in 4-22% of measles cases ; , echovirus 9 in 10% of cases ; , cytomegalovirus treatment failure in 17% of cases with bacterial coinfection also Corynebacterium bovis rare ; , Mycobacterium tuberculosis chronic draining ; , Gram negative enteric bacilli nosocomial ; , Moraxella lacunata, Achromobacter xylosoxidans nosocomial and community acquired chronic ; , Haemophilus haemoglobinophilus, Streptococcus canis, Mycoplasma pneumoniae bullous myringitis male sex, family members with acute otitis media, child care outside home, parental smoking, not being breastfed, and pacifier use risk factors. Diagnosis: acute onset of pain in ear, tugging of ear lobes, fever, otorrhoea, vertigo, disturbed sense of balance, feeding difficulties, night waking; pneumatic otoscopy effusion characterised by bulging of the tympanic membrane, limited or absent movement of the tympanic membrane, air-fluid level behind the tympanic membrane or perforation of the tympanic membrane with otorrhoea; inflammation chaaracterised by distinct erythema of the tympanic membrane or distinct otalgia culture of ear swab if eardrum ruptured, otherwise tympanocentesis specimen; serology Treatment: paracetamol 20 mg kg for pain relief; topical benzocaine; laser-assisted myringotomy Acute Bacterial with Systemic Features or Child 6 mo: Child 2 y, Treated with Antibiotics within Previous 3 mo or Attending Day Care or If Unresponsive to Amoxycillin: amoxycillin-clavulanate 22.5 + 3.2 mg kg to 875 + 125 mg orally 8 hourly for 5-7 d Others: amoxycillin 15 mg kg to 500 mg orally 8 hourly for 5 d or mg kg to 1 g orally 12 hourly for 5 d Penicillin Hypersensitive: cefuroxime 10 mg kg to 500 mg orally 12 hourly for 5 d, cefaclor 10 mg kg to 250 mg orally 8 hourly for 5 d; cotrimoxazole 4 20 mg kg to 160 800 mg kg orally 12 hourly for 7-10 d Remote Areas: procaine penicillin 50 mg kg to 1.5 g i.m. once daily for 5 d, bicillin i.m. on days 1 and 3 or daily for 2-5 d Chronic Suppurative: suction under direct vision or dry mopping with rolled tissue spears or equivalent 6 hourly until ear canal dry; oral antibiotics as above + dexamethasone 0.05% + framycetin 0.5 % + gramicidin 0.05% ear drops 3 drops instilled into ear 6 hourly for 7 d Streptococcus: phenoxymethylpenicillin 500 mg orally 6 hourly child: 75 mg kg orally daily in 3 divided doses ; for 7-10 d Haemophilus, Moraxella, Neisseria: amoxycillin-clavulanate 500 125 mg orally 8 hourly 40 kg: 40 10 mg kg daily in 3 divided doses ; for 10 d, cotrimoxazole 160 800 mg 6 w - 5 mo: 20 100 mg; 6 mo - 5 y: 200 mg; 6-12 y: 80 400 mg ; orally 12 hourly for 7-10 d, cefaclor 250-500 mg orally 8 hourly child: 40-60 mg kg orally daily in 3 divided doses ; for 7-10 d Corynebacterium bovis: erythromycin + rifampicin Mycobacterium tuberculosis: isoniazid 10 mg kg to 300 mg orally once daily or 15 mg kg to 600 mg orally 3 times weekly for 6 mo [ pyridoxine 25 mg breastfed baby 5 mg ; orally with each dose] + rifampicin 10 mg kg to 600 mg orally once daily 1 h before breakfast or 15 mg kg to 600 mg orally 3 times a week for 6 mo + pyrazinamide 25-35 mg kg to 2 g orally once daily or 50 mg kg to 3 g orally 3 times weekly for 2 mo 6 not known to be susceptible to isoniazid and rifampicin ; + ethambutol 15 mg kg orally daily not 6 y or plasma creatinine 160 M L; regular ocular monitoring ; or 30 mg kg orally 3 times weekly for 2 mo or until known to be susceptible to isonazid and rifampicin to 6 mo ; Other bacteria: ticarcillin + gentamicin Viruses: non-specific, but pneumococcal infection may supervene Chronic 6 w ; Discharging: ciprofloxacin or dexamethasone 0.05% + framycetin 0.5% + gramicidin 0.005% ; ear drops 3 drops 6 hourly until middle ear free of discharge for at least 3 d; at least daily wash with water, acetic acid 0.25% or povidone iodine 0.5% solution until cured; 4 times daily ear toilet with rolled paper spears repeating until ear is dry ; , followed each time by acetic acid 1% drops or by boric acid drops. 1 oral penicillin and erythromycin are usually taken 2 to 4 times daily for 10 days. Erythromycin erythromycin can be effective and is the only acne antibiotic safe in pregnancy and exelon. 9658; erythromycin is also the drug of choice for the legionnaire's disease.

Through participation in the Private Secondary Schools insurance plan, each Insured is eligible for global emergency medical assistance services when traveling 100 miles or more from his her permanent home or campus address or abroad. Non U.S. students are not eligible for services in their home country. Services are accessible 24 hours a day, 365 days a year and are provided by Assist America, Inc. Key Services include: * Medical Consultation, Evaluation and Referrals * Hospital Admission Guarantee * Emergency Medical Evacuation * Critical Care Monitoring * Medically Supervised Repatriation * Prescription Assistance * Transportation to Join Patient * Care for Minor Children * Return of Mortal Remains * Emergency Counseling Services * Lost Luggage or Document Assistance * Interpreter and Legal Referrals Please refer to your Assist America brochure or visit assistamerica for service descriptions. To access services please call: 877 ; 488-9833 Toll-free within the United States 609 ; 452-8570 Collect outside the United States Services are also accessible via e-mail at medservices assistamerica and floxin, because erythromycin es.
Concomitant use of cyclosporin, erythromycin, azole antifungals, gemfibrozil, or niacin may increase the risk of severe myopathy or rhabdomyolysis.
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Ommend that individuals with constipation increase their fluid intake, but studies do not demonstrate that this increases stool bulk or colon transit time, 23 even if the fluids consumed are hyperosmolar.27 Only in the setting of clinical dehydration is increasing fluid intake helpful in treating CC.11 With the exception of especially vigorous activity such as marathon running, 28 exercise exerts no proven benefit in ameliorating CC in young, healthy patients.21, 22, 24, 29, In older adults, the cause of constipation may be multifactorial; etiologic factors include medication, diet, and inactivity. However, evidence for physical inactivity as a risk factor for CC in older persons does exist.31, 32 Despite the fact that changes in lifestyle and diet have not been validated in controlled trials, those measures often are recommended as treatment for both CC and IBS before pharmacologic therapy is considered.6, 33 LAXATIVES Bulking agents: Initial treatment for the patient with CC who seeks clinical assessment often involves the use of a bulk-forming supplement such as psyllium ispaghula husk, Metamucil, Konsyl ; , calcium polycarbophil Perdiem Fiber Therapy, FiberCon ; , methylcellulose Citrucel ; , carboxymethylcellulose, or bran. Those agents have been approved by the US Food and Drug Administration FDA ; for the treatment of occasional constipation6; however, only psyllium has been shown to increase stool frequency.34, 35 Bulking agents retain water in and increase the solid content of the stool but, like high-fiber foods, they may produce gas and bloating. The ACG CC Task Force, citing the fact that studies often were of short duration or suboptimal design or revealed conflicting results, applied a Grade B recommendation to bulking agents for the treatment of constipation.6, 36, 37 These agents also and fluoxetine. Drug metab dispos 0 : 2006 lack of interaction of erythromycin with temazepam. Table 1. Medication-related effects on the skin drug eruptions and metformin.
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Ery erythromycin erythromycin base erythromycin-benzoyl peroxide metronidazole prascion rosaderm rosula sod.sulfacetamide sulfur tf sodium sulfacetamide sulfur sotret tretinoin Brands * A T S erythromycin base ethanol ; * ACCUTANE isotretinoin ; * BENZAMYCIN erythromycin base benz per ; * CLENIA sodium sulfacetamide ; * CLEOCIN T clindamycin phosphate ; * CLINDAMAX clindamycin phosphate ; * CLINDETS clindamycin phosphate ; * EMGEL erythromycin base ethanol ; * ERYCETTE erythromycin base ethanol ; * ERYDERM erythromycin base ethanol ; * ERYGEL erythromycin base ethanol ; * METROCREAM metronidazole ; * PANOXYL AQ 2.5 benzoyl peroxide ; * PLEXION sulfacetamide sodium sulfur ; * PLEXION TS sulfacetamide sodium sulfur ; * RETIN-A tretinoin ; * ROSANIL sodium sulfacetamide ; * SULFACET-R sulfacetamide sodium sulfur ; TAZORAC * THERAMYCIN Z erythromycin base ethanol ; * ZETACET sulfacetamide sodium sulfur.

Short-term plasticity includes facilitation and depression. The f effect, or secretion facilitation by higher AP frequencies, has been found not only in RACC but also in many other neurons for review, see Zucker, 1989 ; . However, the m effect on secretion was less known. In RACC, the m effect is likely a combination of facilitation Fig. 4 ; Charlton and Bittner, 1978; Zhou and Misler, 1995, their Fig. 1 ; and depression during the first 30 APs in Fig. 4 D ; Zucker, 1989 ; . We believe, like the f effect, the m effect probably exists in most other neurons. It is possible that the m effect differs among different cell types, because the final secretion depends on many factors, including the shape of a single AP, the AP code, ion channels, fusion proteins, colocalization of channels and vesicles, vesicle pools, and Ca 2 buffers. All of these factors vary among different types of cells. It is thus possible that, for an A-type cell, pattern F1 evokes more secretion than pattern F2. However, for a B-type cell, pattern F1 evokes less secretion than pattern F2. In fact, our preliminary data in DRG neurons support this prediction: the same two AP codes as those shown in Figure 5 produced a completely opposite m effect our unpublished observation ; . Using postsynaptic potential PSP ; as the bioassay, it was found that dividing a given number of stimuli into several groups to produce a "temporal pattern stimulation" can induce LTP more efficiently than a constant frequency stimulus train Tsukada et al., 1994; Dobrunz and Stevens, 1999 ; . One important advantage of the present work is that our Cm signal is exclusively attributable to presynaptic events, although the effect on LTP measured by PSPs could not exclude postsynaptic contamination i.e., receptor desensitization ; . The fact that the m effect of RACC using Cm assay is consistent with effect of temporal patterns of APs using PSP assay Tsukada et al., 1994; Tsodyks and Markram, 1997; Dobrunz and Stevens, 1999 ; suggests that those PSP facilitationLTPs might be dominated by a presynaptic mechanism. Because of technical challenges, capacitance measurement cannot be applied to many cell types. However, our AP code protocol can be extended to cells beyond patch-clamping conditions. Combined with AP code stimulation, another secretion assay i.e., EPSCs, FM 1-43 dye, or amperometry ; might be used. Furthermore, the AP code stimulation protocol can even be used as extracellular field stimulation. In this way, AP codes can be applied to virtually all types of neurons in brain slices or even in in vivo recordings. It would be of great interest to study stimulus secretion coupling using AP code protocols in CNS neurons and ilosone. Erythromycin taking ery6hromycin and desloratadine together may cause your body to metabolize the medicines differently than intended.

Carbamazepine, pentoxifylline, bezafibrate, clofibric acid, gemfibrozil, diclofenac, fenoprofen, ketoprofen, ibuprofen, phenazone and naproxen. Others included in analysis Antibiotics ciprofloxacin, clarithromycin, erythromycin, ofloxacin, sulfamethoxazole, sulfapyridine and tetracycline ; Triclosan Acidic pharmaceuticals and indocin.

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CLOZARIL may intensify the effects of alcohol, sleeping pills, tranquilizers and antiallergy antihistamine ; medications. Other medicines which may change the way CLOZARIL works include, for instance, certain antibiotics, medicines used to treat depression, convulsions or ulcers of the stomach and certain drugs effective against fungal or viral infections. You should inform your doctor before taking any other medications, including: Carbamazapine Phenytoin Omeprazole Rifampicin Rythromycin Cimetidine Valproic acid Antifugals fluconazole, miconazole, clotrimazole, etc. ; SSRI antidepressants fluvoxamine, paroxetine, sertraline, fluoxetine, citalopram ; Caffeine Nicotine Narcotics Benzodiazepines Norepinephrine Epinephrine MAO monoamine oxidase ; inhibitors Any drugs for bone marrow suppression PROPER USE OF THIS M EDICATION The dosage in each individual case is decided by the doctor according to the severity of the disease. For the treatment to be successful, you must follow exactly your doctor's dosage instructions, and under no circumstances should you take more or less than the prescribed dose. If you think the dosage is too weak or too strong, you should discuss this matter with your doctor. Treatment is usually started with one half of a 25 mg tablet once or twice on the first day. Your doctor will then gradually increase your dose, until the ideal dose for you is established. Your treatment will continue with a daily dose of CLOZARIL between 300 and 450 mg. Some people may require doses up to a maximum of 900 mg per day. If you miss a dose of CLOZARIL, and remember within two hours, take the dose right away. Otherwise, skip the missed dose and continue with your regular dosing schedule. Do not take double doses. If you have stopped taking CLOZARIL for more than two days, do not re-start taking the drug, but contact your doctor for dosing instructions.
Recommendations to manufacturers to incorporate dosecounters into metered-dose inhalers MDIs ; being developed for the treatment of lung diseases. The recommendations made in this draft guidance are intended to enhance the use of MDIs, specifically to help patients identify when MDIs are no longer delivering reliable doses. By 2005, AANMA expects several new HFA MDIs with dose-counting or dose-indicator devices to be available. We're also certain that patients and the medical community will embrace these new devices and abandon those that leave them running on empty and isordil.
Table 4. Odds Ratios for Characteristics of Oral Contraceptive Progestin Type n Never users Androgenic-only OC users Nonandrogenic-only OC Users Used both androgenic and nonandrogenic OC Duration of OC use Never used OC Nonandrogenic-only OC users 5 years 5 years P for trend Androgenic-only OC users 5 years 5 years P for trend Used both androgenic and nonandrogenic OC 5 years 5 years P for trend Age at first OC use Never used OC Nonandrogenic-only OC users 20 years 20 years Androgenic-only OC users 20 years 20 years Used both androgenic and nonandrogenic OC 20 years 20 years Time since last use Never used OC Nonandrogenic-only OC users 10 years 10 years Androgenic-only OC users 10 years 10 years Used both androgenic and nonandrogenic OC 10 years 10 years Controls 1, 026 ; n Cases 568 ; OR 1.0 Referent ; 0.49 0.53 0.29 Referent ; 0.47 0.66 0.350.62 ; 0.460.95 ; 0.56 0.73 .008 ; 0.501.07 ; 95% CI 0.360.68 ; 0.410.67 ; 0.180.46 ; Adjusted OR * 0.52 0.59 0.29 CI 0.350.76 ; 0.450.78 ; 0.170.48.

Cipro sinus, prescription drug either promethazine, dosage, erythromycin, quinolone is not zocor, side effects, chloramphenicol, gentamicin etc toprol, penicillin cannot be cipro 250, tequin cipro uses, rocephin and letrozole.
1. Actinomyces israelii is a normal commensal of the mouth and the gut. In some circumstances it can cause pelvic actinomyces which is very rare, but potentially a very debilitating condition, characterised by granulomatous pelvic and abdominal abscesses. Unless rupture of such an abscess occurs the presentation is as chronic or acute-on-chronic pelvic inflammatory disease. 2. The presence of actinomyces like ALOs ; on a cervical smear Occurs predominantly in women using an intrauterine contraceptive device IUD ; and has been reported in Mirena IUS ; users. May be a marker for increased risk of developing pelvic actinomyces may represent bacteria that are normal vaginal flora Is often associated with bacterial vaginosis 3. A woman having a smear showing the presence of ALOs should have an abdominal and pelvic examination and be asked about symptoms of pelvic actinomyces. These include: Intermenstrual bleeding Pelvic pain Deep dyspareunia Dysuria 4. If pelvic infection is suspected A woman with ALOs who is symptomatic or who clinically has a pelvic infection and or a pelvic mass not due to another cause should be advised to have the IUD IUS removed at an appropriate time. Intermenstrual bleeding is common with the IUS during the first 6 months and, as such, is more likely to be due to the endometrial effect of the IUS and alone may warrant removal of the system. In the presence of ALOs, the reappearance of intermenstrual bleeding in an established IUS user should lead to further enquiry and investigation. The IUD IUS should have the threads removed and be sent for culture and the woman should be offered treatment for actinomyces. Both the preparation of the specimen for culture and the treatment should be according to a locally agreed protocol. Treatment would normally be with a penicillin, tetracycline or erythromcyin and for a minimum of two weeks. The patient should be reviewed to ensure the symptoms are cured. 5. If pelvic infection is not suspected A woman with ALOs who is asymptomatic and without clinical signs of pelvic infection should be counselled regarding the potential small ; risk and symptoms of pelvic actinomyces and the management options. She should be advised to return to the clinic should she become symptomatic. After counselling she should be managed according to one of the following protocols: Leave the IUD or IUS in situ. The woman should be fully counselled regarding the potential risks and symptoms of pelvic actinomyces. The IUD IUS may be left in place and regular follow up arranged every six months. The follow up must include enquiry about symptoms and a bimanual examination. The woman should be asked to agree to be contacted and for her general practitioner to be contacted if she fails to attend for follow up. Cervical smears should be repeated as indicated by the National Screening Programme or locally agreed cervical screening guidelines. Removal or change of the device. The device should be changed or removed at an appropriate time and a cervical smear repeated in three to six months. ALOs rarely persist after changing a device. The removed device does NOT need to be sent for culture. Bacterial vaginosis may be co-existent with ALOs and if present should be managed appropriately. The significance of this association is unknown. WHO monographs on selected medicinal plants to 120 mg kava pyrones for 14 days ; , whereas it was impaired after treatment with bromazepam 9 mg daily ; or the extract bromazepam combination. No differences were observed following treatment with bromazepam or the combination, indicating that the extract did not have an additive effect when given in combination with bromazepam 67 and levocetirizine and erythromycin, for example, erythromycin penicillin. But if your ldl cholesterol ever climbs above 190 mg dl after six months of healthy eating, it may be time to try a medication.
Before taking lanoxin, tell your doctor if you are taking any of the following medicines: another medication for irregular heartbeats, such as quinidine quinidex, quinora, cardioquin, others ; , amiodarone cordarone ; , or propafenone rythmol an antacid or laxative that contains aluminum, magnesium, or kaolin-pectin such as maalox, rolaids, mylanta, milk of magnesia, and others; a beta-blocker such as atenolol tenormin ; , propranolol inderal ; , acebutolol sectral ; , metoprolol lopressor ; , carteolol cartrol ; , labetalol normodyne, trandate ; , or nadolol corgard a calcium channel blocker such as diltiazem cardizem, dilacor xr, tiazac ; , amlodipine norvasc ; , felodipine plendil ; , nifedipine procardia, adalat ; , verapamil verelan, calan, isoptin, covera-hs ; , and others; a cancer chemotherapy drug; a diuretic water pill ; such as hydrochlorothiazide hctz, hydrodiuril, others ; , chlorothiazide diuril ; , chlorthalidone hygroton, thalitone ; , furosemide lasix ; , torsemide demadex ; , bumetanide bumex ; , ethacrynic acid edecrin ; , triamterene dyrenium, maxzide, dyazide ; , amiloride midamor ; , spironolactone aldactone ; , eplerenone inspra ; , and others; a steroid medicine such as prednisone deltasone ; , methylprednisolone medrol, others ; , prednisolone prelone, pediapred, others ; , dexamethasone decadron ; , and others; a thyroid medication; alprazolam xanax amphotericin b fungizone cholestyramine questran, prevalite ; or colestipol colestid erythromycin s and lopid.
We used data from a randomly selected sample n 2584 ; of the members of the 1958 British birth cohort who had children by 1991.4 Information was collected on their offspring. Of 3077 children aged 4-18 years, we included 2631 children 1293 girls and 1338 boys from 1768 families; average age 8 years ; for whom data on duration of breast feeding, body mass index, and confounding factors were available. Body mass index weight kg ; height m ; 2 was standardised relative to the 1990 British growth reference, 5 and obesity was defined as a standard deviation score 1.64 95th centile ; . Duration of breast feeding had been reported by the mother in 1991 see table for categories ; . Potential confounding factors, reported in 1991, were birth weight; mother's smoking during pregnancy 1 cigarette day, 1-9 day, or 10 day and social class, based on the 1991 occupation of the male head of. PVA736 S. sanguis Challis 6 pVA736c S. mutans GS-5 201 a S. mutans GS-5 was grown to optimal competence 5 h ; and transformed as previously described 9 ; with plasmid DNA approximately 0.7 , ug ; . b Control incubations in the absence of plasmid DNA yielded no spontaneous erythromycin-resistant colonies. Transformants represent the average of duplicate plates. CFU, Colony-forming units. c Plasmid extracted from S. mutans GS-5 cells previously transformed to erythromycin resistance by plasmid pVA736 Challis.

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