Majtán V, Majtánová L
Institute of Preventive and Clinical Medicine, Bratislava, Slovak Republic.
Microbios. 2000;102(402):79-88.
The effect of suprainhibitory concentrations of quinolones (ciprofloxacin, enoxacin and norfloxacin) on the growth, hydrophobicity and motility of a nosocomial pathogen Serratia marcescens was studied. A postantibiotic effect (PAE) was induced by 2x of 4x MIC concentrations for 0.5 h. By using the 2x MIC concentrations all three quinolones induced equally long PAE approximately 1 h. The longest PAE of 5.4 h at 4x MIC concentration was induced by enoxacin. The results obtained showed that suprainhibitory concentrations of quinolones significantly stimulated the adhesion of S. marcescens to xylene, with the exception of enoxacin, which inhibited the adhesion to 61.2% at 4x MIC concentration. These results correlated with those in the salt aggregation test. The adhesion of strains to nitrocellulose filters did not influence the aftereffect of suprainhibitory concentrations of quinolones. Exposure of bacterial cells to suprainhibitory concentrations of ciprofloxacin and norfloxacin caused a reduction in motility, while this effect was more distinct at 4x MIC concentration. The results suggest that any consideration of postantibiotic effects should include the residual antibiotic effects on virulence factors, in addition to the defined suppression of bacterial regrowth.
研究了超抑菌浓度的喹诺酮类药物(环丙沙星、依诺沙星和诺氟沙星)对医院病原菌粘质沙雷氏菌生长、疏水性和运动性的影响。通过使用2倍或4倍MIC浓度处理0.5小时诱导产生抗生素后效应(PAE)。使用2倍MIC浓度时,所有三种喹诺酮类药物诱导的PAE时长大致相同,约为1小时。依诺沙星在4倍MIC浓度时诱导产生的最长PAE为5.4小时。所得结果表明,除依诺沙星外,超抑菌浓度的喹诺酮类药物显著刺激了粘质沙雷氏菌对二甲苯的粘附,依诺沙星在4倍MIC浓度时将粘附抑制至61.2%。这些结果与盐聚集试验中的结果相关。菌株对硝酸纤维素滤膜的粘附并不影响超抑菌浓度喹诺酮类药物的后效应。将细菌细胞暴露于超抑菌浓度的环丙沙星和诺氟沙星中会导致运动性降低,而这种效应在4倍MIC浓度时更为明显。结果表明,除了明确抑制细菌再生长外,任何关于抗生素后效应的考虑都应包括残留抗生素对毒力因子的影响。