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日本出现对头孢唑兰(青霉素、口服头孢菌素和氨曲南)耐药的淋病奈瑟菌疫情。

Outbreak of cefozopran (penicillin, oral cephems, and aztreonam)-resistant Neisseria gonorrhoeae in Japan.

作者信息

Muratani T, Akasaka S, Kobayashi T, Yamada Y, Inatomi H, Takahashi K, Matsumoto T

机构信息

Department of Urology, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, Japan.

出版信息

Antimicrob Agents Chemother. 2001 Dec;45(12):3603-6. doi: 10.1128/AAC.45.12.3603-3606.2001.

DOI:10.1128/AAC.45.12.3603-3606.2001
PMID:11709349
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC90878/
Abstract

We have previously reported that the Neisseria gonorrhoeae isolates from clinical failure cases treated with cefdinir and aztreonam, beta-lactams exhibited high MICs. These resistant isolates were clearly separated from the isolates exhibiting a low level of resistance to beta-lactams as shown by the MIC distribution of cefozopran. Restriction fragment length polymorphism DNA typing revealed that the outbreak of cefozopran-resistant isolates in Kitakyushu, Japan, occurred as a result of clonal spread.

摘要

我们之前曾报道,从接受头孢地尼和氨曲南治疗的临床失败病例中分离出的淋病奈瑟菌,β-内酰胺类药物显示出高最低抑菌浓度(MIC)。这些耐药菌株与对β-内酰胺类药物耐药水平较低的菌株明显不同,如头孢唑肟的MIC分布所示。限制性片段长度多态性DNA分型显示,日本北九州头孢唑肟耐药菌株的爆发是克隆传播的结果。

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本文引用的文献

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Emergence of cephem- and aztreonam-high-resistant Neisseria gonorrhoeae that does not produce beta-lactamase.不产生β-内酰胺酶的头孢菌素和氨曲南高耐药淋病奈瑟菌的出现。
J Infect Chemother. 2001 Mar;7(1):49-50. doi: 10.1007/s101560170034.
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Gonococcal resistance to beta-lactams and tetracycline involves mutation in loop 3 of the porin encoded at the penB locus.淋球菌对β-内酰胺类和四环素的耐药性涉及penB位点编码的孔蛋白第3环的突变。
Antimicrob Agents Chemother. 1998 Nov;42(11):2799-803. doi: 10.1128/AAC.42.11.2799.
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High-level tetracycline-resistant Neisseria gonorrhoeae in Ontario, Canada--investigation of a cluster of isolates, showing chromosomally mediated resistance to penicillin combined with plasmid-mediated resistance to tetracycline.
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Characterisation of penA and tetM resistance genes of Neisseria gonorrhoeae isolated in southern Africa--epidemiological monitoring and resistance development.对在非洲南部分离出的淋病奈瑟菌的penA和tetM耐药基因的特征分析——流行病学监测与耐药性发展
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Antimicrob Agents Chemother. 1994 Nov;38(11):2530-3. doi: 10.1128/AAC.38.11.2530.
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Hybrid penicillin-binding proteins in penicillin-resistant strains of Neisseria gonorrhoeae.淋病奈瑟菌青霉素耐药菌株中的杂合青霉素结合蛋白。
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Chromosomal resistance of gonococci to antibiotics.淋球菌对抗生素的染色体耐药性。
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