Grude Nils, Tveten Yngvar
Tidsskr Nor Laegeforen. 2002 Jan 20;122(2):174-5.
Bacteriological investigation of urine often shows the presence of alpha-haemolytic streptococci, but the clinical significance of this finding may be unclear. Among the alpha-haemolytic streptococci found in urine is Aerococcus urinae, which is pathogenic.
We present a prospective study of the prevalence and antibiotic susceptibility of A urinae in urine samples sent to a microbiology laboratory in Norway.
Seven out of 27 alpha-haemolytic streptococcal isolates were A urinae. This represents 0.3% of all urine isolates from our laboratory. Appropriate methods for identification and resistance determination are described.
Microbiological laboratories should include identification of A urinae in their diagnostic repertoire. Recommended treatment against A urinae is ampicillin or nitrofurantoin.
尿液的细菌学检查常常显示存在α溶血性链球菌,但这一发现的临床意义可能并不明确。在尿液中发现的α溶血性链球菌中有尿气球菌,它具有致病性。
我们对送往挪威一家微生物实验室的尿液样本中尿气球菌的患病率和抗生素敏感性进行了一项前瞻性研究。
27株α溶血性链球菌分离株中有7株为尿气球菌。这占我们实验室所有尿液分离株的0.3%。描述了鉴定和耐药性测定的合适方法。
微生物实验室应将尿气球菌的鉴定纳入其诊断项目中。针对尿气球菌的推荐治疗药物是氨苄西林或呋喃妥因。