Balci I, Ekşi F, Bayram A
Department of Clinical Microbiology, Gaziantep University School of Medicine, Gaziantep, Turkey.
J Int Med Res. 2002 Jul-Aug;30(4):422-7. doi: 10.1177/147323000203000409.
We aimed to determine the types of corynebacteria isolated from the blood of patients at Gaziantep University Hospital, Turkey, and their antibiotic susceptibilities. Between February 1999 and June 2001, 3530 blood samples were cultured, of which 915 were found to be positive, and these were further investigated in the bacteriology laboratory. Among positive blood cultures, coryneform bacteria were identified in 31 (3.4%) isolates. Of these, 16 (51.6%) were Corynebacterium jeikeium, six (19.4%) were Corynebacterium striatum, four (12.9%) were Corynebacterium amycolatum, two (6.5%) were Cellulomonas species, two (6.5%) were Corynebacterium afermentans and one isolate (3.2%) was Corynebacterium propinquum. Antibiotic susceptibility tests showed that C. jeikeium was resistant to various antibiotics, whereas all isolates were susceptible to vancomycin and teicoplanin. This study illustrates the importance of taking coryneform bacteria into consideration when culturing blood samples. The need to identify the species and determine its antibiotic sensitivity is emphasized.
我们旨在确定从土耳其加济安泰普大学医院患者血液中分离出的棒状杆菌类型及其抗生素敏感性。1999年2月至2001年6月期间,共培养了3530份血样,其中915份呈阳性,并在细菌学实验室进行了进一步调查。在阳性血培养物中,31株(3.4%)分离株鉴定为棒状杆菌。其中,16株(51.6%)为杰氏棒状杆菌,6株(19.4%)为纹带棒状杆菌,4株(12.9%)为无枝菌酸棒状杆菌,2株(6.5%)为纤维单胞菌属,2株(6.5%)为发酵后棒状杆菌,1株分离株(3.2%)为近缘棒状杆菌。抗生素敏感性试验表明,杰氏棒状杆菌对多种抗生素耐药,而所有分离株对万古霉素和替考拉宁敏感。本研究说明了在血样培养时考虑棒状杆菌的重要性。强调了鉴定菌种并确定其抗生素敏感性的必要性。