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[不同类型非结核分枝杆菌对左氧氟沙星的敏感性]

[Sensitivity to levofloxacin of various types of non-tuberculosis Mycobacterium].

作者信息

Otten T F, Solov'eva N S, Vishnevskiĭ B I

机构信息

Research Institute of Phtisiopulmonology, Ministry of Health of Russian Federation, St-Petersburg.

出版信息

Antibiot Khimioter. 2002;47(6):34-7.

Abstract

Activity of levofloxacin (Tavanic) against 10 species of nontuberculosis of mycobacteria was investigated by indirect method of absolute concentrations on Levenstain-Jensen media (levofloxacin concentration 5 and mcg/mL). The investigation was performed on 71 strains of nontubercolosis mycobacteria: Mycobacterium avium-intracellulare--24 strains, M. fortuitum--17 strains, M. chelonae--10 strains, M. malmoense--13 strains and 6 other species of mycobacteria. Susceptible to critical levofloxacin concentration were 8 species of 10. Resistance to levofloxacin (10 mcg/mL) was estimated for 16.7 per cent of M. avium-intracellulare and 30 per cent of M. chelonei strains. It is concluded that levofloxacin may be a drug of choice for management of mycobacteriosis caused by M. fortuitum, M. kansasii, M. xenopi, M. malmoense, and in the most of cases due to M. avium-intracellulare and M. chelonae.

摘要

采用绝对浓度间接法在罗-琴培养基(左氧氟沙星浓度为5微克/毫升)上研究了左氧氟沙星(可乐必妥)对10种非结核分枝杆菌的活性。对71株非结核分枝杆菌进行了研究:鸟分枝杆菌-胞内分枝杆菌24株、偶然分枝杆菌17株、龟分枝杆菌10株、马尔默分枝杆菌13株以及其他6种分枝杆菌。10种中有8种对左氧氟沙星的临界浓度敏感。鸟分枝杆菌-胞内分枝杆菌的16.7%菌株和龟分枝杆菌的30%菌株对左氧氟沙星(10微克/毫升)耐药。得出的结论是,左氧氟沙星可能是治疗由偶然分枝杆菌、堪萨斯分枝杆菌、偶发分枝杆菌、马尔默分枝杆菌引起的分枝杆菌病的首选药物,在大多数情况下也是治疗由鸟分枝杆菌-胞内分枝杆菌和龟分枝杆菌引起的分枝杆菌病的首选药物。

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