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欧洲医院沙门氏菌属血液分离株对β-内酰胺类抗生素的耐药性:1997 - 1998年哨兵抗菌监测项目的结果

Resistance to beta-lactams among blood isolates of Salmonella spp. in European hospitals: results from the SENTRY Antimicrobial Surveillance Program 1997-98.

作者信息

Tzouvelekis L S, Lukova V, Tassios P T, Fluit A C, Jones R N, Legakis N J

机构信息

Department of Microbiology, Medical School, University of Athens, Athens, Greece.

出版信息

Clin Microbiol Infect. 2003 Feb;9(2):149-52. doi: 10.1046/j.1469-0691.2003.00507.x.

DOI:10.1046/j.1469-0691.2003.00507.x
PMID:12588337
Abstract

The susceptibility to beta-lactams and the beta-lactamase content of 110 Salmonella spp. blood isolates collected during 1997-98 in 19 European centers participating in the SENTRY Surveillance Program were studied. Thirty-one isolates (28%) were resistant to penicillins, due to production of TEM-1 (27 isolates), OXA-1 (three isolates) or TEM-1 + OXA-1 (one isolate). All OXA-1 producers and 10 TEM-1-producing isolates were also resistant to penicillin-clavulanic acid combinations. In the latter isolates, this phenotype was associated with increased production of TEM-1. Sixteen TEM-1-producing Salmonella Enteritidis isolates and one OXA-1-producing S. Typhimurium isolate were able to transfer beta-lactam resistance by conjugation.

摘要

对参与哨兵监测计划的19个欧洲中心在1997 - 1998年期间收集的110株沙门氏菌属血液分离株对β-内酰胺类药物的敏感性和β-内酰胺酶含量进行了研究。31株分离株(28%)对青霉素耐药,原因是产生了TEM-1(27株)、OXA-1(3株)或TEM-1 + OXA-1(1株)。所有产生OXA-1的菌株和10株产生TEM-1的菌株也对青霉素 - 克拉维酸组合耐药。在后者的分离株中,这种表型与TEM-1产量增加有关。16株产生TEM-1的肠炎沙门氏菌分离株和1株产生OXA-1的鼠伤寒沙门氏菌分离株能够通过接合转移β-内酰胺耐药性。

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引用本文的文献

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Multiple outbreaks of nosocomial salmonellosis in Russia and Belarus caused by a single clone of Salmonella enterica serovar Typhimurium producing an extended-spectrum beta-lactamase.俄罗斯和白俄罗斯发生多起医院内沙门氏菌病暴发,由一株产超广谱β-内酰胺酶的肠炎沙门氏菌鼠伤寒血清型单一克隆菌株引起。
Antimicrob Agents Chemother. 2004 Aug;48(8):2808-15. doi: 10.1128/AAC.48.8.2808-2815.2004.