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社区获得性感染中的葡萄球菌:对青霉素耐药性增加。

Staphylococci in community-acquired infections: Increased resistance to penicillin.

作者信息

Hughes G B, Chidi C C, Macon W L

出版信息

Ann Surg. 1976 Apr;183(4):355-7. doi: 10.1097/00000658-197604000-00004.

DOI:10.1097/00000658-197604000-00004
PMID:1267491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1344203/
Abstract

One hundred patients with community-acquired staphylococcal infections of the skin and soft tissues were treated in the Emergency Ward of Cleveland Metropolitan General Hospital from June to October of 1974. Each staphylococcal infection was considered community-acquired if, within two weeks prior to being treated for the first time, the patient had not received antibiotics, had not been hospitalized, and had not been in contact with other recently hospitalized persons. Of 100 community-acquired staphylococcal infections, 85 were resistant to penicillin. Almost no resistance to other tested antibiotics was observed. Unless indicated otherwise by bacteriologic testing, penicillin is a poor drug of choice in those skin and soft tissue infections suspected of harboring staphylococci.

摘要

1974年6月至10月期间,100例社区获得性皮肤和软组织葡萄球菌感染患者在克利夫兰市立综合医院急诊科接受治疗。如果患者在首次接受治疗前两周内未接受过抗生素治疗、未住院且未与其他近期住院的人员接触,则每例葡萄球菌感染都被视为社区获得性感染。在100例社区获得性葡萄球菌感染中,85例对青霉素耐药。几乎未观察到对其他测试抗生素的耐药情况。除非细菌学检测另有指示,否则对于怀疑携带葡萄球菌的皮肤和软组织感染,青霉素不是一个好的选择药物。

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The changing epidemiology of Staphylococcus aureus?金黄色葡萄球菌流行病学的变化?
Emerg Infect Dis. 2001 Mar-Apr;7(2):178-82. doi: 10.3201/eid0702.010204.

本文引用的文献

1
Prophylactic antibiotic therapy.预防性抗生素治疗。
AMA Arch Surg. 1955 Jul;71(1):2-6. doi: 10.1001/archsurg.1955.01270130004002.
2
Sensitivity of staphylococcus pyogenes to benzylpenicillin and BRL 1241.化脓性葡萄球菌对苄青霉素和BRL 1241的敏感性。
Br Med J. 1960 Sep 3;2(5200):708-9. doi: 10.1136/bmj.2.5200.708.
3
Penicillinase-producing staphylococci in general practice and their control by cloxacillin.全科医疗中产生青霉素酶的葡萄球菌及其通过氯唑西林的控制
Practitioner. 1969 Aug;203(214):207-11.
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Newer penicillins.
Med Clin North Am. 1967 Sep;51(5):1107-26. doi: 10.1016/s0025-7125(16)32982-0.
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Staphylococcal susceptibility to penicillin G. The changing pattern among community strains.葡萄球菌对青霉素G的敏感性。社区菌株中的变化模式。
JAMA. 1974 Aug 19;229(8):1075-7.