KOCH R, DONNELL G
Calif Med. 1957 Nov;87(5):313-6.
Over 50 per cent of all staphylococcic infections are hospital-acquired. In 92 per cent of hospital-acquired infection, the organism is resistant to penicillin, and in 74 per cent to tetracycline.Chloramphenicol, bacitracin, novobiocin and erythromycin are the drugs of choice for therapy. There was good correlation between clinical response and antibiotic therapy selected on the basis of results of organism sensitivity tests done by the agar diffusion technique.Cross-resistance among the tetracyclines averaged 94 per cent. Erythromycin and magnamycin showed similar pattern. Mortality in infants less than two months old was 7.8 per cent as compared with 1.1 per cent in older children. Death was related either to pneumonia or to septicemia in the ten fatalities recorded in this series.
所有葡萄球菌感染中,超过50%是医院获得性感染。在92%的医院获得性感染中,病菌对青霉素耐药,74%对四环素耐药。氯霉素、杆菌肽、新生霉素和红霉素是治疗的首选药物。根据琼脂扩散技术进行的病菌敏感性试验结果选择的抗生素治疗与临床反应之间存在良好的相关性。四环素之间的交叉耐药平均为94%。红霉素和柱晶白霉素表现出相似的模式。两个月以下婴儿的死亡率为7.8%,而大龄儿童为1.1%。在本系列记录的10例死亡病例中,死亡原因要么是肺炎,要么是败血症。