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[1988年抗微生物剂对从尿路感染分离出的病原体的活性比较研究。III. 敏感性的长期变化]

[Comparative studies on activities of antimicrobial agents against causative organisms isolated from urinary tract infections (1988). III. Secular changes in susceptibility].

作者信息

Kosakai N, Kumamoto Y, Hirose T, Tanaka N, Hikichi Y, Shigeta S, Shiraiwa Y, Kameoka H, Yoshida H, Ogata M

机构信息

Juntendo University Urayasu Hospital.

出版信息

Jpn J Antibiot. 1992 Sep;45(9):1112-237.

PMID:1433908
Abstract

Sensitivities to various antibacterial and antibiotic agents of strains of Escherichia coli, Klebsiella spp., Proteus spp., Citrobacter spp., Enterobacter spp., Serratia marcescens and Pseudomonas aeruginosa isolated from patients with urinary tract infections (UTIs) in 9 hospitals during June to November 1988 were compared with those in the same period of previous year according to a classification, uncomplicated UTIs, complicated UTIs without indwelling catheter, and complicated UTIs with indwelling catheter. No remarkable changes were found in sensitivities of E. coli, Proteus spp., Citrobacter spp. and S. marcescens. The sensitivity of Klebsiella spp. to cephems decreased in complicated UTI without indwelling catheter and increased in complicated UTI with indwelling catheter. The sensitivity of Enterobacter spp. to third generation cephems decreased in complicated UTI with indwelling catheter. Sensitivities of P. aeruginosa to aspoxicillin and cefsulodin increased. The number of resistant strains to new quinolones increased slightly.

摘要

对1988年6月至11月期间从9家医院的尿路感染(UTI)患者中分离出的大肠杆菌、克雷伯菌属、变形杆菌属、柠檬酸杆菌属、肠杆菌属、粘质沙雷氏菌和铜绿假单胞菌菌株,根据单纯性UTI、无留置导管的复杂性UTI和有留置导管的复杂性UTI分类,比较了其对各种抗菌和抗生素药物的敏感性,并与上一年同期进行了比较。大肠杆菌、变形杆菌属、柠檬酸杆菌属和粘质沙雷氏菌的敏感性未发现明显变化。克雷伯菌属对头孢菌素的敏感性在无留置导管的复杂性UTI中降低,而在有留置导管的复杂性UTI中增加。肠杆菌属对第三代头孢菌素的敏感性在有留置导管的复杂性UTI中降低。铜绿假单胞菌对阿扑西林和头孢磺啶的敏感性增加。对新喹诺酮类耐药的菌株数量略有增加。

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