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[耐甲氧西林葡萄球菌对利奈唑胺及其他一些抗菌药物的敏感性]

[Sensitivity of methicillin resistant staphylococci to linezolid and some other antimicrobial agents].

作者信息

Ertek Mustafa, Yazgi Halil, Aktaş Esin, Ayyildiz Ahmet, Parlak Mehmet

机构信息

Atatürk Universitesi Tip Fakültesi, Klinik Mikrobiyoloji ve Infeksiyon Hastaliklari Anabilim Dali, Erzurum.

出版信息

Mikrobiyol Bul. 2003 Oct;37(4):235-40.

Abstract

Linezolid is a synthetic antimicrobial agent which was introduced into clinical therapy in the early 2001. It has an inhibitory effect against most of the Gram positive bacteria, including methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin resistant enterococci. In this study, in-vitro activities of linezolid, teicoplanin, vancomycin, ciprofloxacin, gentamicin, erythromycin, clindamycin, trimethoprim/sulfamethoxazole and rifampicin, were tested against 164 methicillin-resistant Staphylococcus spp. (96 S. aureus and 68 coagulase negative staphylococci) isolated from clinical specimens, by using disk diffusion method. None of the strains were found to be resistant to linezolid, vancomycin and teicoplanin. The resistance rates to other drugs were as follows; 80.5% to ciprofloxacin, 78.0% to gentamicin, 76.8% to erythromycin, 65.5% to clindamycin, 57.3% to trimethoprim/sulfamethoxazole and 41.5% to rifampicin. It was concluded that linezolid can be used as an alternative drug in severe infections caused by methicillin-resistant Staphylococcus spp., especially if the isolate was found to be resistant to teicoplanin or a side effect of vancomycin was observed.

摘要

利奈唑胺是一种合成抗菌剂,于2001年初被引入临床治疗。它对大多数革兰氏阳性菌具有抑制作用,包括耐甲氧西林金黄色葡萄球菌(MRSA)和耐万古霉素肠球菌。在本研究中,采用纸片扩散法,对从临床标本中分离出的164株耐甲氧西林葡萄球菌(96株金黄色葡萄球菌和68株凝固酶阴性葡萄球菌)检测了利奈唑胺、替考拉宁、万古霉素、环丙沙星、庆大霉素、红霉素、克林霉素、甲氧苄啶/磺胺甲恶唑和利福平的体外活性。未发现菌株对利奈唑胺、万古霉素和替考拉宁耐药。对其他药物的耐药率如下:环丙沙星为80.5%,庆大霉素为78.0%,红霉素为76.8%,克林霉素为65.5%,甲氧苄啶/磺胺甲恶唑为57.3%,利福平为41.5%。得出的结论是,利奈唑胺可作为耐甲氧西林葡萄球菌引起的严重感染的替代药物,特别是如果分离株对替考拉宁耐药或观察到万古霉素的副作用时。

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