Sjögren E, Kaijser B, Werner M
Department of Clinical Bacteriology, University of Göteborg, Sweden.
Antimicrob Agents Chemother. 1992 Dec;36(12):2847-9. doi: 10.1128/AAC.36.12.2847.
Resistance to erythromycin and doxycycline and more recently to fluoroquinolones has been reported to occur in Campylobacter spp. both in vitro and in patients treated with these antibiotics. The frequency of resistance to 14 antimicrobial agents in Campylobacter jejuni and Campylobacter coli isolated from patients infected in Sweden or abroad is described. For some agents, a comparison of susceptibility in strains of Campylobacter spp. isolated in 1978 with those isolated in 1988 is made. No general increase in in vitro resistance to antibiotics commonly used for the treatment of human gastroenteritis caused by C. jejuni or C. coli has occurred during the last 10 years in Sweden, which might be a consequence of strict antibiotic control. The numbers of strains from 1988 to 1989 resistant to ciprofloxacin and to norfloxacin included in this study (0.7 and 1.4%, respectively) are still fewer than those that were resistant to erythromycin (7.3%) or doxycycline (12.4%). There is, however, since 1989 to 1990 an indication of increasing resistance to these antibiotics.
据报道,弯曲杆菌属在体外以及接受这些抗生素治疗的患者体内均会出现对红霉素、强力霉素以及最近对氟喹诺酮类药物的耐药性。本文描述了从瑞典或国外感染患者中分离出的空肠弯曲菌和结肠弯曲菌对14种抗菌药物的耐药频率。对于某些药物,还比较了1978年分离出的弯曲杆菌属菌株与1988年分离出的菌株的药敏情况。在瑞典,过去10年中,由空肠弯曲菌或结肠弯曲菌引起的人类肠胃炎常用抗生素的体外耐药性没有普遍增加,这可能是严格抗生素管控的结果。本研究中1988年至1989年对环丙沙星和诺氟沙星耐药的菌株数量(分别为0.7%和1.4%)仍低于对红霉素(7.3%)或强力霉素(12.4%)耐药的菌株数量。然而,自1989年至1990年以来,有迹象表明对这些抗生素的耐药性在增加。