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[1988年至1990年东京及周边地区26家临床实验室的耐甲氧西林金黄色葡萄球菌临床分离株的发病率及抗菌药敏情况]

[Incidence and antimicrobial susceptibility of clinical isolates of MRSA from 1988 to 1990, from the results of 26 clinical laboratories in Tokyo and the surrounding area].

作者信息

Oguri T

机构信息

Clinical Laboratory, Juntendo University Hospital.

出版信息

Nihon Rinsho. 1992 May;50(5):952-60.

PMID:1507450
Abstract

We made a survey to investigate the incidence of clinical isolation and the trend of antimicrobial susceptibility of Methicillin-resistant Staphylococcus aureus (MRSA), isolated in 26 clinical laboratories. Among the 26 institutions, the frequency of MRSA was 22 to 64% (average: 42.1%) in 1988, 22 to 69% (average: 55.3%) in 1989 and 29 to 76% (average: 56.9%) in 1990, and increasing year by year. MRSA showed poor sensitivity to beta-lactam antibiotics, gentamicin, toburamycin and clindamycin. There was a significant difference in frequency of the minocycline-resistant strains and the ofloxacin-resistant strains among the 26 institutions. Albekacin, netilmicin, and vancomycin were most active against MRSA with a MIC90 of 1, 8 and 1 microgram/ml, respectively.

摘要

我们进行了一项调查,以研究从26个临床实验室分离出的耐甲氧西林金黄色葡萄球菌(MRSA)的临床分离率及抗菌药敏趋势。在这26家机构中,MRSA的分离率在1988年为22%至64%(平均42.1%),1989年为22%至69%(平均55.3%),1990年为29%至76%(平均56.9%),呈逐年上升趋势。MRSA对β-内酰胺类抗生素、庆大霉素、妥布霉素和克林霉素敏感性较差。26家机构中米诺环素耐药菌株和氧氟沙星耐药菌株的频率存在显著差异。阿贝卡星、奈替米星和万古霉素对MRSA活性最强,其MIC90分别为1、8和1微克/毫升。

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