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[近期眼科感染分离株对加替沙星及其他抗菌药物的药敏监测]

[Antimicrobial susceptibility surveillance of recent isolates from ophthalmological infections to gatifloxacin and other antimicrobial drugs].

作者信息

Matsuzaki Kaoru, Koyama Hideaki, Watabe Emiko, Hasegawa Miyuki, Sato Yumie, Kobayashi Intetsu

机构信息

Chemotherapy Division, Mitsubishi Kagaku Bio-Clinical Laboratories, Inc., Tokyo, Japan.

出版信息

Jpn J Antibiot. 2005 Feb;58(1):45-9.

Abstract

The antimicrobial susceptibility of 240 isolates from the ophthalmological infections during July 2003 to March 2004 was determined to gatifloxacin (GFLX), levofloxacin, lomefloxacin and cefmenoxime applicable for ophthalmological infections. The in vitro activities of these drugs against the fresh isolates were compared. The quinolones including GFLX were potently active against Gram-positive bacteria, except for MRSA, a major causative pathogens for ophthalmological infection. When MIC ranges, MIC50 and MIC90 of three quinolones were compared, it was considered that the activity of GFLX was the most active of them. GFLX showed to be more active against opportunistic pathogens including Pseudomonas aeruginosa than other antimicrobial agents, and GFLX was especially potent against Streptococcus pneumoniae and Enterococcus faecalis. In conclusion, GFLX exhibits a potently active against fresh isolates from ophthalmological infections, and has an effective potential in the treatment of ophthalmological infections with the drug to administer eye drops.

摘要

对2003年7月至2004年3月期间眼科感染分离出的240株菌株,测定了加替沙星(GFLX)、左氧氟沙星、洛美沙星和适用于眼科感染的头孢甲肟的抗菌敏感性。比较了这些药物对新鲜分离菌株的体外活性。包括GFLX在内的喹诺酮类药物对革兰氏阳性菌有很强的活性,但耐甲氧西林金黄色葡萄球菌(MRSA)除外,它是眼科感染的主要致病病原体。比较三种喹诺酮类药物的MIC范围、MIC50和MIC90时,认为GFLX的活性最强。GFLX对包括铜绿假单胞菌在内的机会性病原体的活性高于其他抗菌药物,且GFLX对肺炎链球菌和粪肠球菌特别有效。总之,GFLX对眼科感染的新鲜分离菌株有很强的活性,通过滴眼给药治疗眼科感染具有有效的潜力。

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