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1978年至1987年台湾南部沙门氏菌血清型的发病率及抗菌药物耐药性

Incidence and antimicrobial resistance of Salmonella serotypes in southern Taiwan from 1978 through 1987.

作者信息

Peng C F

机构信息

School of Technology for Medical Sciences, Kaohsiung Medical College, Taiwan, Republic of China.

出版信息

Gaoxiong Yi Xue Ke Xue Za Zhi. 1992 May;8(5):247-54.

PMID:1619701
Abstract

A total of 3,269 Salmonella strains, isolated from patients suffering from salmonellosis, was divided into 43 different serotypes during the period between 1978 and 1987. The commonest ten serotypes in the order of prevalence were S. typhimurium (43.7%), S. muenchen (13.7%), S. panama (9.0%), S. krefeld (8.1%), S. bovis-morbificans (6.3%), S. derby (4.0%), S. anatum (2.7%), S. braenderup (1.6%), S. typhi (1.2%), and S. dumfries (0.7%). Norfloxacin was found highly effective against Salmonella isolates in vitro. Moxalactam and cefotaxime were more effective than cephalothin against strains tested. Nalidixic acid and trimethoprim-sulfamethoxazole inhibited 81-100% strains of Salmonella isolates, except S. bovis-morbificans and S. typhimurium. In general, S. typhimurium showed high incidence of multiple drug resistance. Among 1,430 strains of S. typhimurium, 158 isolates showed a uniquely high level resistance to a number of antimicrobial agents, including ampicillin, amikacin, carbenicillin, cephalothin, chloramphenicol, gentamicin, kanamycin, tetracycline and trimethoprim-sulfamethoxazole. It was noted that all S. typhi isolates in this study were sensitive to all drugs tested.

摘要

1978年至1987年期间,从患沙门氏菌病的患者中分离出3269株沙门氏菌菌株,分为43种不同血清型。按流行率排序,最常见的十种血清型为鼠伤寒沙门氏菌(43.7%)、慕尼黑沙门氏菌(13.7%)、巴拿马沙门氏菌(9.0%)、克雷费尔德沙门氏菌(8.1%)、牛病沙门氏菌(6.3%)、德比沙门氏菌(4.0%)、阿纳托姆沙门氏菌(2.7%)、布伦德鲁普沙门氏菌(1.6%)、伤寒沙门氏菌(1.2%)和邓弗里斯沙门氏菌(0.7%)。诺氟沙星在体外对沙门氏菌分离株高度有效。对于所测试的菌株,莫西拉坦和头孢噻肟比头孢菌素更有效。萘啶酸和甲氧苄啶-磺胺甲恶唑抑制81%-100%的沙门氏菌分离株,但牛病沙门氏菌和鼠伤寒沙门氏菌除外。一般来说,鼠伤寒沙门氏菌多重耐药的发生率较高。在1430株鼠伤寒沙门氏菌中,158株分离株对多种抗菌药物表现出极高水平的耐药性,包括氨苄西林、阿米卡星、羧苄西林、头孢菌素、氯霉素、庆大霉素、卡那霉素、四环素和甲氧苄啶-磺胺甲恶唑。值得注意的是,本研究中所有伤寒沙门氏菌分离株对所有测试药物均敏感。

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