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耐甲氧西林金黄色葡萄球菌对三氯生的敏感性降低

[Reduced susceptibility to triclosan in methicillin-resistant Staphylococcus aureus].

作者信息

Wiśniewska Katarzyna, Piechowicz Lidia, Galiński Janusz

机构信息

Katedra Mikrobiologii i Zakład Mikrobiologii Lekarskiej AM w Gdańsku.

出版信息

Med Dosw Mikrobiol. 2006;58(1):11-7.

Abstract

Susceptibility to triclosan in Staphylococcus aureus was determined. The study was carried out on 200 strains, including 100 resistant (MRSA) and 100 susceptibile (MSSA) to methicillin. The examined strains were isolated from varied clinical samples and patients in 18 medical centers, in majority from hospitals in the region of Gdansk. The susceptibility was estimated by the MIC (minimal inhibitory concentration) using dilution test in Mueller-Hinton agar. The antimicrobial resistance patterns were determined, including resistance to methicillin and mupirocin. The most of MRSA strains (62%) demonstrated reduced susceptibility to triclosan (MIC 2mg/L), while 93% of MSSA strains were highly sensitive to this antibacterial agent (MIC 0,031mg/L). The majority (66,1%) of MRSA strains with reduced susceptibility to triclosan demonstrated the same antimicrobial resistance pattern. Reduced susceptibility to triclosan was observed in 8 from 9 high - level mupirocin resistant strains, but the most of MRSA strains with reduced triclosan susceptibility (91,5%) were found among fusidic acid resistant strains.

摘要

测定了金黄色葡萄球菌对三氯生的敏感性。该研究对200株菌株进行,其中包括100株对甲氧西林耐药(MRSA)和100株对甲氧西林敏感(MSSA)的菌株。所检测的菌株从18个医疗中心的各种临床样本和患者中分离得到,大部分来自格但斯克地区的医院。通过在 Mueller-Hinton 琼脂中使用稀释试验的 MIC(最低抑菌浓度)来评估敏感性。确定了抗菌药物耐药模式,包括对甲氧西林和莫匹罗星的耐药性。大多数MRSA菌株(62%)对三氯生的敏感性降低(MIC为2mg/L),而93%的MSSA菌株对这种抗菌剂高度敏感(MIC为0.031mg/L)。对三氯生敏感性降低的大多数MRSA菌株(66.1%)表现出相同的抗菌药物耐药模式。在9株高水平莫匹罗星耐药菌株中有8株观察到对三氯生的敏感性降低,但在夫西地酸耐药菌株中发现了大多数对三氯生敏感性降低的MRSA菌株(91.5%)。

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