Koksal F, Oguzkurt N, Samasti M, Altas K
Department of Microbiology and Clinical Microbiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Chemotherapy. 2007;53(1):30-5. doi: 10.1159/000098248. Epub 2006 Dec 22.
The aim of this study was to determine the prevalence and the resistance patterns of Aeromonas spp. in drinking water in Istanbul, Turkey. We investigated a total of 1,680 drinking water samples (840 tap water and 840 domestic water tank samples) for Aeromonas strains between June 2002 and October 2005. A total of 147 Aeromonas strains were isolated from 49 (6%) of 840 tap water samples and from 98 (12%) of 840 domestic water tank samples. Antibiotic susceptibility of Aeromonas strains was determined by the disc diffusion method, according to the CLSI (Clinical Laboratory Standards Institute) recommendation. Among the 147 Aeromonas strains, the prevalence was: A. hydrophila 68 (46%), A. sobria 50 (34%), A. caviae 11 (8%), A. salmonicida 9 (6%), A. veronii 5 (3%) and A. jandaei 4 (3%). Approximately 55% of the strains were resistant to ampicillin, 48% to erythromycin, 41% to amoxicillin-clavulanic acid, 28% to ceftazidime, 27% to cefoxitin, 26% to ceftriaxone and cefotaxime, 22% to piperacillin, 14% to trimethoprim-sulfamethoxazole, 12% to tetracycline, 11% to aztreonam, 8% to meropenem, 6% to imipenem, 2% to nalidixic acid, 1% to ciprofloxacin, tobramycin and gentamicin. None of the strains were resistant to amikacin and netilmicin. In conclusion, Aeromonas spp. isolated from drinking water in Istanbul have a resistance potential and the antibiotic resistance rates of A. hydrophila, A. sobria and A. caviae were usually higher than those of other Aeromonas strains. It should be kept in mind that these microorganisms in drinking water might be a potential risk for public health.
本研究的目的是确定土耳其伊斯坦布尔饮用水中气单胞菌属的流行情况和耐药模式。2002年6月至2005年10月期间,我们共调查了1680份饮用水样本(840份自来水样本和840份家庭水箱样本)中的气单胞菌菌株。从840份自来水样本中的49份(6%)和840份家庭水箱样本中的98份(12%)中总共分离出147株气单胞菌菌株。根据临床实验室标准协会(CLSI)的建议,采用纸片扩散法测定气单胞菌菌株的抗生素敏感性。在这147株气单胞菌菌株中,其流行情况为:嗜水气单胞菌68株(46%),温和气单胞菌50株(34%),豚鼠气单胞菌11株(8%),杀鲑气单胞菌9株(6%),维隆气单胞菌5株(3%),詹氏气单胞菌4株(3%)。大约55%的菌株对氨苄西林耐药,48%对红霉素耐药,41%对阿莫西林-克拉维酸耐药,28%对头孢他啶耐药,27%对头孢西丁耐药,26%对头孢曲松和头孢噻肟耐药,22%对哌拉西林耐药,14%对甲氧苄啶-磺胺甲恶唑耐药,12%对四环素耐药,11%对氨曲南耐药,8%对美罗培南耐药,6%对亚胺培南耐药,2%对萘啶酸耐药,1%对环丙沙星、妥布霉素和庆大霉素耐药。没有菌株对阿米卡星和奈替米星耐药。总之, 从伊斯坦布尔饮用水中分离出的气单胞菌属具有耐药潜能,嗜水气单胞菌、温和气单胞菌和豚鼠气单胞菌的抗生素耐药率通常高于其他气单胞菌菌株。应牢记饮用水中的这些微生物可能对公众健康构成潜在风险。