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[2003 - 2005年从住院患者中分离出的粘质沙雷氏菌的抗菌药敏性]

[Antibmicrobial susceptibility of Serratia marcescens isolated from hospitalized patients in 2003 - 2005].

作者信息

Młynarczyk Grazyna, Młynarczyk Andrzej, Pupek Julia, Bilewska Agata, Luczak Mirosław

机构信息

Katedra i Zakład Mikrobiologii Lekarskiej AM w Warszawie.

出版信息

Med Dosw Mikrobiol. 2007;59(1):35-42.

Abstract

500 strains of Serratia marcescens isolated in 2003-2005 were examined for drug susceptibility. By using several phenotypic methods it was shown that 67.6% of these strains produced ESBLs. Strains ESBL(-) and ESBL(+) were compared, paying special attention to their susceptibility to various antibiotics. It was revealed that strains ESBL(+) were much more resistant to majority of the investigated drugs. The biggest differences were in the case of amikacin and gentamicin, sensitive about 50% of ESBL(-) and 10% of ESBL(+), ciprofloxacin, sensitive 42% of ESBL(-) and 6.3% of ESBL(+) and trimethoprim/ sulphametoxazole, sensitive 45.8% of ESBL(-) and 9.4% of ESBL(+). Strains ESBL(-) retained a high susceptibility to ceftazidime (68.9%) and cefepime (71%). All strains ESBL(-) as well as ESBL(+) were susceptible to imipenem and meropenem. 78.9% of ESBL(-) and 67.3% of investigated ESBL(+) were susceptible to piperacillin/ tazobactam.

摘要

对2003 - 2005年分离出的500株粘质沙雷氏菌进行了药敏试验。通过几种表型方法显示,这些菌株中有67.6%产生超广谱β-内酰胺酶(ESBLs)。对ESBL(-)和ESBL(+)菌株进行了比较,特别关注它们对各种抗生素的敏感性。结果显示,ESBL(+)菌株对大多数所研究药物的耐药性要强得多。差异最大的是阿米卡星和庆大霉素,ESBL(-)菌株中约50%敏感,ESBL(+)菌株中10%敏感;环丙沙星,ESBL(-)菌株中42%敏感,ESBL(+)菌株中6.3%敏感;甲氧苄啶/磺胺甲恶唑,ESBL(-)菌株中45.8%敏感,ESBL(+)菌株中9.4%敏感。ESBL(-)菌株对头孢他啶(68.9%)和头孢吡肟(71%)仍保持较高敏感性。所有ESBL(-)菌株以及ESBL(+)菌株对亚胺培南和美罗培南均敏感。78.9%的ESBL(-)菌株和67.3%的所研究ESBL(+)菌株对哌拉西林/他唑巴坦敏感。

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