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[药典规定的消毒剂和防腐剂对从临床标本、药品及环境分离出的革兰氏阴性菌和革兰氏阳性菌的活性评估]

[Estimation of activity of pharmakopeal disinfectants and antiseptics against Gram-negative and Gram-positive bacteria isolated from clinical specimens, drugs and environment].

作者信息

Grzybowska Wanda, Młynarczyk Grazyna, Młynarczyk Andrzej, Bocian Ewa, Luczak Mirosław, Tyski Stefan

机构信息

Zakład Antybiotyków i Mikrobiologii Narodowego Instytutu Zdrowia Publicznego w Warszawie.

出版信息

Med Dosw Mikrobiol. 2007;59(1):65-73.

PMID:17601033
Abstract

The MIC of nine different disinfectants and antiseptics were determined for the Gram-negative and Gram-positive bacteria. Strains originated from clinical specimens, drugs and environment. A sensitivity was determined against chlorhexidinum digluconate (Gram-negative: 0,625-80 mg/L, Gram-positive: 0,3-10 mg/L), benzalconium chloride (Gram-negative: 2,5-1280 mg/L, Gram-positive: 1,25-20 mg/L), salicilic acid (Gram-negative and Gram-positive: 400-1600 mg/L), benzoic acid (Gram-negative: 800-1600 mg/L, Gram-positive: 400-1 600 mg/L), boric acid (Gram-negative: 800-12 800 mg/L, Gram-positive: 1 600-6400 mg/L), chloramine B (Gram-negative: 1600-6400 mg/L, Gram-positive:800- 6400 mg/L), jodine (Gram-negative: 200-1600 mg/L, Gram-positive: 200-1600 mg/L), etacridine lactate (Gram-negative: 40 do > 20480 mg/L, Gram-positive: 40-1280 mg/L) and resorcine (Gram-negative: 1600-6400 mg/L, Gram-positive: 800-6400 mg/L). Diversified values of MIC for different strains were obtained, especially in the case of benzalconium chloride, etacridine lactate, chlorhexidinum digluconate, boric acid and iodine. Strains isolated from environment were usually more susceptible to examined compounds than clinical strains. The biggest diversification of sensitivity was observed among strains originated from drugs where besides sensitive appeared strains characterizing by very high MIC values of some substances, eg. boric acid.

摘要

测定了9种不同消毒剂和防腐剂对革兰氏阴性菌和革兰氏阳性菌的最低抑菌浓度(MIC)。菌株来源于临床标本、药品和环境。测定了对葡萄糖酸洗必泰(革兰氏阴性菌:0.625 - 80mg/L,革兰氏阳性菌:0.3 - 10mg/L)、苯扎氯铵(革兰氏阴性菌:2.5 - 1280mg/L,革兰氏阳性菌:1.25 - 20mg/L)、水杨酸(革兰氏阴性菌和革兰氏阳性菌:400 - 1600mg/L)、苯甲酸(革兰氏阴性菌:800 - 1600mg/L,革兰氏阳性菌:400 - 1600mg/L)、硼酸(革兰氏阴性菌:800 - 12800mg/L,革兰氏阳性菌:1600 - 6400mg/L)、氯胺B(革兰氏阴性菌:1600 - 6400mg/L,革兰氏阳性菌:800 - 6400mg/L)、碘(革兰氏阴性菌:200 - 1600mg/L,革兰氏阳性菌:200 - 1600mg/L)、乳酸依沙吖啶(革兰氏阴性菌:40至>20480mg/L,革兰氏阳性菌:40 - 1280mg/L)和间苯二酚(革兰氏阴性菌:1600 - 6400mg/L,革兰氏阳性菌:800 - 6400mg/L)的敏感性。不同菌株获得了多样化的MIC值,尤其是在苯扎氯铵、乳酸依沙吖啶、葡萄糖酸洗必泰、硼酸和碘的情况下。从环境中分离出的菌株通常比临床菌株对所检测的化合物更敏感。在来源于药品的菌株中观察到最大的敏感性差异,除了敏感菌株外,还出现了一些物质MIC值非常高的菌株,例如硼酸。

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