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多重耐药临床鲍曼不动杆菌的抗菌谱:治疗耐黏菌素菌株感染的有前景的治疗选择。

Antibiograms of multidrug-resistant clinical Acinetobacter baumannii: promising therapeutic options for treatment of infection with colistin-resistant strains.

作者信息

Li Jian, Nation Roger L, Owen Roxanne J, Wong Stephanie, Spelman Denis, Franklin Clare

机构信息

Facility for Anti-infective Drug Development and Innovation, Victorian College of Pharmacy, Monash University, Parkville, Victoria, Australia.

出版信息

Clin Infect Dis. 2007 Sep 1;45(5):594-8. doi: 10.1086/520658. Epub 2007 Jul 17.

Abstract

Multidrug-resistant Acinetobacter baumannii infection has presented a global medical challenge. The antibiograms of paired colistin-susceptible and -resistant strains revealed increased susceptibility of colistin-resistant strains to most tested antibiotics, including those that are active against only gram-positive bacteria. Synergy between colistin and rifampicin was observed in the colistin-susceptible strains. The ability to form biofilm in the colistin-resistant strains was significantly lower (P<.001) than in the parent strains. Our study provides valuable information for potential expansion of our current therapeutic options against colistin-resistant A. baumannii infection.

摘要

多重耐药鲍曼不动杆菌感染已成为全球性的医学挑战。对多黏菌素敏感和耐药配对菌株的抗菌谱分析显示,耐多黏菌素菌株对大多数测试抗生素的敏感性增加,包括那些仅对革兰氏阳性菌有活性的抗生素。在多黏菌素敏感菌株中观察到多黏菌素与利福平之间的协同作用。耐多黏菌素菌株形成生物膜的能力明显低于亲本菌株(P<0.001)。我们的研究为扩大目前针对耐多黏菌素鲍曼不动杆菌感染的治疗选择提供了有价值的信息。

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