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健康人体中大肠杆菌的抗生素耐药性及质粒图谱

[Antibiotic resistance and plasmid profiles of Escherichia coli in healthy human bodies].

作者信息

Fang Mei, Liu Heng-chuan, Liu Qu

机构信息

Department of Medical Examination, West China School of Public Health, Sichuan University, Chengdu 610041, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2007 Nov;38(6):1002-4.

Abstract

OBJECTIVE

To test the antibiotic resistance of 150 Escherichia coli strains isolated from the faeces of healthy people in Shenzhen city.

METHODS

Escherichia coli were isolated and identified through a procedure described in the Microbiology in Preventive Medicine and Inspection Technique. The antimicrobial susceptibility of 150 isolates to 16 antibiotics was determined by the Kirby-Bauer method based on the Performance Standards for Anti-microbial Susceptibility Testing recommended by NCCLS. The plasmid profiles of the resistance strains were analyzed and classified.

RESULTS

Over 35% of the tested strains showed resistance to 6 antibiotics, including Teracycline (63.33%), Nalidixic Acid (49.33%), Sulfamethoxazole (40.67%), Amplocilin (38.67%), Sulfamethoxazole timethoprim (35.33%), and Streptomycin (35.33%). All isolates were susceptible to Cefmelazon and Amikacin. More than 81% isolates resisted to at least one antibiotic, while 58. 67% and 29. 33% of the isolates resisted to more than 2 and 5 antibiotics respectively. Two strains showed resistance to 10 antibiotics.

CONCLUSION

Antibiotic resistance of Escherichia coli strains isolated from healthy people in Shenzhen city is common and serious. The number and size of plasmids in the isolates do not directly contribute to the antibiotic resistance.

摘要

目的

检测从深圳市健康人群粪便中分离出的150株大肠杆菌的抗生素耐药性。

方法

按照《预防医学微生物学检验技术》所述方法分离和鉴定大肠杆菌。根据美国国家临床实验室标准化委员会(NCCLS)推荐的《抗菌药物敏感性试验性能标准》,采用 Kirby-Bauer 法测定150株分离菌对16种抗生素的敏感性。分析并分类耐药菌株的质粒图谱。

结果

超过35%的受试菌株对6种抗生素耐药,包括四环素(63.33%)、萘啶酸(49.33%)、磺胺甲恶唑(40.67%)、氨苄西林(38.67%)、复方磺胺甲恶唑(35.33%)和链霉素(35.33%)。所有分离菌对头孢美唑和阿米卡星敏感。超过81%的分离菌对至少一种抗生素耐药,而分别有58.67%和29.33%的分离菌对2种以上和5种以上抗生素耐药。有2株菌对10种抗生素耐药。

结论

从深圳市健康人群分离出的大肠杆菌菌株的抗生素耐药情况普遍且严重。分离菌中质粒的数量和大小与抗生素耐药性无直接关系。

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