Truffot-Pernot C, Ji B, Grosset J
Faculté de Médecine Pitié-Salpetrière, Paris, France.
Antimicrob Agents Chemother. 1991 Aug;35(8):1677-8. doi: 10.1128/AAC.35.8.1677.
Employing 7H11 agar medium at pH 6.6, the MICs of clarithromycin for 50% (MIC50) and 90% (MIC90) of 19 strains of Mycobacterium avium complex were 8 and 16 micrograms/ml, respectively. However, the MICs were 2 to 3 log2 dilutions lower in the 7H11 medium adjusted to pH 7.4, and the MICs on 10% OADC (oleic acid-albumin-dextrose-catalase)-enriched Mueller-Hinton agar at pH 7.3 were also 2 log2 dilutions lower than those measured on 7H11 agar at pH 6.6. Therefore, clarithromycin is more active at a physiologic than at an acidic pH.
在pH值为6.6的7H11琼脂培养基中,19株鸟分枝杆菌复合群菌株中50%(MIC50)和90%(MIC90)的克拉霉素最低抑菌浓度分别为8微克/毫升和16微克/毫升。然而,在pH值调至7.4的7H11培养基中,最低抑菌浓度低2至3个log2稀释度,并且在pH值为7.3的添加10%OADC(油酸-白蛋白-葡萄糖-过氧化氢酶)的Mueller-Hinton琼脂上的最低抑菌浓度也比在pH值为6.6的7H11琼脂上测得的低2个log2稀释度。因此,克拉霉素在生理pH值下比在酸性pH值下活性更高。