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替加环素对台湾地区鲍曼不动杆菌临床分离株的体外活性。

In-vitro activity of tigecycline against clinical isolates of Acinetobacter baumannii in Taiwan.

作者信息

Liu Jien-Wei, Wang Lih-Shinn, Cheng Yu-Jen, Hsu Gwo-Jong, Lu Po-Liang, Liu Yung-Ching, Chen Chih-Ming, Lee Chun-Ming, Sun Wu, Jang Tsrang-Neng, Chiang Ping-Cherng, Chuang Yin-Ching, Lin Hsiu-Chen, Shi Zhi-Yuan, Kung Hsiang-Chi, Huang Cheng-Hua, Tsao Shih-Ming, Lu Chin-Te, Liao Chun-Hsing, Hsueh Po-Ren

机构信息

Division of Infectious Diseases, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Taoyuan, Taiwan.

出版信息

Int J Antimicrob Agents. 2008 Nov;32 Suppl 3:S188-91. doi: 10.1016/S0924-8579(08)70026-8.

Abstract

We performed susceptibility testing using the microdilution method to determine the in-vitro activity of tigecycline against 393 Acinetobacter baumannii clinical isolates collected in 2006 from 19 hospitals in Taiwan. Significant proportions of the isolates were resistant to imipenem (44%), ciprofloxacin (75%), amikacin (69%), sulbactam (34%) and all four antibiotics (22%), and susceptibility to tigecycline among these different resistant phenotypes of A. baumannii varied from 71% to 82%. The minimum inhibitory concentration (MIC) of tigecycline ranged from 0.6 to 16 microg/mL (MIC(50) 2 microg/mL; MIC(90) 4 microg/mL). The cumulative curve of tigecycline MICs showed that when the MIC cut-offs were set at 2 microg/mL and 4 microg/mL, 80.9% and 93.1% of the isolates were susceptible, respectively. As tigecycline will be used in the future for infections caused by multidrug-resistant A. baumannii because of limited antibiotic choice, and as resistance to tigecycline in A. baumannii isolates may develop following antibiotic exposure, continuous monitoring of the susceptibility of A. baumannii isolates to tigecycline is warranted.

摘要

我们采用微量稀释法进行药敏试验,以测定替加环素对2006年从台湾19家医院收集的393株鲍曼不动杆菌临床分离株的体外活性。相当比例的分离株对亚胺培南(44%)、环丙沙星(75%)、阿米卡星(69%)、舒巴坦(34%)以及这四种抗生素均耐药(22%),在鲍曼不动杆菌的这些不同耐药表型中,对替加环素的敏感性从71%至82%不等。替加环素的最低抑菌浓度(MIC)范围为0.6至16μg/mL(MIC50为2μg/mL;MIC90为4μg/mL)。替加环素MICs的累积曲线表明,当MIC临界值设定为2μg/mL和4μg/mL时,分别有80.9%和93.1%的分离株敏感。由于抗生素选择有限,替加环素未来将用于治疗多重耐药鲍曼不动杆菌引起的感染,并且鲍曼不动杆菌分离株在接触抗生素后可能会对替加环素产生耐药性,因此有必要持续监测鲍曼不动杆菌分离株对替加环素的敏感性。

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