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[从急性腹泻患者中分离出的空肠弯曲菌和结肠弯曲菌抗菌药敏性的年度变化]

[Annual changes in antimicrobial susceptibility of Campylobacter jejuni and Campylobacter coli isolated from acute diarrheic patients].

作者信息

Hisamatsu Tomoko, Nakazaki Nobuhiko, Nihonyanagi Shin, Hirata Yasuyoshi, Takayama Yoko, Ohtani Shinichi, Akahoshi Tohru, Sunakawa Keisuke

机构信息

Department of Medical Laboratory, Kitasato University Hospital.

出版信息

Kansenshogaku Zasshi. 2008 Nov;82(6):638-43. doi: 10.11150/kansenshogakuzasshi1970.82.638.

Abstract

Two hundred thirty-one Campylobacter were isolated from acute diarrheic patients between January 2001 and December 2005. We evaluated annual changes in identified species of Campylobacter and their susceptibilities against antibiotics. Campylobacter jejuni (219 strains; 94.8%) and Campylobacter coli (12 strains; 5.2%) were identified to the species. Susceptibilities to four antimicrobial agents, minocycline (MINO), levofloxacin (LVFX), erythromycin (EM) and clindamycin (CLDM) were examined. The resistant rates of four antimicrobial agents in C. coli were significantly higher than that in C. jejuni. The susceptibility of C. jejuni to LVFX was variable, and MICs gave a bimodal distribution. The resistant rate against EM was estimated to be 9.2% in C. jejuni, 66.7% in C. coli. Moreover, young people ranging from 19 to 24 years old were predominant (47.7%) among the Campylobacter enteritis patients.

摘要

2001年1月至2005年12月期间,从急性腹泻患者中分离出231株弯曲杆菌。我们评估了弯曲杆菌鉴定菌种的年度变化及其对抗生素的敏感性。鉴定出空肠弯曲菌(219株;94.8%)和结肠弯曲菌(12株;5.2%)。检测了对四种抗菌药物米诺环素(MINO)、左氧氟沙星(LVFX)、红霉素(EM)和克林霉素(CLDM)的敏感性。结肠弯曲菌对四种抗菌药物的耐药率显著高于空肠弯曲菌。空肠弯曲菌对LVFX的敏感性存在差异,最低抑菌浓度呈双峰分布。空肠弯曲菌对EM的耐药率估计为9.2%,结肠弯曲菌为66.7%。此外,在弯曲杆菌肠炎患者中,19至24岁的年轻人占比最高(47.7%)。

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