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[2007年从住院患者临床标本中分离出的耐甲氧西林金黄色葡萄球菌菌株的频率]

[Frequency of methicilin-resistant Staphylococcus aureus strains in clinical spacimens obtained from hospitalized patients in 2007].

作者信息

Mihajlović-Ukropina Mira, Medić Deana, Jelesić Zora, Dautović Radomir, Stefan-Mikić Sandra, Sević Sinisa

机构信息

Institut za javno zdravlje Vojovodine, Novi Sad Centar za mikrobiologiju.

出版信息

Med Pregl. 2008;61 Suppl 1:27-30.

PMID:19256065
Abstract

INTRODUCTION

Staphylococcus aureus is a major cause of both hospital- and community-acquired infections worldwide. Since the introduction of methicillin into clinical use, methicillin-resistant S. aureus strains have emerged with increasing frequency throughout the world. The aim of the study was to determine frequency of resistance to methicillin and other most commonly used antibiotics of S aureus strains isolated from hospitalized patients.

MATERIAL AND METHODS

During the period 1.1.-31. 12. 2007, 226 strains of S. aureus isolated from hospitalized patients were tested for their susceptibility to penicillin, methicillin, erythromycin, clindamycin, gentamycin, sulfamethoxazolle-trimethoprim, fusidic acid and vancomycin using disc diffusion technique.

RESULTS

Resistance to methicillin was detected in 20 (7.5%) S. aureus strains. All of them were susceptible to vancomycin. The resistance to other antimicrobial agents varied from 5% for sulfamethoxazolle-trimethoprim to 75% to gentamycin. Among methicillin susceptible strains, high resistance (84.1%) was found to penicillin only The resistance to other antimicrobial agents was low, ranging from 0 for fusidic acid and vancomycin to 12.2% for gentamycin.

CONCLUSION

Our results show low rate of methicillin-resistant S. aureus strains compared to other authors "findings, but also the presence of multidrug-resistant isolates and isolates susceptible to vancomycin only These facts suggest the need for further monitoring of susceptibility in order to take adequate measures to prevent and control spreading of resistant strains.

摘要

引言

金黄色葡萄球菌是全球医院获得性感染和社区获得性感染的主要病因。自从甲氧西林引入临床使用以来,耐甲氧西林金黄色葡萄球菌菌株在全球范围内出现的频率越来越高。本研究的目的是确定从住院患者中分离出的金黄色葡萄球菌菌株对甲氧西林和其他最常用抗生素的耐药频率。

材料与方法

在2007年1月1日至12月31日期间,使用纸片扩散法对从住院患者中分离出的226株金黄色葡萄球菌进行了青霉素、甲氧西林、红霉素、克林霉素、庆大霉素、磺胺甲恶唑-甲氧苄啶、夫西地酸和万古霉素的药敏试验。

结果

在20株(7.5%)金黄色葡萄球菌菌株中检测到对甲氧西林耐药。所有这些菌株对万古霉素敏感。对其他抗菌药物的耐药率从磺胺甲恶唑-甲氧苄啶的5%到庆大霉素的75%不等。在甲氧西林敏感菌株中,仅发现对青霉素的高耐药率(84.1%)。对其他抗菌药物的耐药率较低,从夫西地酸和万古霉素的0%到庆大霉素的12.2%不等。

结论

我们的结果显示,与其他作者的研究结果相比,耐甲氧西林金黄色葡萄球菌菌株的发生率较低,但也存在多重耐药菌株和仅对万古霉素敏感的菌株。这些事实表明需要进一步监测药敏情况,以便采取适当措施预防和控制耐药菌株的传播。

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