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环丙沙星对流行株和禽源肠炎沙门氏菌的突变选择窗浓度

Mutant prevention concentration (MPC) of ciprofloxacin against Salmonella enterica of epidemic and poultry origin.

机构信息

Ciência e Tecnologia de Alimentos, Universidade Estadual de Londrina, Londrina, Brazil.

出版信息

Curr Microbiol. 2011 Feb;62(2):628-32. doi: 10.1007/s00284-010-9754-7. Epub 2010 Sep 25.

Abstract

Salmonella isolates resistant or with reduced susceptibility to quinolones increased in recent years. The mutant prevention concentration (MPC) is a new alternative that can prevent the selection and multiplication of resistant Salmonella spp. strains. The MPC of ciprofloxacin (CipMPC) was evaluated for 312 Salmonella enterica strains of epidemic and poultry origin susceptible and resistant to nalidixic acid (NAL). The CipMPC for NAL-susceptible strains were in the range from 0.002 to 4 μg/ml and for NAL-resistant strains, it ranged from 0.004 to 16 μg/ml. The average MPC/MIC ratio for NAL-resistant strains was higher than NAL susceptible. S. Enteritidis showed the highest CipMPC and the highest MPC/MIC ratio also for NAL-resistant strains and with mutations in gyrA. Serovar Corvallis, a NAL-resistant strain without mutations, and of poultry origin showed the highest CipMPC value. The lowest value was observed for epidemic NAL-susceptible strains serovars Typhimurium and London. The average MPC/MIC ratio for strains with mutations in Aspartate 87 was higher than that mutated in Serine 83. The results show the importance of MPC in determining the correct dosage of Cip for treatment of Salmonella spp.

摘要

近年来,对喹诺酮类药物具有耐药性或敏感性降低的沙门氏菌分离株有所增加。突变预防浓度(MPC)是一种新的替代方法,可以防止耐药沙门氏菌的选择和繁殖。对 312 株来自流行株和禽源的对萘啶酸(NAL)敏感和耐药的肠沙门氏菌进行了环丙沙星(CipMPC)的 MPC 评估。NAL 敏感株的 CipMPC 范围为 0.002 至 4 μg/ml,而 NAL 耐药株的 CipMPC 范围为 0.004 至 16 μg/ml。NAL 耐药株的平均 MPC/MIC 比值高于 NAL 敏感株。肠炎沙门氏菌表现出最高的 CipMPC 和 NAL 耐药株的最高 MPC/MIC 比值,且其存在 gyrA 突变。无突变的 NAL 耐药株和禽源的科瓦利斯血清型表现出最高的 CipMPC 值。流行株 NAL 敏感血清型鼠伤寒和伦敦株的最低值。天冬氨酸 87 突变株的平均 MPC/MIC 比值高于丝氨酸 83 突变株。结果表明 MPC 在确定治疗沙门氏菌的环丙沙星正确剂量方面的重要性。

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