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[结核杆菌对抗结核化学抗生素的耐药性当前流行病学概况]

[The current epidemiologic profile of the drug resistance of Koch's bacillus to antitubercular antibiotic chemicals].

作者信息

Giove S, Giorgis G E, Ardizzi A, Barberis S, Bernardi V, Gai R, Oliaro A

机构信息

Ospedale Pneumologico S. Luigi Gonzaga, Orbassano, Torino.

出版信息

Minerva Med. 1990 Jul-Aug;81(7-8):547-53.

PMID:2116606
Abstract

The study was conducted on patients with initially diagnosed tuberculosis encountered in 1986-87. A series of 269 bacterial antibiograms performed on sputum [correction of excreate] and other materials was examined in order to ascertain the resistance of Koch's bacillus to R/AMP, INH, SM and EMB. Primary drug resistance was found in 64 cases (23.79% of the total) and was isolated in 32 (11.89%), multiple in the rest. The response to the individual antibiotics was a follows resistance to INH was isolated in 11 cases (4.08%), combined with resistance to other drugs in 27 (10.03%); resistance to SM was isolated in 13 cases (4.81%) multiple in 24 (8.92%); resistance to R/AMP was isolated in 4 cases (1.48%), multiple in 14 (5.2%); resistance to EMB was isolated in 4 (1.48%) multiple in 19 (7.06%). Comparison with earlier studies in the Turin area highlights that the incidence of TB, in decline up to 1979, significantly increased in the period considered.

摘要

该研究针对1986 - 1987年首次诊断出患有结核病的患者开展。对痰液[应为“分泌物”的修正]及其他材料进行了一系列269次细菌药敏试验,以确定结核杆菌对利福平/异烟肼、异烟肼、链霉素和乙胺丁醇的耐药性。发现64例(占总数的23.79%)存在原发性耐药,其中32例(11.89%)为单一耐药,其余为多重耐药。对各抗生素的耐药情况如下:11例(4.08%)对异烟肼耐药,其中27例(10.03%)同时对其他药物耐药;13例(4.81%)对链霉素耐药,其中24例(8.92%)为多重耐药;4例(1.48%)对利福平/异烟肼耐药,其中14例(5.2%)为多重耐药;4例(1.48%)对乙胺丁醇耐药,其中19例(7.06%)为多重耐药。与都灵地区早期研究的比较突出表明,结核病发病率在1979年之前呈下降趋势,但在所研究的时期内显著上升。

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