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对2003年至2006年提交给新西兰商业诊断实验室的样本中分离出的引起乳腺炎的细菌进行抗菌药敏性的描述性分析。

A descriptive analysis of the antimicrobial susceptibility of mastitis-causing bacteria isolated from samples submitted to commercial diagnostic laboratories in New Zealand (2003-2006).

作者信息

Petrovski K R, Laven R A, Lopez-Villalobos N

机构信息

Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand.

出版信息

N Z Vet J. 2011 Mar;59(2):59-66. doi: 10.1080/00480169.2011.552853.

Abstract

AIM

To describe the antimicrobial susceptibility of mastitis-causing bacteria isolated from milk samples submitted to commercial laboratories over a period of 40 months.

METHODS

The records of reported results of milk samples submitted by veterinary practitioners to five commercial veterinary laboratories in the North and South Islands of New Zealand, between August 2003 and December 2006 were reviewed. Logistic regression was used to analyse the effect of year, island, and the interaction of year and antimicrobial on the probability of antimicrobial susceptibility for each pathogen and antimicrobial combination, where the causative bacteria had >1,000 susceptibility tests in total and the antimicrobials was tested on >500 isolates. A total of 9,262 isolates were included in this study, with an average of nearly seven susceptibility tests per isolate, totalling 62,918 tests.

RESULTS

Streptococcus uberis isolates demonstrated high overall susceptibility (>90.0%) to the majority of antimicrobial agents except ampicillin (81.7%), lincomycin (85.3%), trimethoprim/sulphonamide combination (88.6%), and, as expected, aminoglycosides (<4%). The susceptibility of Strep. dysgalactiae was similar to that of Strep. uberis, except for greater susceptibility to oxacillin (98.1%) and much lower susceptibility to tetracyclines (11.2%). The susceptibility of Staphylococcus aureus isolates was markedly different from that of Strep. uberis for the majority of antimicrobials tested. Susceptibility of Staph. aureus was lower than 90% to ampicillin (73.4%), erythromycin (74.7%), lincomycin (66.1%), penicillin (73.1%), and streptomycin (71.7%). No antimicrobial was effective against all Staph. aureus isolates. Minor changes were found in the overall susceptibility of the main mastitis-causing bacteria between 2003 and 2006.

CONCLUSIONS

The antimicrobial agents intended for treatment of bovine mastitis currently available in New Zealand generally demonstrated good in-vitro efficacy against streptococci and staphylococci, with the exception of aminoglycosides.

CLINICAL RELEVANCE

Analysis of the results of antimicrobial susceptibility of bacterial isolates from milk samples from dairy cows in New Zealand provides useful data for surveillance purposes, and a baseline for identifying changes in antimicrobial sensitivity in this population. However, the variation in antimicrobial susceptibility between individual isolates means that these data are of limited value when determining treatment of mastitis at the farm level.

摘要

目的

描述在40个月期间从提交给商业实验室的牛奶样本中分离出的引起乳腺炎的细菌的抗菌药敏性。

方法

回顾了2003年8月至2006年12月期间兽医从业者提交给新西兰北岛和南岛五个商业兽医实验室的牛奶样本报告结果记录。使用逻辑回归分析年份、岛屿以及年份与抗菌药物的相互作用对每种病原体和抗菌药物组合的抗菌药敏概率的影响,其中致病细菌的药敏试验总数>1000次,抗菌药物在>500株分离菌上进行了测试。本研究共纳入9262株分离菌,每株分离菌平均进行了近7次药敏试验,共计62918次试验。

结果

乳房链球菌分离株对大多数抗菌药物表现出较高的总体敏感性(>90.0%),除氨苄西林(81.7%)、林可霉素(85.3%)、甲氧苄啶/磺胺组合(88.6%),以及如预期的氨基糖苷类(<4%)。无乳链球菌的药敏性与乳房链球菌相似,除了对苯唑西林的敏感性更高(98.1%)和对四环素的敏感性更低(11.2%)。在大多数测试的抗菌药物方面,金黄色葡萄球菌分离株的药敏性与乳房链球菌明显不同。金黄色葡萄球菌对氨苄西林(73.4%)、红霉素(74.7%)、林可霉素(66.1%)、青霉素(73.1%)和链霉素(71.7%)的敏感性低于90%。没有一种抗菌药物对所有金黄色葡萄球菌分离株都有效。2003年至2006年期间,主要引起乳腺炎的细菌的总体敏感性有微小变化。

结论

新西兰目前可用于治疗牛乳腺炎的抗菌药物通常对链球菌和葡萄球菌表现出良好的体外疗效,但氨基糖苷类除外。

临床意义

对来自新西兰奶牛牛奶样本的细菌分离株的抗菌药敏结果进行分析,可为监测目的提供有用数据,并为确定该群体中抗菌药物敏感性的变化提供基线。然而单个分离株之间抗菌药敏性的差异意味着这些数据在农场层面确定乳腺炎治疗时价值有限。

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