Wardak Sebastian, Szych Jolanta
Laboratoria Analiz Lekarskich ALAB.
Med Dosw Mikrobiol. 2010;62(4):345-50.
Campylobacteriosis is a significant public health problem in many developed countries. Campylobacter jejuni is one of the leading causes of food-borne gastroenteritis and enteritis in humans. Treatment of campylobacteriosis is required in severe clinical infections, extraintestinal infections and in immunocompromised patients. Erythromycin is the proposed drug of choice for the treatment of Campylobacter infections. However, tetracycline and fluoroquinolones (ciprofloxacin) are also clinically effective agents for treating infections caused by Campylobacter spp. High prevalence of C. jejuni resistant to fluoroquinolone and tetracycline have been recently reported in many countries. In human medicine new agents for the treatment of many serious infections are acutely needed in hospital practice. Tigecycline is a member of a new group of antibiotics--the glycylcyclines with an expanded microbiological spectrum. In our study we will determine the susceptibility of polish, resistant to tetracycline clinical C. jejuni isolates to tigecycline. All 94 tetracycline-resistant C. jejuni strains, with MICs between 8 and 256 mg/l, isolated between 2007 and 2008 were susceptible to tigecycline, with MICs 0.06 mg/1. Tigecycline may has potential therapeutic role in the treatment of serious Campylobacter infections.
弯曲杆菌病在许多发达国家是一个重大的公共卫生问题。空肠弯曲菌是人类食源性肠胃炎和肠炎的主要病因之一。在严重的临床感染、肠外感染以及免疫功能低下的患者中,需要对弯曲杆菌病进行治疗。红霉素是治疗弯曲杆菌感染的首选药物。然而,四环素和氟喹诺酮类(环丙沙星)在临床上也是治疗弯曲杆菌属感染的有效药物。最近在许多国家都报道了空肠弯曲菌对氟喹诺酮和四环素耐药的高流行率。在医院实践中,人类医学迫切需要治疗许多严重感染的新药物。替加环素是一类新型抗生素——甘氨酰环素类的成员,其微生物谱有所扩展。在我们的研究中,我们将测定波兰对四环素耐药的临床空肠弯曲菌分离株对替加环素的敏感性。2007年至2008年间分离出的所有94株对四环素耐药的空肠弯曲菌菌株,其最低抑菌浓度(MIC)在8至256毫克/升之间,对替加环素敏感,MIC为0.06毫克/升。替加环素在治疗严重的弯曲杆菌感染中可能具有潜在的治疗作用。