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[门诊患者皮肤损伤分离出的革兰氏阳性菌的特征及其对抗菌药物敏感性的评估]

[The characteristics of Gram-positive bacteria isolated from skin lesions observed in ambulatory patients and the assessment of their susceptibility to antimicrobial drugs].

作者信息

Sikora Agnieszka, Kozioł-Montewka Maria, Bogut Agnieszka

机构信息

Katedra i Zakład Mikrobiologii Lekarskiej, Uniwersytet Medyczny w Lublinie.

出版信息

Przegl Lek. 2011;68(4):196-201.

Abstract

The bacterial skin and soft-tissue infections occur commonly and are characterized by more or less intensified changes within skin and subcutaneous tissue. The bacterial skin infections give rise to significant therapeutic problems associated with increasing resistance etiological agents of these infections to antibiotics and chemotherapeutics. The aim of this study was to assess the distribution of various Gram-positive microorganisms in skin lesion observed in ambulatory patients in a period from June 2005 to December 2006. There were 116 bacterial strains isolated and identified from clinical samples: Staphylococcus aureus, coagulase - negative staphylococi (S.epidermidis, S. xylosus, S.capitis, S.saccharolyticus), Propionobacterium acnes, Streptococcus spp. (S.agalactiae, S.pyogenes) i Corynebacterium spp. (C. striatum, C. amycolatum, C. aquaticum). In the further part of this study we analyzed a profile of their susceptibility to antibiotics and chemotherapeutics in relation to drugs recommended for the empirical therapy. The resultant resistance patterns among the examined bacterial isolates are indicative of certain divergence between recommended empirical antibiotic therapy and actual antimicrobial susceptibility of many etiologic factors of skin and soft-tissue infections.

摘要

细菌性皮肤和软组织感染很常见,其特征是皮肤和皮下组织内或多或少会出现强化变化。细菌性皮肤感染引发了重大治疗问题,这些感染的病原体对抗生素和化疗药物的耐药性不断增加。本研究的目的是评估2005年6月至2006年12月期间门诊患者皮肤病变中各种革兰氏阳性微生物的分布情况。从临床样本中分离并鉴定出116株细菌菌株:金黄色葡萄球菌、凝固酶阴性葡萄球菌(表皮葡萄球菌、木糖葡萄球菌、头葡萄球菌、解糖葡萄球菌)、痤疮丙酸杆菌、链球菌属(无乳链球菌、化脓性链球菌)和棒状杆菌属(纹带棒状杆菌、无糖棒状杆菌、水生棒状杆菌)。在本研究的后续部分,我们分析了它们相对于经验性治疗推荐药物对抗生素和化疗药物的敏感性概况。在所检测的细菌分离株中产生的耐药模式表明,推荐的经验性抗生素治疗与皮肤和软组织感染的许多病因的实际抗菌敏感性之间存在一定差异。

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