Mahidol-Oxford Tropical Medicine Research Unit, Department of Microbiology and Immunology, Mahidol University, Bangkok, Thailand.
Antimicrob Agents Chemother. 2011 Nov;55(11):5388-91. doi: 10.1128/AAC.05517-11. Epub 2011 Aug 29.
A 21-year survey conducted in northeast Thailand of antimicrobial resistance to parenteral antimicrobial drugs used to treat melioidosis identified 24/4,021 (0.6%) patients with one or more isolates resistant to ceftazidime (n = 8), amoxicillin-clavulanic acid (n = 4), or both drugs (n = 12). Two cases were identified at admission, and the remainder were detected a median of 15 days after starting antimicrobial therapy. Resistance to carbapenem drugs was not detected. These findings support the current prescribing recommendations for melioidosis.
在泰国东北部进行的一项为期 21 年的研究调查了用于治疗类鼻疽病的注射用抗菌药物的耐药性,发现 4021 例患者中有 24 例(0.6%)对头孢他啶(n=8)、阿莫西林克拉维酸(n=4)或两种药物(n=12)有一个或多个分离物耐药。有两例在入院时就已发现,其余患者在开始抗菌治疗后平均 15 天发现。未检测到对碳青霉烯类药物的耐药性。这些发现支持当前针对类鼻疽病的处方推荐。