Podschun R
Abteilung Medizinische Mikrobiologie, Universität Kiel.
Zentralbl Hyg Umweltmed. 1990 May;189(6):527-35.
474 Klebsiella pneumoniae and K. oxytoca strains isolated from different sources (human clinical material, feces of healthy subjects, sewage) were investigated for phenotypic properties. Characteristics analyzed were cultural activities, antimicrobial susceptibilities and capsule types. Comparison of both species revealed differences in adonitol fermentation and resistance to tetracycline, nalidixic and pipemidic acid. Capsule types 2, 7 and 33 were frequently found in K. pneumoniae, but not in K. oxytoca. On the other hand, K 66 was common in K. oxytoca, but not in K. pneumoniae. With regard to the source of isolation, clinical strains of both species proved to be more resistant to mezlocillin, azlocillin and cephalothin than fecal and sewage strains. Similarly, resistances of K. pneumoniae to cotrimoxazole, nalidixic and pipemidic acid were most frequent in clinical strains. Multiple drug resistances were found most often in clinical isolates. Biochemically, different frequencies of positive reactions for urease, lysine decarboxylase activity and acetoin production were found between the groups. Capsule typing demonstrated K2 and K7 in K. pneumoniae and K55 and K66 in K. oxytoca to be more common in clinical and fecal isolates than in sewage strains. While cultural characteristics did not allow discrimination of strains from different sources, capsule typing indicated clinical isolates to be more phenotypically related to strains from feces than to sewage isolates.
对从不同来源(人类临床材料、健康受试者粪便、污水)分离出的474株肺炎克雷伯菌和产酸克雷伯菌菌株进行了表型特性研究。分析的特征包括培养活性、抗菌药敏性和荚膜类型。两种菌的比较显示在卫矛醇发酵以及对四环素、萘啶酸和吡哌酸的耐药性方面存在差异。荚膜类型2、7和33在肺炎克雷伯菌中常见,但在产酸克雷伯菌中不常见。另一方面,K66在产酸克雷伯菌中常见,但在肺炎克雷伯菌中不常见。关于分离来源,两种菌的临床菌株对美洛西林、阿洛西林和头孢噻吩的耐药性均高于粪便和污水菌株。同样,肺炎克雷伯菌对复方新诺明、萘啶酸和吡哌酸的耐药性在临床菌株中最为常见。多重耐药性在临床分离株中最为常见。在生化方面,各菌株组之间脲酶、赖氨酸脱羧酶活性和乙酰甲基甲醇产生的阳性反应频率不同。荚膜分型显示,肺炎克雷伯菌中的K2和K7以及产酸克雷伯菌中的K55和K66在临床和粪便分离株中比在污水菌株中更常见。虽然培养特征无法区分不同来源的菌株,但荚膜分型表明临床分离株在表型上与粪便菌株的关系比与污水分离株的关系更密切。