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非伤寒沙门氏菌中氨苄西林耐药性的高发生率

[High incidence of ampicillin resistance in Salmonella spp non typhi].

作者信息

Alós J I, González-Palacios R, Sánchez-Moreno M P, Calderón P

机构信息

Servicio de Microbiología, Hospital de Alcalá de Henares, Madrid.

出版信息

Med Clin (Barc). 1990 Jun 30;95(5):175-7.

PMID:2214906
Abstract

Salmonella spp non typhi is a common cause of gastroenteritis and, more rarely, extraintestinal infections in humans. The type of syndrome determines the choice and duration of antibiotic therapy. Extraintestinal infections by this organism require correct antibiotic therapy. In the present study, the susceptibility to antibiotics of 59 strains of Salmonella spp non typhi from clinical sources, isolated during a period of three and a half months, were evaluated. Fifty one of them were S. enteritidis, 7 S. typhimurium and 1 S. schwarzengrund. A high frequency (45.8%) of resistance to ampicillin (MIC greater than 256 micrograms/ml) was found. Other antibiotics had good or excellent in vitro activity: 90% of strains were sensitive to tetracyclines, 93% to chloramphenicol, 97% to co-trimoxazole, and 100% to cefotaxime and ciprofloxacine. It was concluded that the high frequency of ampicillin resistance to ampicillin precludes its use as first choice antibiotic in our area for suspected extraintestinal infections caused by Salmonella spp non typhi.

摘要

非伤寒沙门氏菌是人类肠胃炎的常见病因,较少情况下也会引发肠外感染。综合征的类型决定了抗生素治疗的选择和疗程。该病原体引起的肠外感染需要正确的抗生素治疗。在本研究中,对在三个半月期间从临床来源分离出的59株非伤寒沙门氏菌菌株的抗生素敏感性进行了评估。其中51株为肠炎沙门氏菌,7株为鼠伤寒沙门氏菌,1株为施瓦岑贝格沙门氏菌。发现对氨苄西林耐药的频率很高(45.8%,最低抑菌浓度大于256微克/毫升)。其他抗生素具有良好或优异的体外活性:90%的菌株对四环素敏感,93%对氯霉素敏感,97%对复方新诺明敏感,100%对头孢噻肟和环丙沙星敏感。得出的结论是,氨苄西林耐药频率很高,因此在我们地区,它不能作为疑似非伤寒沙门氏菌引起的肠外感染的首选抗生素。

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