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抗微生物药物使用与耐大环内酯肺炎链球菌,比利时。

Antimicrobial drug use and macrolide-resistant Streptococcus pyogenes, Belgium.

机构信息

University of Antwerp, Antwerp, Belgium.

出版信息

Emerg Infect Dis. 2012 Sep;18(9):1515-8. doi: 10.3201/eid1809.120049.

DOI:10.3201/eid1809.120049
PMID:22932671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3437719/
Abstract

In Belgium, decreasing macrolide, lincosamide, streptogramins B, and tetracycline use during 1997-2007 correlated significantly with decreasing macrolide-resistant Streptococcus pyogenes during 1999-2009. Maintaining drug use below a critical threshold corresponded with low-level macrolide-resistant S. pyogenes and an increased number of erm(A)-harboring emm77 S. pyogenes with low fitness costs.

摘要

在比利时,1997 年至 2007 年间大环内酯类、林可酰胺类、链阳菌素 B 和四环素类药物的使用减少,与 1999 年至 2009 年间耐大环内酯类肺炎链球菌的减少显著相关。将药物使用量维持在临界阈值以下,与低水平的耐大环内酯类肺炎链球菌以及具有低适应成本的 erm(A) 携带 emm77 型肺炎链球菌数量增加有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33b/3437719/041cb00207b9/12-0049-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33b/3437719/334d6da5b4d7/12-0049-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33b/3437719/041cb00207b9/12-0049-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33b/3437719/334d6da5b4d7/12-0049-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f33b/3437719/041cb00207b9/12-0049-F2.jpg

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