Kosakai N, Oguri T
Jpn J Antibiot. 1975 Aug;28(4):530-7.
We determined the antibacterial activity of amikacin against 1,277 strains of pathogenic bacteria isolated from clinical materials during 1974, including beta hemolytic streptococci, pneumococci, enterococci, Staphylococcus aureus, Staph. epidermidis, Escherichia coli, Klebsiella, Enterobacter, Citrobacter, Serratia, Proteus morganii and Pseudomonas aeruginosa, and compared the minimum inhibitory concentration (MIC) of this drug with gentamicin, dibekacin, tobramycin and kanamycin. 1)Antibacterial activity of amikacin against beta hemolytic streptococci, pneumococci and enterococci was as weak as the other four aminoglycosides, but against Staph. aureus, Staph. epidermidis, various groups of Enterobacteriaceae and Pseudomonas aeruginosa showed amikacin the good antibacterial activity as gentamicin, dibedacin and tobramycin, and also showed the good activity against kanamycin resistant strains. 2) Amikacin has the similar antibacterial spectrum as gentamicin, dibekacin or tobramycin, but its antibacterial activity is generally weakest among these four drugs. 3) On many strains tested the cross resistance is observed between amikacin and one of gentamicin, dibekacin and tobramycin, but several strains of Proteus morganii and Pseudomonas aeruginosa which have rather large MIC against gentamicin, dibekacin or tobramycin showed rather small MIC against amikacin.
我们测定了阿米卡星对1974年从临床材料中分离出的1277株病原菌的抗菌活性,这些病原菌包括β溶血性链球菌、肺炎球菌、肠球菌、金黄色葡萄球菌、表皮葡萄球菌、大肠杆菌、克雷伯菌属、肠杆菌属、柠檬酸杆菌属、沙雷菌属、摩根摩根菌和铜绿假单胞菌,并将该药的最低抑菌浓度(MIC)与庆大霉素、地贝卡星、妥布霉素和卡那霉素进行了比较。1)阿米卡星对β溶血性链球菌、肺炎球菌和肠球菌的抗菌活性与其他四种氨基糖苷类药物一样弱,但对金黄色葡萄球菌、表皮葡萄球菌、各种肠杆菌科细菌和铜绿假单胞菌,阿米卡星显示出与庆大霉素、地贝卡星和妥布霉素一样良好的抗菌活性,并且对卡那霉素耐药菌株也显示出良好的活性。2)阿米卡星的抗菌谱与庆大霉素、地贝卡星或妥布霉素相似,但其抗菌活性在这四种药物中通常最弱。3)在许多测试菌株中,观察到阿米卡星与庆大霉素、地贝卡星和妥布霉素中的一种之间存在交叉耐药性,但几株对庆大霉素、地贝卡星或妥布霉素MIC相当高的摩根摩根菌和铜绿假单胞菌对阿米卡星的MIC却相当低。