Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Antimicrob Agents Chemother. 2014;58(2):1179-82. doi: 10.1128/AAC.01959-13. Epub 2013 Oct 28.
Resistant Gram-negative bacteria are increasing central-line-associated bloodstream infection threats. To better combat this, chlorhexidine (CHX) was added to minocycline-rifampin (M/R) catheters. The in vitro antimicrobial activity of CHX-M/R catheters against multidrug resistant, Gram-negative Acinetobacter baumannii, Enterobacter cloacae, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Stenotrophomonas maltophilia was tested. M/R and CHX-silver sulfadiazine (CHX/SS) catheters were used as comparators. The novel CHX-M/R catheters were significantly more effective (P < 0.0001) than CHX/SS or M/R catheters in preventing biofilm colonization and showed better antimicrobial durability.
耐药革兰氏阴性菌增加了中心静脉相关血流感染的威胁。为了更好地应对这一威胁,将洗必泰(CHX)添加到米诺环素-利福平(M/R)导管中。测试了 CHX-M/R 导管对多药耐药革兰氏阴性鲍曼不动杆菌、阴沟肠杆菌、大肠杆菌、肺炎克雷伯菌、铜绿假单胞菌和嗜麦芽窄食单胞菌的体外抗菌活性。将 M/R 和 CHX-磺胺嘧啶银(CHX/SS)导管用作对照。新型 CHX-M/R 导管在预防生物膜定植方面明显比 CHX/SS 或 M/R 导管更有效(P<0.0001),并且具有更好的抗菌耐久性。