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米诺环素-利福平浸渍导管序贯包被氯己定预防革兰氏阴性菌生物膜定植。

Prevention of biofilm colonization by Gram-negative bacteria on minocycline-rifampin-impregnated catheters sequentially coated with chlorhexidine.

机构信息

Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.

出版信息

Antimicrob Agents Chemother. 2014;58(2):1179-82. doi: 10.1128/AAC.01959-13. Epub 2013 Oct 28.

Abstract

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.

摘要

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。

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本文引用的文献

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