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爱尔兰流感嗜血杆菌中抗生素耐药性的流行情况。

The prevalence of antibiotic resistance in Haemophilus influenzae in Ireland.

作者信息

Howard A J, Williams H M

机构信息

Department of Medical Microbiology, Gwynedd Hospital, Penrhosgarnedd, Bangor, North Wales, UK.

出版信息

J Antimicrob Chemother. 1989 Dec;24(6):963-71. doi: 10.1093/jac/24.6.963.

Abstract

From January to April 1988, 36 clinical microbiology laboratories in Northern Ireland and Eire took part in a survey to determine the prevalence of antibiotic resistance in Haemophilus influenzae. All isolates were collected and despatched to a coordinating laboratory where identification was confirmed and antibiotic sensitivity tests repeated. One thousand seven hundred and ninety strains were available for analysis. Of these, 10.9% were resistant to ampicillin (10.2% being beta-lactamase producers), 0.4% to amoxycillin-clavulanate, 2.1% to cefaclor, 3.7% to chloramphenicol, 2.6% to erythromycin, 4.1% to tetracycline, 2.6% to sulphonamide and 5.1% to trimethoprim. One hundred and nine strains (6.3%) were resistant to two or more of the antibiotics tested and 31 (1.7%) exhibited combined resistance to ampicillin, chloramphenicol and tetracycline. The prevalence of resistance to ampicillin and chloramphenicol was higher than had been previously recorded in largescale studies conducted on the British mainland.

摘要

1988年1月至4月,北爱尔兰和爱尔兰的36个临床微生物实验室参与了一项调查,以确定流感嗜血杆菌的抗生素耐药性流行情况。所有分离株均被收集并送往一个协调实验室,在那里进行鉴定确认并重复抗生素敏感性测试。共有1790株菌株可供分析。其中,10.9%对氨苄西林耐药(10.2%为β-内酰胺酶产生菌),0.4%对阿莫西林-克拉维酸耐药,2.1%对头孢克洛耐药,3.7%对氯霉素耐药,2.6%对红霉素耐药,4.1%对四环素耐药,2.6%对磺胺类药物耐药,5.1%对甲氧苄啶耐药。109株(6.3%)对两种或更多测试抗生素耐药,31株(1.7%)对氨苄西林、氯霉素和四环素表现出联合耐药。对氨苄西林和氯霉素的耐药率高于此前在英国大陆进行的大规模研究中所记录的水平。

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