沙门氏菌对氟喹诺酮类药物的耐药性及培氟沙星纸片扩散法的应用[已校正]
Fluoroquinolone Resistance in Salmonella and the Utility of Pefloxacin Disk Diffusion [corrected].
作者信息
Fang Ferric C
机构信息
Departments of Laboratory Medicine and Microbiology, University of Washington School of Medicine, Seattle, Washington, USA
出版信息
J Clin Microbiol. 2015 Nov;53(11):3401-4. doi: 10.1128/JCM.02270-15. Epub 2015 Aug 26.
Abstract
Fluoroquinolone resistance is a serious and increasingly common problem in Salmonella. Two companion studies in this issue of the Journal of Clinical Microbiology (E. Deak, R. Skov, J. A. Hindler, and R. M. Humphries, J Clin Microbiol 53:3405-3410, 2015, http://dx.doi.org/10.1128/JCM.01393-15; R. Skov, E. Matuschek, M. Sjölund-Karlsson, J. Åhman, A. Petersen, M. Stegger, M. Torpdahl, and G. Kahlmeter, J Clin Microbiol 53:3411-3417, 2015, http://dx.doi.org/10.1128/JCM.01287-15) provide data to support the use of pefloxacin disk diffusion as a convenient and inexpensive surrogate laboratory method to detect fluoroquinolone resistance in Salmonella when the direct measurement of fluoroquinolone MICs is not feasible [corrected]. Recently updated CLSI and EUCAST susceptibility breakpoints will help to optimize clinical outcomes and reduce the likelihood of emergent resistance.
摘要
氟喹诺酮耐药性是沙门氏菌中一个严重且日益常见的问题。本期《临床微生物学杂志》上的两项配套研究（E. 德阿克、R. 斯科夫、J. A. 欣德勒和R. M. 汉弗莱斯，《临床微生物学杂志》53:3405 - 3410，2015年，http://dx.doi.org/10.1128/JCM.01393 - 15；R. 斯科夫、E. 马图谢克、M. 舍伦德 - 卡尔松、J. 奥曼、A. 彼得森、M. 斯泰格、M. 托普达尔和G. 卡尔梅特，《临床微生物学杂志》53:3411 - 3417，2015年，http://dx.doi.org/10.1128/JCM.01287 - 15）提供了数据，支持在无法直接测量氟喹诺酮最低抑菌浓度（MIC）时，使用培氟沙星纸片扩散法作为一种方便且廉价的替代实验室方法来检测沙门氏菌中的氟喹诺酮耐药性[已修正]。最近更新的美国临床和实验室标准协会（CLSI）及欧洲抗菌药物敏感性试验委员会（EUCAST）的药敏断点将有助于优化临床治疗效果并降低出现耐药性的可能性。
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