Salih Lavin, Tevell Staffan, Månsson Emeli, Nilsdotter-Augustinsson Åsa, Hellmark Bengt, Söderquist Bo
School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Department of Infectious Diseases, Karlstad Hospital, Sweden.
J Bone Jt Infect. 2018 Jan 1;3(1):1-4. doi: 10.7150/jbji.22459. eCollection 2018.
The objective of the present study was to investigate the antibiotic susceptibility including mupirocin among isolated from prosthetic joint infections (PJIs) (n=183) and nasal isolates (n=75) from patients intended to undergo prosthetic joint replacements. Susceptibility to mupirocin (used for eradication of nasal carriership of ) was investigated by gradient test, and susceptibility to various other antimicrobial agents was investigated by disc diffusion test. All isolates, except three from PJIs and one from the nares, were fully susceptible to mupirocin. Multi-drug resistance (≥3 antibiotic classes) was found in 154/183 (84.2%) of the PJI isolates but only in 2/75 (2.7%) of the nares isolates, indicating that causing PJIs do not originate from the nares.
本研究的目的是调查从假体关节感染(PJI)患者(n = 183)和拟进行假体关节置换患者的鼻腔分离株(n = 75)中分离出的细菌对包括莫匹罗星在内的抗生素的敏感性。通过梯度试验研究对莫匹罗星(用于根除鼻腔携带者的)的敏感性,通过纸片扩散试验研究对各种其他抗菌剂的敏感性。除了3株来自PJI和1株来自鼻孔的分离株外,所有分离株对莫匹罗星均完全敏感。在183株PJI分离株中有154/183(84.2%)发现多重耐药(≥3类抗生素),但在75株鼻孔分离株中仅2/75(2.7%)发现多重耐药,这表明引起PJI的细菌并非源自鼻孔。