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[某城市布鲁氏菌属的药敏研究]

[Study on antimicrobial susceptibility of Brucella in a city].

作者信息

Zuo S W, Ni Z L, Yao Y B, Yang R S, Wang S K, Zhou Y H

机构信息

Yuxi Center for Disease Control and Prevention, Yuxi 653100, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2017 Dec 20;35(12):939-941. doi: 10.3760/cma.j.issn.1001-9391.2017.12.015.

Abstract

To investigate the antimicrobial susceptibility of Brucella and to provide a scientific basis for rational drug use and effective treatment of patients with brucellosis. A total of 41 Brucella strains were isolated from the blood of patients with brucellosis in 5 counties and 2 districts in Yuxi City, China from 2014 to 2016. The susceptibility to 23 antimicrobial drugs was tested using Kirby-Bauer (K-B) disk diffusion method and the sizes of antimicrobial rings were recorded. The susceptibility testing results were interpreted according to the Drug Susceptibility Testing Guideline (2009 version) . The susceptibility rate of Brucella was 100.00% to ofloxacin, ciprofloxacin, levofloxacin, and amikacin and >90% to cefotaxime, cefepime, imipenem, doxycycline, cefoperazone, minocycline, tobramycin, rifampicin, cefoperazone/sulbactam, and chloramphenicol. The high resistance to aztreonam and ampicillin was observed (87.80% and 41.46%). Doxycycline-intermediate strains, rifampicin-intermediate strains, and rifampicin-resistant strains were identified. Doxycycline and rifampicin are commonly used in the treatment of brucellosis, but doxycycline/rifampicin-intermediate and-resistant strains have been identified. The susceptibility of Brucella to fluoroquinolones and cephalosporins was high, so the two drugs can be considered in the treatment of brucellosis.

摘要

为研究布鲁氏菌的抗菌药物敏感性,为布氏杆菌病患者合理用药及有效治疗提供科学依据。2014年至2016年,从中国玉溪市5个县2个区布氏杆菌病患者血液中分离出41株布鲁氏菌。采用 Kirby-Bauer(K-B)纸片扩散法检测其对23种抗菌药物的敏感性,并记录抗菌环大小。根据《药物敏感性试验指南(2009年版)》解释药敏试验结果。布鲁氏菌对氧氟沙星、环丙沙星、左氧氟沙星和阿米卡星的敏感率为100.00%,对头孢噻肟、头孢吡肟、亚胺培南、多西环素、头孢哌酮、米诺环素、妥布霉素、利福平、头孢哌酮/舒巴坦和氯霉素的敏感率>90%。观察到对氨曲南和氨苄西林的高耐药性(分别为87.80%和41.46%)。鉴定出多西环素中介株、利福平中介株和利福平耐药株。多西环素和利福平常用于治疗布氏杆菌病,但已鉴定出多西环素/利福平中介株和耐药株。布鲁氏菌对氟喹诺酮类和头孢菌素类药物敏感性较高,治疗布氏杆菌病时可考虑使用这两类药物。

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