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[不同O血清群铜绿假单胞菌临床菌株的抗生素耐药性]

[Antibiotic resistance of clinical strains of Pseudomonas aeruginosa from various O-serogroups].

作者信息

Iskhakova Kh I, Shamsutdinova L A

出版信息

Antibiot Med Biotekhnol. 1986 Jun;31(6):456-61.

PMID:3090934
Abstract

The results of the study on antibiotic resistance of 745 strains of P. aeruginosa isolated in hospitals from surgical patients, environment and carriers are presented. 89.7 per cent of the strains were typed by the commercial O-sera. The isolates were most sensitive to tobramycin (99 per cent), amikacin (95.1 per cent), cefsulodin (95.1 per cent), polymyxin (89.7 per cent) and gentamicin (73.5 per cent). Comparison of the antibiotic resistance of the typed and nontyped cultures revealed that the former were more resistant to tetracycline, carbenicillin, rifampicin, kanamycin and cefotaxim, while the latter were more resistant to gentamicin and polymyxin. It was also noted that the proportion of the strains resistant to all of the tested antibiotics was higher among the nontyped cultures. Antibiotic sensitivity of P. aeruginosa was in many respects defined by the strain origin: the strains isolated from patients were more resistant to tetracycline, carbenicillin, rifampicin, cefotaxim and kanamycin and more sensitive to gentamicin and polymyxin than the strains isolated from the environment. The cultures belonging to different O-serogroups (O-11 and O-2) markedly differed by their antibioticograms.

摘要

本文展示了对从外科手术患者、医院环境及携带者中分离出的745株铜绿假单胞菌进行抗生素耐药性研究的结果。89.7%的菌株通过市售O血清分型。分离菌株对妥布霉素(99%)、阿米卡星(95.1%)、磺苄西林(95.1%)、多粘菌素(89.7%)和庆大霉素(73.5%)最为敏感。对分型和未分型培养物的抗生素耐药性比较显示,前者对四环素、羧苄西林、利福平、卡那霉素和头孢噻肟的耐药性更强,而后者对庆大霉素和多粘菌素的耐药性更强。还注意到,未分型培养物中对所有测试抗生素均耐药的菌株比例更高。铜绿假单胞菌的抗生素敏感性在许多方面取决于菌株来源:与从环境中分离出的菌株相比,从患者中分离出的菌株对四环素、羧苄西林、利福平、头孢噻肟和卡那霉素的耐药性更强,对庆大霉素和多粘菌素的敏感性更高。属于不同O血清群(O-11和O-2)的培养物,其抗菌谱明显不同。

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