Patterson J E, Masecar B L, Zervos M J
Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06510.
Antimicrob Agents Chemother. 1988 Jan;32(1):122-4. doi: 10.1128/AAC.32.1.122.
We identified two beta-lactamase-positive enterococci. One strain was high-level (MIC, greater than 2,000 microgram/ml) gentamicin resistant; the other was not (MIC, 12.5 microgram/ml). beta-Lactamase production was extrachromosomally mediated in both strains, and both strains showed an inoculum effect reversed by beta-lactamase inhibitors. The strain lacking high-level gentamicin resistance showed synergistic killing with a combination of penicillin, clavulanic acid, and gentamicin.
我们鉴定出两株β-内酰胺酶阳性肠球菌。一株对庆大霉素高水平耐药(最低抑菌浓度,大于2000微克/毫升);另一株则否(最低抑菌浓度,12.5微克/毫升)。两株菌的β-内酰胺酶产生均由染色体外介导,且两株菌均显示β-内酰胺酶抑制剂可逆转接种量效应。缺乏高水平庆大霉素耐药性的菌株在青霉素、克拉维酸和庆大霉素联合使用时表现出协同杀菌作用。