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临床分离株对抗菌药物的敏感性。主要聚焦于氧氟沙星(首次报告)。临床分离株氧氟沙星敏感性检测研究组报告

[Susceptibilities of clinical isolates to antibacterial agents. Focusing mainly on ofloxacin (first report). Reported by the Research Group for Testing Ofloxacin Susceptibility of Clinical Isolates].

作者信息

Kosakai N

机构信息

Juntendo University Urayasu Hospital.

出版信息

Jpn J Antibiot. 1988 Jan;41(1):71-104.

PMID:3163383
Abstract

Susceptibility tests were carried out on a variety of clinically isolated pathogens using the susceptibility disc method at 197 hospitals in Japan between May, 1985 through March, 1986. These tests were organized by the Research Group for Testing Ofloxacin Susceptibility on Clinical Isolates, and the results were statistically analyzed. This paper describes a comparison of susceptibilities of clinical isolates including Staphylococcus aureus, Staphylococcus epidermidis, Enterococcus faecalis, Streptococcus pneumoniae, Neisseria gonorrhoeae, Escherichia coli, Enterobacter aerogenes, Enterobacter cloacae, Citrobacter freundii, Klebsiella pneumoniae subsp. pneumoniae, Proteus mirabilis, Morganella morganii, Serratia marcescens, Haemophilus influenzae, Pseudomonas aeruginosa, Acinetobacter calcoaceticus, Acinetobacter sp. and Campylobacter jejuni to ofloxacin (OFLX) and conventional antibacterial drugs. The results obtained were summarized as follows. 1. OFLX showed strong antibacterial activity against S. aureus, S. epidermidis, N. gonorrhoeae, E. coli, E. aerogenes, E. cloacae, C. freundii, K. pneumoniae subsp. pneumoniae, P. mirabilis, M. morganii, H. influenzae, A. calcoaceticus, Acinetobacter sp. and C. jejuni and only a few strains were resistant to OFLX. Moreover, OFLX has superior antibacterial activity against many species compared not only to norfloxacin but also to most of the conventional antibacterial drugs. 2. When studied by sampled materials such as sputum, urine, abscesses and otorrhea, OFLX occasionally showed different actions against the same species from different sources. Almost species from the urinary isolates were less sensitive than those from the sputum.

摘要

1985年5月至1986年3月期间,日本197家医院采用药敏纸片法对多种临床分离病原菌进行了药敏试验。这些试验由临床分离株氧氟沙星药敏检测研究组组织,并对结果进行了统计分析。本文描述了包括金黄色葡萄球菌、表皮葡萄球菌、粪肠球菌、肺炎链球菌、淋病奈瑟菌、大肠埃希菌、产气肠杆菌、阴沟肠杆菌、弗氏柠檬酸杆菌、肺炎克雷伯菌肺炎亚种、奇异变形杆菌、摩根摩根菌、粘质沙雷菌、流感嗜血杆菌、铜绿假单胞菌、醋酸钙不动杆菌、不动杆菌属和空肠弯曲菌在内的临床分离株对氧氟沙星(OFLX)和传统抗菌药物的敏感性比较。所得结果总结如下。1. OFLX对金黄色葡萄球菌、表皮葡萄球菌、淋病奈瑟菌、大肠埃希菌、产气肠杆菌、阴沟肠杆菌、弗氏柠檬酸杆菌、肺炎克雷伯菌肺炎亚种、奇异变形杆菌、摩根摩根菌、流感嗜血杆菌、醋酸钙不动杆菌、不动杆菌属和空肠弯曲菌显示出较强的抗菌活性,只有少数菌株对OFLX耐药。此外,与诺氟沙星相比,OFLX对许多菌种的抗菌活性不仅优于诺氟沙星,而且优于大多数传统抗菌药物。2. 当通过痰液、尿液、脓肿和耳漏等采样材料进行研究时,OFLX对来自不同来源的同一菌种偶尔会表现出不同的作用。几乎所有尿液分离株的菌种比痰液分离株的菌种敏感性更低。

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