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[非发酵革兰氏阴性菌的抗生素敏感性]

[Antibiotic sensitivity of nonfermenting gram-negative bacteria].

作者信息

Iskhakova Kh I

出版信息

Antibiot Khimioter. 1988 Nov;33(11):823-7.

PMID:3228322
Abstract

Antibiotic resistance of 132 strains of nonfermenting gram-negative bacteria (NGNB) was studied. 43, 20, 17, 14 and 12 of them belonged to Acinetobacter calcoaceticus (anitratus and lwoffi), Pseudomonas cepacia, Alcaligenes faecalis, P. stutzeri and P. maltophilia, respectively. With rare exceptions all the strains were resistant to benzylpenicillin, oxacillin, lincomycin, ampicillin and cephaloridine. Sensitivity to the other antibiotics varied within wide ranges. Amikacin (94.3 per cent) and tobramycin (90.8 per cent), as well as polymyxin, rifampicin and gentamicin (71.7-66.9 per cent) had the highest effect. The majority of the antibiotics had higher activity (p less than 0.01) against the tested NGNB as compared to their activity against P. aeruginosa. Antibioticograms of every of the tested species of NGNB revealed that P. cepacia and P. stutzeri were the most resistant species. The biovars of Acinetobacter varied in their antibiotic resistance: A. subsp. lwoffi was more sensitive to the majority of the antibiotics though some of them, i.e. doxycycline, carbenicillin, and polymyxin were more active against A. subsp. anitratus.

摘要

对132株非发酵革兰氏阴性菌(NGNB)的抗生素耐药性进行了研究。其中43株、20株、17株、14株和12株分别属于醋酸钙不动杆菌(无硝不动杆菌和鲁氏不动杆菌)、洋葱伯克霍尔德菌、粪产碱杆菌、施氏假单胞菌和嗜麦芽窄食单胞菌。除极少数例外,所有菌株均对苄青霉素、苯唑西林、林可霉素、氨苄西林和头孢利定耐药。对其他抗生素的敏感性差异很大。阿米卡星(94.3%)和妥布霉素(90.8%)以及多粘菌素、利福平、庆大霉素(71.7% - 66.9%)效果最佳。与对铜绿假单胞菌的活性相比,大多数抗生素对所测试的NGNB活性更高(p < 0.01)。所测试的每种NGNB的抗菌谱显示,洋葱伯克霍尔德菌和施氏假单胞菌是耐药性最强的菌种。不动杆菌的生物变种在抗生素耐药性方面存在差异:鲁氏不动杆菌亚种对大多数抗生素更敏感,不过其中一些抗生素,即强力霉素、羧苄青霉素和多粘菌素对无硝不动杆菌亚种活性更高。

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