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[金黄色葡萄球菌临床分离株的体外药敏试验]

[In vitro susceptibilities of clinical isolates of Staphylococcus aureus].

作者信息

Igari J, Shimoji K, Uezu N, Nakasone I, Taira K, Kakazu R

机构信息

Department of Clinical Pathology, School of Health Science, Faculty of Medicine, University of Ryukyus.

出版信息

Jpn J Antibiot. 1988 Sep;41(9):1205-11.

PMID:3241323
Abstract

In vitro susceptibilities of 350 strains of Staphylococcus aureus to ampicillin (ABPC), methicillin (DMPPC), cloxacillin (MCIPC), cefazolin (CEZ), cefmetazole (CMZ), cefmenoxime (CMX), latamoxef (LMOX) and 5 non-beta-lactam antimicrobial agents were determined according to the standard method of Japan Society of Chemotherapy. Frequencies of the appearance of resistant organisms (MIC greater than or equal to 12.5 micrograms/ml) to beta-lactam antibiotics were 45% for ABPC, 27% for DMPPC, 11% for MCIPC, 24% for CEZ, 15% for CMZ, 36% for CMX and 51% for LMOX. To non-beta-lactam antimicrobial agents, resistant strains appeared at 31% to gentamicin, 15% to amikacin, 0.6% to minocycline (MINO), 1% to norfloxacin (NFLX) and 65% to fosfomycin (FOM). More than 80% of DMPPC-resistant strains were also resistant to LMOX, CMX, ABPC, FOM, and CEZ, but most of those were susceptible to MINO and NFLX. Incidence of DMPPC-CEZ resistant S. aureus was 23% of the 350 strains tested. As stated above, multiply resistant strains of S. aureus are present throughout different hospitals in Okinawa.

摘要

根据日本化疗协会的标准方法,测定了350株金黄色葡萄球菌对氨苄西林(ABPC)、甲氧西林(DMPPC)、氯唑西林(MCIPC)、头孢唑林(CEZ)、头孢美唑(CMZ)、头孢甲肟(CMX)、拉氧头孢(LMOX)以及5种非β-内酰胺类抗菌药物的体外敏感性。对β-内酰胺类抗生素耐药菌(MIC大于或等于12.5微克/毫升)的出现频率分别为:ABPC为45%,DMPPC为27%,MCIPC为11%,CEZ为24%,CMZ为15%,CMX为36%,LMOX为51%。对非β-内酰胺类抗菌药物,耐药菌株出现的比例分别为:庆大霉素31%,阿米卡星15%,米诺环素(MINO)0.6%,诺氟沙星(NFLX)1%,磷霉素(FOM)65%。超过80%的DMPPC耐药菌株对LMOX、CMX、ABPC、FOM和CEZ也耐药,但大多数对MINO和NFLX敏感。在检测的350株菌株中,DMPPC-CEZ耐药的金黄色葡萄球菌发生率为23%。如上所述,冲绳县不同医院均存在多重耐药的金黄色葡萄球菌菌株。

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