Neguţ M, Niţulescu A, Potcoavă R
Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Bacteriol Virusol Parazitol Epidemiol. 1978 Jan-Mar;23(1):27-36.
The sensitivity of 112 S. marcescens strains, isolated under various clinico-epidemiologic conditions, was tested by the dilution in agar method against 10 different antibiotics and sulfonamides active against Gram-negative bacteria. With the maximum concentrations used only Gentamycin and nalidixic acid were active against a high proportion of the strains tested, i.e. 96.4% and 91.1%. Kanamycin, Neomycin, Chloramphenicol, Streptomycin and Tetracyclin had an inhibitory effect against less than 25% of tested strains. One strain was resistant to all the antibiotics, 49.1% were only sensitive to 2 antibiotics and 33.9% to 3 antibiotics. Among tested strains 22 different antibiotypes were established. Evidence of 2 or more types of resistance within the same epidemic outbreaux, reduces the value of the "antibiotype" as epidemiologic indicator within this species. The readily acquired transfer factors of resistance might be responsible for the marked "mobility" of the antibiotypes, as well as for the spread of S. marcescens in hospital pathology.
对在各种临床流行病学条件下分离出的112株粘质沙雷氏菌菌株,采用琼脂稀释法检测其对10种不同的、对革兰氏阴性菌有效的抗生素和磺胺类药物的敏感性。在所使用的最大浓度下,仅庆大霉素和萘啶酸对大部分受试菌株有活性,即分别为96.4%和91.1%。卡那霉素、新霉素、氯霉素、链霉素和四环素对不到25%的受试菌株有抑制作用。有1株菌株对所有抗生素耐药,49.1%的菌株仅对2种抗生素敏感,33.9%的菌株对3种抗生素敏感。在受试菌株中确定了22种不同的抗菌型。在同一流行菌株中存在2种或更多种耐药类型的证据,降低了“抗菌型”作为该菌种流行病学指标的价值。耐药性转移因子易于获得,这可能是抗菌型显著“流动性”的原因,也是粘质沙雷氏菌在医院感染中传播的原因。