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从全科医疗中尿路感染分离出的肠杆菌科细菌中的可转移抗生素耐药性

Transferable antibiotic resistance in enterobacteriaceae isolated from urinary tract infections in general practice.

作者信息

Poston S M, Maclaren D M, Thornton V G

出版信息

Zentralbl Bakteriol Orig A. 1978 Apr;240(3):326-33.

PMID:352037
Abstract

138 different coliform isolates from patients with UTI in 2 General Practices in Stockport, England, showed an incidence of drug resistance of 36%: 47% of these strains transferred resistance to E. coli K12. Multiple resistance, i.e. resistance to more than 2 drugs occurred in more than a quarter of resistant isolates and sulphonamide resistance was most common. More than twice as many strains in this series (1973--74) were sulphonamide resistant compared with a previous survey (1968--70). MIC values of R+ resistant isolates were much higher with sulphonamide resistant strains than the probable urine levels during therapy, but the situation with ampicillin and tetracycline levels was variable.

摘要

从英国斯托克波特2家全科诊所的尿路感染患者中分离出138株不同的大肠菌群,其耐药发生率为36%:其中47%的菌株可将耐药性转移至大肠杆菌K12。超过四分之一的耐药菌株出现多重耐药,即对2种以上药物耐药,其中磺胺耐药最为常见。与之前的一项调查(1968 - 1970年)相比,本系列研究(1973 - 1974年)中磺胺耐药菌株的数量是前者的两倍多。耐药性(R+)分离株对磺胺耐药菌株的最低抑菌浓度(MIC)值远高于治疗期间尿液中的可能浓度,但氨苄西林和四环素的情况则有所不同。

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