Poston S M, Maclaren D M, Thornton V G
Zentralbl Bakteriol Orig A. 1978 Apr;240(3):326-33.
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.
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。