Fass R J, Helsel V L, Barnishan J, Ayers L W
Antimicrob Agents Chemother. 1986 Oct;30(4):545-52. doi: 10.1128/AAC.30.4.545.
The in vitro susceptibilities of 260 strains of coagulase-negative staphylococci to penicillin G, oxacillin, nafcillin, methicillin, cephalothin, and seven non-beta-lactam antimicrobial agents were determined and compared with the susceptibilities of 54 strains of Staphylococcus aureus with known patterns of susceptibility. Penicillin G susceptibility for S. aureus, Staphylococcus epidermidis, Staphylococcus haemolyticus, and Staphylococcus hominis was readily determined by using beta-lactamase tests with induced cells and with a standardized microdilution test. MIC criteria for susceptibility used for S. aureus were applicable to the coagulase-negative species. Percentages of organisms susceptible were as follows: S. epidermidis, 7%; S. haemolyticus, 5%; and S. hominis, 47%. Oxacillin susceptibility for these four species was readily determined by using a modification of the microdilution test. MIC criteria for susceptibility used for S. aureus were applicable to S. haemolyticus and S. hominis, but alternate criteria were necessary for S. epidermidis. Percentages of organisms susceptible were as follows: S. epidermidis, 29%; S. haemolyticus, 36%; and S. hominis, 97%. Staphylococcus saprophyticus differed from the other staphylococcal species; all strains were beta-lactamase negative and were penicillin susceptible but had higher penicillin G MICs than did susceptible strains of the other species. There was total cross resistance among the penicillinase-resistant penicillins and cephalothin for the coagulase-negative staphylococci as well as for S. aureus; oxacillin MICs were more reliable than MICs of the other drugs or a standardized disk diffusion test for distinguishing resistant from susceptible strains. Vancomycin, rifampin, and ciprofloxacin were consistently active against all staphylococci. Erythromycin, clindamycin, gentamicin, and trimethoprim-sulfamethoxazole were more active against oxacillin-susceptible staphylococci than against oxacillin-resistant staphylococci.
测定了260株凝固酶阴性葡萄球菌对青霉素G、苯唑西林、萘夫西林、甲氧西林、头孢噻吩以及七种非β-内酰胺类抗菌药物的体外敏感性,并与54株具有已知敏感模式的金黄色葡萄球菌的敏感性进行了比较。通过对诱导细胞进行β-内酰胺酶试验以及标准化微量稀释试验,可轻松测定金黄色葡萄球菌、表皮葡萄球菌、溶血葡萄球菌和人葡萄球菌对青霉素G的敏感性。用于金黄色葡萄球菌的敏感性MIC标准适用于凝固酶阴性菌。敏感菌的百分比分别如下:表皮葡萄球菌为7%;溶血葡萄球菌为5%;人葡萄球菌为47%。通过对微量稀释试验进行改良,可轻松测定这四种菌对苯唑西林的敏感性。用于金黄色葡萄球菌的敏感性MIC标准适用于溶血葡萄球菌和人葡萄球菌,但表皮葡萄球菌需要采用其他标准。敏感菌的百分比分别如下:表皮葡萄球菌为29%;溶血葡萄球菌为36%;人葡萄球菌为97%。腐生葡萄球菌与其他葡萄球菌不同;所有菌株均为β-内酰胺酶阴性,对青霉素敏感,但与人葡萄球菌的敏感菌株相比,其青霉素G的MIC更高。凝固酶阴性葡萄球菌以及金黄色葡萄球菌对耐青霉素酶青霉素和头孢噻吩均存在完全交叉耐药性;对于区分耐药菌株和敏感菌株而言,苯唑西林的MIC比其他药物的MIC或标准化纸片扩散试验更可靠。万古霉素、利福平及环丙沙星对所有葡萄球菌始终具有活性。红霉素、克林霉素、庆大霉素以及甲氧苄啶-磺胺甲恶唑对苯唑西林敏感的葡萄球菌的活性比对苯唑西林耐药的葡萄球菌更强。