Woolfrey B F, Lally R T, Ederer M N, Gresser-Burns M
Antimicrob Agents Chemother. 1987 Jan;31(1):16-20. doi: 10.1128/AAC.31.1.16.
The bactericidal dynamics of oxacillin against four Staphylococcus aureus isolates with known 24-h "persister" percentages were studied by using the agar dilution plate count method. Isolates were selected to provide a representative spectrum whose individual 24-h trough intrinsic persister percentages ranged from greater than 1 to less than 0.01%. Resultant agar dilution plate count method killing curve patterns were found to be reproducible and served to characterize each isolate. The paradoxical effect was observed for each isolate, with paradoxical peaks tending to develop and diminish sequentially during the course of oxacillin action. The observed strain-dependent dynamics of oxacillin killing underscore the artifactual nature of the so-called tolerance phenomenon and negate the usefulness of MBCs and MBC/MIC ratios for the characterization of S. aureus isolates.
采用琼脂稀释平板计数法研究了苯唑西林对4株已知24小时“持留菌”百分比的金黄色葡萄球菌分离株的杀菌动力学。选择分离株以提供一个代表性谱,其个体24小时谷值固有持留菌百分比范围从大于1%到小于0.01%。结果发现,由此产生的琼脂稀释平板计数法的杀灭曲线模式具有可重复性,并可用于表征每个分离株。在苯唑西林作用过程中,每个分离株均观察到了矛盾效应,矛盾峰倾向于依次出现和消失。观察到的苯唑西林杀菌的菌株依赖性动力学强调了所谓耐受性现象的人为性质,并否定了MBCs和MBC/MIC比值用于表征金黄色葡萄球菌分离株的有用性。