Zhang Yan, Hu Li-Hua, Huang Jia, Lu Ming-Qin, Zeng Fan-Rong, Chen Shao-Chun
School of Public Health, Nanjing Medical University, Nanjing, People's Republic of China.
Zhejiang Provincial Institute of Dermatology, Deqing, People's Republic of China.
Infect Drug Resist. 2023 Mar 14;16:1441-1448. doi: 10.2147/IDR.S396793. eCollection 2023.
This study aimed to assess the drug susceptibility of clinical isolates of to spectinomycin, ceftriaxone and azithromycin. Moreover, the temporal trends in the minimum inhibitory concentration (MIC) of five antibiotics from Zhejiang, China, are also in the scope of this study.
A total of 1710 gonococcal clinical strains were collected between 2007 and 2021 from health-care institutions in Zhejiang. The MICs of ceftriaxone, azithromycin, spectinomycin, penicillin and ciprofloxacin were assessed by agar dilution method on 1710 isolates. Count data were expressed as strains and rates, and MICs distribution was elucidated using descriptive statistics.
The total resistance rates of gonococci to azithromycin, spectinomycin, penicillin and ciprofloxacin in this study were 19.3%, 0.3%, 75.4% and 99.7%, respectively.
The in vitro results showed a high prevalence of resistance to ciprofloxacin and penicillin. Azithromycin resistance rate has exceeded 5%, suggested a high prevalence of resistance. Ceftriaxone and spectinomycin are suggested based on this study for the treatment of in Zhejiang.
本研究旨在评估淋病奈瑟菌临床分离株对大观霉素、头孢曲松和阿奇霉素的药物敏感性。此外,本研究还涉及中国浙江地区五种抗生素的最低抑菌浓度(MIC)的时间趋势。
2007年至2021年间,从浙江的医疗机构收集了共1710株淋病奈瑟菌临床菌株。采用琼脂稀释法对1710株分离株评估头孢曲松、阿奇霉素、大观霉素、青霉素和环丙沙星的MIC。计数资料以菌株数和率表示,MIC分布采用描述性统计进行阐述。
本研究中淋病奈瑟菌对阿奇霉素、大观霉素、青霉素和环丙沙星的总耐药率分别为19.3%、0.3%、75.4%和99.7%。
体外实验结果显示,淋病奈瑟菌对环丙沙星和青霉素的耐药率较高。阿奇霉素耐药率已超过5%,提示耐药情况普遍。基于本研究,建议在浙江使用头孢曲松和大观霉素治疗淋病。