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替卡西林-克拉维酸(特泯菌)联合制剂对耐替卡西林细菌的作用

[Effect of a ticarcillin-clavulanic acid (timentin) combination on bacteria resistant to ticarcillin].

作者信息

Rouhan D, Le Noc P, Robert J

出版信息

Pathol Biol (Paris). 1985 Jun;33(5 Pt 2):461-5.

PMID:3937121
Abstract

Sixty-nine ticarcillin-resistant strains (57 Gram negative bacilli and 12 S. aureus) were tested: MICs and MBCs were determined for clavulanic acid, ticarcillin, and both agents combined using a liquid micromethod. MICs were compared to results of disk antibiotic sensitivity tests. While clavulanic acid exhibits little antibacterial activity, its action is synergistic with that of ticarcillin making 100% of Staphylococci and 84.2% of Gram negative bacilli susceptible. Among the Gram negative bacilli tested, distribution is as follows: E. coli (9/9), Klebsiella (10/14), Enterobacter (1/3), Serratia (8/8), Proteus, Providencia (8/8), Salmonella (2/2), Acinetobacter (4/4), and Pseudomonas (6/9). Although strong bacteriostatic and bactericidal activities are already achieved with 4 mg, the best results are obtained with timentin 8 mg.

摘要

对69株耐替卡西林菌株(57株革兰氏阴性杆菌和12株金黄色葡萄球菌)进行了测试:采用液体微量法测定了克拉维酸、替卡西林以及两者联合使用时的最低抑菌浓度(MIC)和最低杀菌浓度(MBC)。将MIC结果与纸片法抗生素敏感性试验结果进行了比较。虽然克拉维酸抗菌活性较弱,但其与替卡西林具有协同作用,使100%的葡萄球菌和84.2%的革兰氏阴性杆菌敏感。在所测试的革兰氏阴性杆菌中,分布如下:大肠杆菌(9/9)、克雷伯菌(10/14)、肠杆菌(1/3)、沙雷菌(8/8)、变形杆菌、普罗威登斯菌(8/8)、沙门菌(2/2)、不动杆菌(4/4)和铜绿假单胞菌(6/9)。虽然4mg替卡西林克拉维酸已具有较强的抑菌和杀菌活性,但8mg替卡西林克拉维酸效果最佳。

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