β-溶血性链球菌多重耐药性的逐步获得及不同类型之间耐药模式的差异
Stepwise acquisition of multiple drug resistance by beta-hemolytic streptococci and difference in resistance pattern by type.
作者信息
Miyamoto Y, Takizawa K, Matsushima A, Asai Y, Nakatsuka S
出版信息
Antimicrob Agents Chemother. 1978 Mar;13(3):399-404. doi: 10.1128/AAC.13.3.399.
Abstract
We collected 1,353 strains of beta-hemolytic streptococci of groups A, B, C, and G (1,176 strains of which were group A) isolated in 26 institutions throughout Japan in 1972-1974. The strains were grouped and T-typed by our specific group-and T-factor sera, and the minimal inhibitory concentrations of 10 antibiotics were assayed by the standard method. Resistant strains from the above collection were classified according to group, T-type, and drug resistance pattern. Our data on T-types for 1964-1971 and on drug resistance for 1966-1971 were used to interpret the detected long-term variations in T-type and drug resistance. The stepwise acquisition of multiple drug resistance, the difference in resistance pattern between predominant T-types, and the rarity of single-macrolide resistance were demonstrated.
摘要
我们收集了1972年至1974年期间在日本全国26个机构分离出的1353株A、B、C和G组β溶血性链球菌（其中1176株为A组）。这些菌株通过我们特定的组和T因子血清进行分组和T分型，并采用标准方法测定10种抗生素的最低抑菌浓度。根据上述收集的耐药菌株，按照组、T型和耐药模式进行分类。我们利用1964年至1971年的T型数据以及1966年至1971年的耐药数据来解释检测到的T型和耐药性的长期变化。结果表明，多重耐药性是逐步获得的，主要T型之间的耐药模式存在差异，且单一大环内酯耐药情况罕见。
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