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7种抗生素对医院分离厌氧菌体外活性的比较研究

[Comparative study in vitro on the activity of 7 antibiotics against anaerobic bacteria from hospital isolates].

作者信息

Braga A, Bernieri F, Mandelli M, Mosconi P, Rossi A

出版信息

Boll Ist Sieroter Milan. 1985;64(4):294-301.

PMID:4074510
Abstract

One hundred and ninety-four anaerobic bacteria isolated from clinical sources were tested by agar dilution technique against seven antimicrobial agents. A comparison with international literature, generally used for selecting appropriate antimicrobial drug showed concordant patterns of susceptibility in the case of Cocci gram-positive, Clostridia, Fusobacterium and other species of Bacteroides excluded B. fragilis group. For these strains we did not found any particular problem in the choice of the therapeutic treatment. In the case of Bacteroides fragilis and B. fragilis group our data confirmed the widespread of resistance to clindamycin and cefoxitin. When the cefoxitin and clindamycin resistance is confirmed by in vitro tests, the piperacillin represent a valid alternative considering the safety profile compared to chloramphenicol (no bone marrow toxicity) and to carbenicillin (no sodium load).

摘要

采用琼脂稀释法,对从临床样本中分离出的194株厌氧菌进行了7种抗菌药物的测试。与通常用于选择合适抗菌药物的国际文献进行比较,结果显示,除脆弱拟杆菌群外,革兰氏阳性球菌、梭菌、梭杆菌及其他拟杆菌属的药敏模式一致。对于这些菌株,在选择治疗药物时未发现任何特殊问题。对于脆弱拟杆菌及脆弱拟杆菌群,我们的数据证实了对克林霉素和头孢西丁耐药的普遍性。当体外试验证实对头孢西丁和克林霉素耐药时,考虑到与氯霉素(无骨髓毒性)和羧苄西林(无钠负荷)相比的安全性,哌拉西林是一种有效的替代药物。

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