Shenderov B A, Olenina N A
Antibiotiki. 1979 Feb;24(2):106-9.
494 persons with various purulent inflammatory diseases were examined. Gram-negative nitrofuran resistant organisms isolated from the clinical material were found in 22.9 per cent of the cases. Representatives of Enterobacteriaceae, Klebsiella-Enterobacter-Serratia (26.8 per cent), Proteus-Providencia (16.8 per cent) and E. coli-Arizona-Citrobacter (16.1 per cent) predominated. Pseudomonas (32.1 per cent) and Acinetobacter (5.3 per cent) predominated among the aerobic gram-negative bacteria. Sensitivity of 131 strains to 10 chemotherapeutic drugs was determined. 60.4 per cent of the aerobic and 44.2 per cent of the Coli bacteria had multiple drug resistance (to 5 and more drugs). The organisms isolated from the urine and wound excretion were most resistant. Representatives of Pseudomonas and Klebsiella-Enterobacter predominated among the polyresistant cultures. High sensitivity of the isolates to gentamicin, carbenicillin and nalidixic acid was noted.
对494例患有各种化脓性炎症疾病的患者进行了检查。从临床材料中分离出的革兰氏阴性耐硝基呋喃菌在22.9%的病例中被发现。肠杆菌科、克雷伯菌-肠杆菌-沙雷菌属(26.8%)、变形杆菌-普罗威登斯菌属(16.8%)和大肠杆菌-亚利桑那菌-柠檬酸杆菌属(16.1%)占主导地位。假单胞菌(32.1%)和不动杆菌(5.3%)在需氧革兰氏阴性菌中占主导地位。测定了131株菌株对10种化疗药物的敏感性。60.4%的需氧菌和44.2%的大肠杆菌具有多重耐药性(对5种及以上药物耐药)。从尿液和伤口排泄物中分离出的细菌耐药性最强。在多重耐药培养物中,假单胞菌和克雷伯菌-肠杆菌属占主导地位。观察到分离株对庆大霉素、羧苄青霉素和萘啶酸高度敏感。